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Understanding Waiting Periods for Long-Term Disability Insurance

Last updated: November 19, 2023

Disability insurance provides income protection when you become disabled and cannot work due to a long-term injury or illness. A crucial aspect of long-term disability insurance policies is the waiting period, also known as the elimination period. 

This article will define the waiting period, explore why they exist, look at typical waiting period durations, evaluate different waiting period options, and discuss how the waiting period affects insurance premiums. It will also shed light on factors affecting the selection of waiting periods.

What is a Waiting Period?

The waiting period, or elimination period, is the period of time between when a disabling event occurs (such as an injury or illness) and when you start receiving long-term disability insurance benefits. It is essentially the deductible of your disability plan, often expressed in days, weeks, or months. During the waiting period, you will not receive any benefits from your disability insurance policy.

The length of the waiting period greatly impacts the cost of your long-term disability insurance premiums. A longer waiting period typically results in lower premium costs because the insurance company assumes less risk in providing coverage. Conversely, a shorter waiting period will result in higher premiums as the insurer takes on more risk associated with providing coverage sooner.

Why Do Waiting Periods Exist

There are several reasons why waiting periods exist in long-term disability insurance policies. First, they help to prevent fraud, as individuals may be less inclined to file false claims if they are required to wait for benefits. Waiting periods also help control costs for the insurance company, as the longer the waiting period, the less likely the insurer is to pay out on a claim. Additionally, waiting periods can encourage a policyholder to return to work as soon as possible, instead of relying on disability insurance benefits.

Insurance companies also use waiting periods to differentiate between short-term and long-term disability benefits. Typically, short-term disability benefits cover disability-related expenses for a brief time, often beginning within weeks of the disabling event. Long-term disability benefits, on the other hand, provide more extended coverage, but do not begin until the waiting period has been fulfilled.

Typical Waiting Period Durations

Waiting periods for long-term disability insurance policies can vary but typically range between 30 days and 720 days, with 90 days being the most common choice. Some factors that may influence the waiting period include your occupation, age, health, and the specific policy details.

Shorter waiting periods (30 to 60 days) may be more suitable for individuals who have limited financial resources or savings and require quick access to disability benefits. However, these shorter waiting periods result in higher premiums. Longer waiting periods (180 days or more) can significantly reduce premium costs but may not be suitable for those without sufficient savings to cover expenses during the elimination period.

Evaluation of Different Waiting Period Options

When determining the most suitable waiting period for your long-term disability insurance policy, consider factors such as your financial situation, savings, expenses, and occupation. Evaluate your access to short-term disability coverage, either through your employer or personal savings, as short-term disability policies can help bridge the gap between the disabling event and the start of long-term disability benefits.

Weigh the trade-off between lower premiums and longer waiting periods against your financial stability during the elimination period. Consult with an insurance professional or financial advisor to help assess the best option for your specific situation and needs.

How The Waiting Period Affects Premiums

The length of the waiting period directly impacts the cost of your long-term disability insurance premiums. A longer waiting period generally results in lower premium costs, as the insurer assumes less risk. A shorter waiting period increases the insurer's risk, which leads to higher premiums. When selecting a waiting period, it is essential to strike a balance between affordability and the financial resources needed to cover your expenses during the elimination period.

Waiting periods play a crucial role in long-term disability insurance policies. Understanding the implications of different waiting period options and their effects on premiums can help you make an informed decision that meets your financial needs while providing essential income protection in the event of a disabling illness or injury.

Factors Affecting the Selection of Waiting Periods

There are several factors to consider when selecting the waiting period for a long-term disability insurance policy. The waiting period, also known as the elimination period, is the length of time that an individual must be disabled before disability insurance benefits begin. Longer waiting periods typically result in lower premium costs, but may also delay needed financial assistance. Below are five factors to consider when selecting a waiting period.

Personal Financial Situation

The most important factor to consider when selecting a waiting period is your personal financial situation. Individuals should assess their monthly living expenses, including mortgage or rent, utilities, groceries, and other essential costs. It's crucial to determine how long you can cover these expenses without any income should a disability occur.

For example, if you have sufficient savings to cover these costs for six months, you may choose a longer waiting period, resulting in lower premiums. However, if you have little to no savings, you may need a shorter waiting period to ensure financial stability should a disability occur. The trade-off is that a shorter waiting period generally results in higher premium costs.

