Disability Benefit |
General Definitions
Exact definitions vary by state. This is only a general explanation
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Some options may not be available in your state. |
TOTAL DISABILITY
(Base) |
During the first 24 months after the Elimination Period, benefits are paid to the Insured if he/she is unable, because of sickness or injury, to perform the important substantial and material duties of his/her own occupation and requires a physician's care.
After benefits have been paid for 24 months, benefits are paid to the Insured if he/she is unable to perform the substantial and material duties of any occupation for which he/she is fitted by education, training, and experience, requires a physician's care and the Insured is not engaged in any job for wage or profit. See below for possible extension with 5 Year Own Occupation Rider |
PRESUMPTIVE DISABILITY
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A presumptive disability provision is included that presumes Total Disability if the Insured suffers total loss of speech, hearing, or sight, severance and loss of both feet, severance and loss of both hands, or severance and loss of one hand and one foot.
The Elimination Period is waived and the full Monthly Benefits will be paid for the Maximum Benefit Period, whether or not the Insured is able to work |
RECURRENT DISABILITY |
A second disability is considered a continuation of a previous disability unless it is due to an unrelated sickness or injury, or the Insured has returned to work full-time for at least 12 months. |
PARTIAL DISABILITY
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This provision pays 50 percent of the Monthly Base Policy Benefit amount for each month of a Partial Disability from an insured injury or sickness for up to six months, when the Partial Disability immediately follows a period of Total Disability during which Monthly Benefits were paid. The combined Total and Partial Disability benefits cannot extend beyond the Maximum Benefit Period. Partial Disability is a sickness or injury that keeps the Insured from being employed on a full-time basis. |
REHABILITATION BENEFIT
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If the Insured is totally disabled and receiving Monthly Benefits, Assurity will consider helping to pay the costs of a rehabilitation program. Assurity will determine the amount paid, but it will not exceed the total of 6 Monthly Benefits. If the Insured's physician advises that the Insured would likely return to work with a rehabilitation program, it will be required. Monthly Benefits will not be paid if the Insured does not take part. If Assurity requires such a program. the Insured may be paid more than the "six times the Monthly Benefit" limit. (Required participation in rehabilitation program may vary by state.) |
SURVIVOR BENEFIT |
A survivor benefit is available at no additional cost, paying a lump sum benefit to a named Beneficiary in the event the Insured has been receiving disability benefits for 12 months and then dies. The lump sum death benefit is 6 times the Monthly Benefit. If no Beneficiary is named, the survivor benefit will be paid to the Insured's estate. |
HOME MODIFICATION BENEFIT |
This rider will provide a one time, lifetime benefit of $1000 for the modification of the policyholder's current existing residence clue to the Insured's present Total Disability. This rider is intended to assist with the improvement of access to or use of the facilities of the Insured's current residence. |
WAIVER OF PREMIUM |
Premiums are waived following 90 days of Total Disability, or following the Elimination Period, if longer. Any premium paid that was paid during that period will be refunded. Waiver stops when Total Disability stops or at the end of the Maximum Benefit Period, whichever is first. |
RIDERS
(Most popular are highlighted in red) |
SUPPLEMENTAL DISABILITY INCOME RIDER (S.D.I.R.) |
This rider coordinates with Social Insurance Program Benefits and offsets this rider's benefits dollar for dollar. Social Insurance Benefits include the following:
Social Security Disability Benefits - Includes primary or family disability benefits for which the Insured may become eligible under the U.S. Social Security Act, as amended from time to time, or a similar law of any other country. Any payment under Social Security Retirement provisions will be considered as a Social Security Disability Benefit.
Worker's Compensation - Includes compensation benefits under any Worker's Compensation Act or Law or Occupational Disease Law, for which the Insured may become eligible. It also includes insurance that provides benefits under any such Law - in any of the States or Territories of the United States , or similar act or law of any other country.
Government Retirement and Disability Fund Benefit - Includes disability compensation, including amounts for dependents, under any Federal, State, County, Municipal or other government subdivision retirement and disability fund for which the Insured may be eligible. Any payment resulting from retirement will be considered a Government Retirement and Disability Fund Benefit.
