Why Would Someone Choose To Get Long-Term Disability vs. SSDI?

October 25, 2023

By Steve Fields
Principal Attorney

Many people take their ability to work and earn money for granted, but perhaps they shouldn’t. According to the Social Security Administration, one in four 20-year-olds will be disabled for at least ten days before they turn 67. 

To address this need, the government offers Social Security Disability Insurance (SSDI), funded by Social Security taxes.

SSDI payments are a good option for some people. Individuals can meet their daily living expenses, address healthcare demands, and experience a better quality of life with the support of SSDI, as it provides a reliable source of income for those with qualifying disabilities who have earned enough work credits.

In-depth information on both long-and short-term disability insurance will be covered in this article.

How SSDI Works and What It Covers

There are characteristics that all disability insurance policies have. You may better comprehend disability insurance by analyzing SSDI features and contrasting the data with alternative possibilities. The following are the top five elements to consider:

  • Premium – The premium is the amount which you (or your company) pay each month or annually to purchase the coverage.
  • Waiting period – When you become disabled, there is a waiting period, also known as an elimination period, before you can begin receiving benefits.
  • Definition of total disability – What it takes to be eligible for total disability benefits is explicitly defined in each disability policy. In general, there are two categories of reports:
    • A disability must prevent you from working in your specialty or field to be eligible for benefits, according to the occupation definition.
    • According to the “any occupation” definition, you can only receive disability benefits if you cannot work.
  • Benefits – the monthly payment you receive if you are too ill or injured to work.
  • Time frame – the period within which you can obtain benefits. 

Individual Long-Term Disability (LTD) Insurance 

The long-term impairments this sort of policy covers are similar to those covered by SSDI; still, depending on the policy and conditions, it may be easier to qualify for, and the benefit amount may be significantly higher.

Cost is frequently a barrier for more people purchasing an individual long-term disability plan. You should budget between 1% and 3% of your yearly salary for an extensive long-term disability plan. It’s crucial to remember that the premium price is less expensive than the 12.4% self-employment tax rate under Social Security.

Compared to SSDI, individual long-term disability insurance is typically thought to have more customization, and many plan elements may be changed to reduce premium rates. For instance, depending on the policy, the waiting period may be longer or shorter than SSDI. A longer-term will often result in lower rates, while a shorter period may result in higher premiums.

The quality of money you receive and the simplicity to qualify for benefits are two perks of acquiring a private LTD plan. The benefit amount from a long-term disability plan should replace 60% to 80% of your after-tax income.

A more significant benefit could make the policy unsustainable, causing you to let the coverage lapse; but a lesser gift could leave you struggling to make ends meet because benefit levels affect premium costs.

You can select an any-occupation or own-occupation definition of disability when you apply for individual LTD coverage. Either kind of policy may benefit you, depending on who you are and what you do.

For instance, a permanent foot injury might prevent a railroad conductor from working as usual. However, with little retraining, that individual could work several different desk positions at a comparable wage, even within the same company.

Such a person may benefit from protection from an individual long-term disability insurance policy with an any-occupation definition of disability. Although it would only protect them in the event of a more severe disability, they might receive more income than they would from SSDI.

However, that level of security might not be sufficient for many professionals and independent business owners. A surgeon injured in a vehicle accident and losing a portion of a finger may never operate again. A trial lawyer with throat cancer may not be able to effectively present a case in court or carry out other tasks essential to their job.

Having a disability that prevents a professional from doing the things they do best can significantly negatively impact their lifestyle and earning potential in each of these scenarios, even if they are still physically able to conduct other types of work.

Due to this, they ought to consider long-term disability insurance with an own-occupation disability criteria. Insurance providers offer various own-occupation coverage options to help you customize benefits more affordable to your needs, even though these policies can be more expensive than any occupation plan.

The benefit term offers yet another method for limiting premium expenditures. An individual long-term disability policy may provide benefits for as little as two years or continue to pay benefits until retirement or your recovery from your disability. 

However, the cost of the policy increases with the length of the benefit term.

Short-Term Disability (STD) Insurance

This kind of disability insurance is for transitory disability not covered by SSDI or long-term disability insurance (LTD), as the name implies. 

Employers will frequently offer short-term disability plans as a free or low-cost group benefit to all of their employees, with the employer typically covering all or a portion of the premium costs.

The elimination time is considerably less than SSDI or long-term disability programs, usually only two weeks. While STD benefits don’t entirely replace your income, they often account for 60% to 80%. However, such payments are usually made for a short period of time. 

The benefit period lasts three to six months, or until you can resume working.

SSDI: Impairments List

Social Security will assess a person’s medical condition and decide if they should be able to earn an income beyond the substantial gainful activity (SGA) limit. Earnings are not the only indicator of whether a person is impaired.

The term “listed impairments” refers to conditions that make someone immediately eligible for disability benefits. A person must show that their limitations have stopped them from working in jobs they have held in the past and that they cannot perform other jobs that ought to be open to them if Social Security does not list their condition.          

Conclusion

Because SSDI offers stable financial support to people with qualifying impairments who have accrued enough work credits, some may opt for SSDI benefits. To help people cover their daily living expenditures, healthcare costs, and a particular level of life, SSDI provides a reliable source of income.

Author

Steve Fields is the founder and managing attorney at Fields Law Firm. Since founding the firm in 2001 he quickly established a reputation with his Personal Injury clients for being a lawyer who truly cares.

Together with his experienced team of legal professionals, Steve ensures clients win their case, maximize their recovery while also looking out for their long-term interests, all backed with the firm’s Win-Win Guarantee®.

Fields Law currently handles cases for Personal Injury, Workers’ Compensation, Long Term Disability, Social Security Disability and Consumer Rights and has grown to be one of the largest injury and disability law firms in the nation.

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