Employer Benefits and Policies

If you are working and your employer offers disability insurance benefits, it's essential to understand the policies in place. Some companies provide short-term disability coverage, which could affect your decision on the waiting period for long-term disability coverage.

Short-term disability policies generally have short waiting periods, possibly as low as a few days to a couple of weeks. Depending on the coverage provided, you may be able to select a longer waiting period for your long-term disability policy, knowing that short-term benefits will kick in before that. This can help lower the cost of your long-term policy while still maintaining financial security.

Risk of Disability in Profession

Your profession plays a significant role in determining the appropriate waiting period. Some occupations have a higher risk of disability than others, making a shorter waiting period more beneficial. High-risk occupations include those involved in manual labor, healthcare workers, and first responders.

If you are at a higher risk of disability due to your profession, you may want to consider a shorter waiting period to ensure financial stability should an injury occur. On the other hand, if your job has a lower risk of disability, you may be able to select a longer waiting period and save on premium costs.

Existence of an Emergency Fund

Having an emergency fund in place can greatly impact your decision regarding the waiting period for disability insurance. An emergency fund typically consists of three to six months' worth of living expenses set aside for unexpected events, such as an illness or job loss.

If you have a robust emergency fund, you may be able to opt for a longer waiting period, knowing you can cover expenses during that time. However, if you lack an emergency fund, a shorter waiting period may be necessary to ensure financial security in the event of disability.

Other Insurance Coverage (e.g., Short-Term Disability)

When selecting a waiting period for long-term disability insurance, it's essential to consider any other insurance coverage you may have. Some people have additional insurance policies through their employers, associations, or third-party insurers that provide benefits in the event of illness or injury.

If you have another policy, such as short-term disability insurance, it's crucial to coordinate the waiting periods of both policies to ensure seamless coverage. Examining all available policy options can help you make an informed decision on the waiting period for your long-term disability coverage.

Frequently Asked Questions

1. What is the purpose of a waiting period in Long Term Disability Insurance (LTD)?

A waiting period, also known as an elimination period, serves as a predetermined time frame during which a policyholder must be disabled before receiving LTD benefits. It helps insurers manage risk and keeps premium costs lower for policyholders.

2. What are common waiting period durations for LTD policies?

Typical waiting periods for LTD policies range from 30 to 180 days, with 90 days being the most common. Longer waiting periods result in lower premiums, as the insurer assumes less risk for short-term disabilities.

3. Can the waiting period be waived for pre-existing conditions in LTD policies?

Some insurers may waive the waiting period for pre-existing conditions on an LTD policy. However, many insurers will not cover a pre-existing condition for a specified period or may exclude it from coverage entirely.

4. Do LTD benefits start immediately after the waiting period concludes?

Once the waiting period concludes, benefits typically begin on the following day. The policyholder must continue to meet the policy's definition of disabled and adhere to other policy requirements, such as providing medical evidence of disability.

5. Is it possible to adjust the waiting period after purchasing an LTD policy?

Policyholders may have the option to adjust the waiting period after the policy purchase, though insurer approval is usually necessary. Changes to the waiting period may result in premium adjustments and may require a new medical underwriting review.

6. Are waiting periods for LTD policies impacted b y employer-provided short-term disability coverage?

Employer-provided short-term disability coverage may affect the LTD waiting period. In some cases, the waiting period for LTD policies is designed to align with the short-term disability coverage's benefit duration, ensuring continuous coverage for disabled individuals.

Final Thoughts

In conclusion, waiting periods play a significant role in long-term disability insurance policies. They serve as a deductible period during which policyholders do not receive benefits, but they also help prevent fraud, control costs for insurers, and encourage early return to work. 

The duration of the waiting period affects the cost of premiums, with longer waiting periods resulting in lower costs but potentially delaying financial assistance. Factors such as personal financial situation, employer benefits, profession, emergency funds, and other insurance coverage should be considered when selecting a waiting period. 

It is crucial to strike a balance between affordability and financial stability during the elimination period. By understanding the implications of waiting period options and their impact on premiums, individuals can make informed decisions that provide essential income protection in the event of a disabling illness or injury.

Read more about why the elimination period exists in our blog.

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Chloe Powers
Chloe works with policymakers on behalf of Disability Help to support their work at a strategic level, ensuring the conditions are in place for creative individuals and organizations to grow, reach their potential and effect relevant, sustainable change.
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