Health is wealth.   

(Someone wise)  

For most Americans, Labor Day marks the last hurrah to Summer before we officially re-plug back into the work matrix. However, I want to use this recent holiday to bring up a financial planning topic that’s rarely discussed and, rarer still, executed: long-term disability (LTD) insurance.  (I know, yuck! I’ll try and make this quick and painless.)

 

When it comes to financial planning, for most people, the end goal is typically financial independence and/or retirement.  (What’s my number?)  But, by focusing on building up assets for tomorrow, many of us overlook the most valuable asset that we have today – our human capital.  To build up assets to eventually replace our salary when we no longer can or want to work, most of us need to use our human capital to earn, save and invest.  But, based on my experience, prospects and clients rarely bring up LTD insurance as a part of their financial picture.  My guess is, like estate planning, LTD insurance seems foreign; complicated; potentially unnecessary; portents personal misfortune. (Why go there?) As often the case, however, the most important topics are often the most uncomfortable to discuss. What would happen if you can’t work for a year…or a lifetime?  Who will support you and/or your family?  How will you get by?  Let’s start the conversation…                

 

What is LTD insurance?  

LTD insurance protects your human capital (or potential income).  Should you become disabled and can’t work for an extended period of time, LTD benefits will kick in to help pay for living expenses.  The typical LTD policy supplements 40-60% of gross income and begins after the policy’s waiting (or elimination) period, usually 90-180 days.  So, if you earn $100K/yr and suffer from a qualified disability for longer than your policy’s waiting period, then you will receive LTD insurance benefits (assuming 60% of gross income) for the duration of your disability, which could be until you reach age 65, depending on your policy. This means you’ll receive a $5K/month “pay check” to help you get by until you get back on your feet again (literally).                         

 

Who needs LTD insurance?  Why?  

According to the Social Security Administration, 25% of all 20-year-olds now will need LTD insurance before age 67 (retirement).[1]  Moreover, women typically file more claims than men as we’re more inclined to see a doctor.  Here’s the list of top disabilities for women: arthritis, rheumatism, heart disease, cancer, mental health issues, diabetes, and nervous system disorders.

 

As is the case, prime candidates for LTD insurance are those in their prime working years (20s – 40s); highly educated and/or skilled; have yet to build up a lot of assets; have debts and/or dependents.

 

How long do you need LTD insurance?  

As with (term) life insurance, LTD insurance is more critical in certain stages of life than others.  As mentioned, if you’re just starting out, highly skilled, have debts and/or dependents and have not had enough time to build up other assets (e.g., portfolio, house), then LTD insurance is critical for you.  You need to protect your earnings potential so you can build up additional income replacement assets.  One of the best places to build up those assets quickly and tax efficiently are in various (employer-sponsored) retirement and investment accounts: 401k; 403b; Roth 401k; Roth 403b; Roth IRA; HSA; brokerage account. As your portfolio grows, you may consider slowly reducing your need for LTD insurance by potentially lowering benefits from say 60% to 50% of  gross income.  Reason being, your portfolio can supplement some of your income needs should you become disabled.  (See table below for potential annualized return and withdrawal rate for different size portfolio – 75/25 mix.)   

 

Investment Portfolio 

(75/25 mix)

Potential Return/Income*

Safe Withdrawal Rate**

$250K

$17.5K

$10K

$500K

$35K

$20K

$750K

$52.5K

$30K

$1.0M

$70K

$40K

*Based on historical return, a diversified, moderately invested portfolio (75 % stocks and 25% bonds + cash), produce 7% in annualized return. 

**Based on the Trinity Study, the safe withdrawal rate from such a portfolio is 4% annually for at least 30 yrs.

 

NOTE: Social Security Administration also provides disability insurance, but qualifying for benefits can be a lengthy, arduous and complicated process.  Moreover, benefit is typically small.

 

What to look for in LTD insurance policy? 

Ideally, here are the key coverage (and terms) to look for in LTD insurance: 

 

Coverage

o  Long-term (until age 65)

o  60% of monthly income (gross)

o  Own occupation (not “any occupation” as that’s worthless)

o  90-180 days elimination (waiting) period before receiving benefits

o  Non-cancelable and guaranteed renewable policy

What’s Covered[1]

o  Musculoskeletal disorders

o  Cancer

o  Muscle and ligament strains, fractures and sprains

o  Mental health issues

o  Heart attack, stroker and other circulatory diseases

What’s Not Covered[2]

o  Pre-existing conditions (if it starts within first year of your effective date,

    you would not qualify for coverage)

o  Crime-related injuries if disabled person is convicted

o  Disability during incarceration

o  Revoked professional certification or license

o  Self-inflicted injuries

o  Active participation in riot

o  War or act of war

o  Workplace injuries…with some exceptions.

Cost 

Employer: Most (big) employers pay for all or most of employees’ LTD insurance premium as part of compensation package. 

Individual (Out-of-pocket): Expect to pay annual premium = 1-3% of gross income/yr.  For example, if you earn $100K/yr, then LTD insurance premium will be $1K-$3K/yr.

 

Where to find and buy LTD insurance? Tax implications?   

For many people, especially those who work for big employers, the first place to look for LTD insurance is in your employer’s benefit brochure/handbook.  Is LTD insurance offered? What are the coverage options?  Are you signed up automatically or do you have to enroll?  If the latter, then when can you sign up?      

 

For those who work for smaller employers or are self-employed, the likely “option” is to self-insure.  Here are some potential carriers to research further based on reputation, financial strength, expertise: Massachusetts Mutual; Northwestern Mutual; Principal; Thrivent.  (Please do your due diligence!)  


Regarding taxes, if your employer pays for all of your LTD insurance premium, then benefits will be taxed as ordinary income.  If you pay a portion of LTD insurance premium (let’s assume one-third), then one-third of your benefits will not be taxed while the remaining two-thirds will be taxed as ordinary income.  Finally, if you pay for all your LTD insurance premium, then benefits will be tax-free.  

 

Final thoughts…

LTD insurance doesn’t get talked about, because it’s hard to talk about. Not only are the emotional implications hard to wrap one’s head around, but the financial implications for not having (adequate) LTD insurance can be too devastating.  Still, for most workers, especially women, the possibility of becoming disabled for the long-term is uncomfortably high.  If that possibility can lay waste your plans for tomorrow, then we need to talk about LTD insurance today.  

 

[1] “Why long-term disability insurance is more important than pet insurance,” NPR, October 2017

[2]“What is long-term disability insurance and how does it work,” USA Today, 2023 

[3]“What is long-term disability insurance and how does it work,” USA Today, 2023   

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