简中Definition of disability
The definition of a disability can vary between insurance companies. The definition can even vary between different insurance plans from the same company. Please check your insurance plan to learn your its definition of disability.
1. Total disability
▪ Any occupation
When any occupation is chosen, the policy owner would receive a disability benefit when he or she is unable to work at any job.
▪ Regular occupation
The policy owner will receive benefits if he or she is unable to perform the main duties of his or her regular occupation. If the insured earns a salary or wage from other employment, the policy benefit will be reduced or eliminated by those employment earnings.
▪ Own occupation
The policy owner will receive benefits if he or she is unable to perform the main duties of his or her regular or previous occupation. Full benefit are paid, even if the person is working at another occupation, as long as the insured cannot work at his or her regular occupation.
Regular or own occupation plans usually cost more than any occupation plans. You may want to consider an own occupation plan if you have a specialized occupation that would require you to take a significant pay cut in order to work in another field.
2. Residual disability
The policy owner will receive benefits if he or she is still actively engaged in their occupation, but will suffer a loss of income of at least 20% because of a sickness or injury. The benefit is in proportion to wages lost and supplements what is being earned as income.
Residual disability benefit = Total disability benefit x Income loss / Previous income
3. Partial disability
Partial disability coverage is similar to residual disability coverage. Both types of coverage pay benefits if you’re able to perform some of the duties of your occupation. However, loss of income is not considered in partial disability. You’re instead paid an amount equal to 50 percent (or sometimes less) of the benefit that you would earn if you were totally disabled. The benefit period is much shorter, usually only 6 to 12 months.
4.Presumptive disability
A presumptive disability claim will be honored when the insured suffers the loss of limbs, sight, hearing, or speech, paraplegia or paralysis. Full benefit are payable until the end of the benefit period or for life, regardless whether or not the person can return to work.