Railroad Retirement Disability Fund Benefit - Includes primary or family disability benefits under the Railroad Retirement Act as amended from time to time. Any payment resulting from the Retirement option will be considered as Railroad Retirement Disability Income.
Benefits under SDIR start after the Elimination Period has been satisfied and payments will be made only while the Monthly Benefit is being paid under the Base Policy for Total Disability. A lump sum payment of Social Insurance Benefits will be treated as if it was received over several months. The lump sum will be divided by the Supplemental Disability Income Benefit and the result will be the number of months the benefit is not paid. Any remainder reduces the next payable month's benefit. Assurity will not seek a refund of benefits paid before the lump sum was received. |
CATASTROPHIC DISABILITY RIDER (CDIR) |
This rider will provide a Disability Benefit if the Insured's Total Disability continues beyond the Maximum Benefit Period of the Policy, and the Insured requires assistance or supervision with at least two of six Activities of Daily Living (bathing, toileting, transferring, continence, eating, dressing), OR is Cognitively Impaired, and is not engaged in any job for wage or profit, and a Physician has certified the Catastrophic Disability with a plan of treatment.
The rider extends the total Benefit Period payable under the base policy to a total of five or 10 years. Allowable combinations of base policy Benefit Periods and Catastrophic Disability Benefit Periods are:
1 year base Policy Benefit Period - 4 year CDR Benefit Period
1 year base Policy Benefit Period - 9 year CDR Benefit Period
2 year base Policy Benefit Period - 3 year CDR Benefit Period
2 year base Policy Benefit Period - 8 year CDR Benefit Period 5 year base Policy Benefit Period - 5 year CDR Benefit Period |
NON-CANCELABLE RIDER (Non-Can Rider - NCR) |
When the Non-Cancelable Rider is added to the 1-, 2-, and 5-year benefit periods, the Policy becomes renewable with guaranteed rates to age 65. The Non-Cancelable rider is not available for the "To Age 65" Benefit Period. |
AUTOMATIC BENEFIT INCREASE RIDER (ABIR) |
This rider provides for an annual increase equal to 5 percent of the original Base Policy Monthly Benefit amount on each anniversary of satisfying the elimination period. The lifetime cap on Monthly Benefit amounts is two times the original base policy Monthly Benefit.
If the Insured recovers from Total Disability and there was a Monthly Benefit increase under this rider, the Insured can increase the base policy Monthly Benefit to the amount of the last Monthly Benefit payment.
To obtain the increase, the Insured must be under age 60, apply within 90 clays of the end of Total Disability, and have a full-time job.
A new premium for the increase will be charged, based on our then current rates and the Insured's attained age. The new premium must be paid within 31 clays of the increase. |
CRITICAL ILLNESS BENEFIT RIDER (CI) |
This rider will pay a benefit if an insured person receives a first-ever diagnosis or procedure for one of the specified critical illnesses (call, e-mail or mail this form for specifics) if the date of diagnosis is while coverage under this rider is in force; and the specified critical illness is not excluded by name or specific description in this rider.
The amount payable in lump sum for each first-ever diagnosis or procedure of a specified critical illness per category is a percentage of the benefit amount multiplied by the benefit amount. Available benefit amounts are from $5,000 to the lesser of 36 times the monthly disability benefit or $150,000. Please call or e-mail for additional details or check box at right! |
5 -YEAR OWN OCCUPATION RIDER (5-Year Own Occ. Rider) |
Extends own occupation definition of the definition of Total Disability from two years to five years. |
GUARANTEED INSURABILITY RIDER (Guar. Ins. Rider) |
The number of units of GIR must equal the number of hundreds of base policy Monthly Benefit, subject to the maximum of 6 units of GIR.
Enables a non-disabled Insured to increase coverage five times before the Insured's 55' birthday, regardless of health status or occupation. Options may be exercised any time 24 months or more from the policy effective date, but there must be a period of at least 24 months between option exercises.
