Are Rates Guaranteed?
 

Yes, The policy is non-cancelable
 

Definition of Total Disability

Company1
The insured cannot perform the main duties of their own occupation and is not working in another occupation


Company2
There is no definition of total disability. This is a loss of earnings contract. Disability means the insured has a loss of income of at least 20%, and either their ability to work is restricted, or the insured is unable to perform the material and substantial duties of their regular occupation.
 

How Are Claims Paid for
Total Disability?

Company1  Total Disability:
The insured would receive the full monthly benefit payable, for the full benefit period, as long as they meet the definition above. There is no income loss required in order for the insured to collect the total disability benefit.

Company2  Total Disability:
The insured would receive the full monthly benefit payable, for the full benefit period elected, if they meet the definition above. If the insured is Class 5A or Class 4A select (earning at least $75,000) they can receive a full monthly benefit regardless of income loss, if they have purchased the optional Regular Occupation Rider.
 

Company1 Residual Disability:
The insured is not totally disabled and is working, but is suffering an income loss of at least 20%. For the first 12 months, the company will pay the insured a minimum of 50% of their total monthly benefit. After that, the benefit is based on the percentage of income loss. However, if at any time, the income loss exceeds 75%, the company pays 100% of the full monthly benefit.

Company2 Residual Disability:
The insured is working, but is suffering an income loss of at least 20% and either their ability to work is restricted or they cannot perform the material and substantial duties of their regular occupation. If the income loss is less than 20%, the insured could still collect a monthly benefit if; the insured has been receiving benefits for 90 days, the insured meets the definition of disability, and the benefit is at least $300 per month. If at any time the insured’s loss of income exceeds 75%, the full monthly benefit is paid.
 

Company1 Recovery Benefit:
The insured is fully recovered and back to work full-time, but is suffering at least a 20% loss of income. the company will continue to pay this benefit up to the Maximum Benefit Period, as long as their remains a demonstrated relationship between the prior disability, and the loss of income.

Company2  Recovery Benefit:
The insured is fully recovered and back to work full-time, but is suffering an income loss of at least 20%. The insured will receive the monthly benefit for a maximum of 4 months unless they have purchased the optional Return to Work Rider. This rider can be purchased by Classes 5A select and 4A select (fee for service professionals only) as long as their policy has an elimination period of 90 days or more. The rider allows the insured to receive a monthly benefit for their full benefit period, as long as they have at least a 20% loss of income.
 

Are Mental, Nervous, Drug and Alcohol Related Claims Covered?

Company1 
Yes- Benefits are paid for up to 24 months for each period of disability, with no aggregate lifetime limit. If the insured is hospitalized, the coverage extends to the maximum benefit period issued.

Company2 
Yes- Benefits are payable the same as any other covered loss, unless the Limitation of Benefits for Mental/Nervous and Substance Abuse Disorders optional rider is chosen (Multi-Life employer sponsored plans only). Under the rider, the aggregate lifetime benefit is 24 months or the benefit period elected if the insured is continuously hospitalized.