Each unit of GIR will purchase $100 of additional base policy Monthly Benefit. Combined total of all increases may not exceed two times the original base policy , Monthly Benefit. Increases are subject to Issue and Participation Limits. An option cannot be exercised if the Insured is totally disabled or receiving Residual, Total or Partial Disability Monthly Benefits. The policy and this rider must be in force when an option is taken. |
GUARANTEED INSURABILITY RIDER (Guar. Ins. Rider - GIR) |
The number of units of GIR must equal the number of hundreds of base policy Monthly Benefit, subject to the maximum of 6 units of GIR.
Enables a non-disabled Insured to increase coverage five times before the Insured's 55' birthday, regardless of health status or occupation. Options may be exercised any time 24 months or more from the policy effective date, but there must be a period of at least 24 months between option exercises.
Each unit of GIR will purchase $100 of additional base policy Monthly Benefit. Combined total of all increases may not exceed two times the original base policy , Monthly Benefit. Increases are subject to Issue and Participation Limits. An option cannot be exercised if the Insured is totally disabled or receiving Residual, Total or Partial Disability Monthly Benefits. The policy and this rider must be in force when an option is taken. |
RESIDUAL BENEFIT RIDER (Res. Ben. Rider - RBR) |
This rider will provide a Monthly Benefit for Residual Disability, subject to the terms and provisions of the Policy. Payment of the benefit is subject to the Maximum Benefit Period shown on the Policy Schedule, not to exceed five years, less any period during which Total Disability Benefits were payable. The same Elimination Period as the Policy applies to this rider.
This rider provides a Monthly Benefit payment, which is equal to the percentage of income loss caused by a Residual Disability. The minimum percentage of income loss needed to qualify for the Residual Disability Benefit is 20 percent of prior earnings. If loss of prior earnings is more than 80 percent, the loss is considered to be 100 percent. Residual Disability Benefits are not payable when a Total Disability Monthly Benefit is payable. In no event will the Residual Disability Benefit be greater than the Total Disability Benefit.
Assurity may require any evidence needed to determine prior earnings and current earnings prior to and during a period of Residual Disability. From time to time, Assurity may require certified audits to verify such evidence. |
RETROACTIVE INJURY BENEFIT RIDER (Retro. Injury Rider) |
This rider will provide a lump sum amount at the end of the Elimination Period equal to the Total Disability Monthly Benefit times the Elimination Period in days divided by 30, if an injury causes Total Disability within 30 days of such injury and the Insured is Totally Disabled continuously from the injury for the entire Elimination Period. |
RETURN OF PREMIUM RIDER (ROPR) |
This rider will provide a return of premium paid for the policy and all riders to the Insured, minus any claims paid. The amount of premium returned will he based on a scale determined by the issue age of the policyholder and the amount of time the policy was in force. There is no refund available until the policy has been in force for three full Policy years.
For applicants age 18 through 44 years at the time of issue, the minimum return percentage is five after three complete years, continuing on a defined schedule up to 100 percent after 25 years or more. For applicants age 45 through 55 years of age, the minimum return percentage is five percent after three full years, continuing on a defined schedule up to 50 percent after ten years.
All return premium amounts will be calculated as all premium paid, multiplied by the total percentage shown in the schedule, less the total of all benefits paid, including all premiums waived under the waiver of premium provision. |
Hospital Benefit Rider (HBR) |
Available in all Classes. The Monthly Hospital Benefit will equal the base policy Monthly Benefit. Pays a Monthly Hospital Benefit for each month of confinement for up to six months for an Insured injury or sickness. Benefits begin on the first day of hospital confinement without regard to the Elimination Period of the base policy. If the Insured is in the hospital less than a month, payment will be 1/30th of the Monthly Hospital Benefit for each day the Insured is in the hospital. |
All benefits described are for general descriptive purposes only. Benefits may not be available to everyone and may not be available in all states. Please, call or e-mail us for additional details and to answer your questions. These descriptions’ sole purpose is to help you decide which benefits you may or may not want included your policy. If approved, you must review your policy for all details as final description may change at any time. |
