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Posted: Dec 01

How Your Disability Insurance Broker Calculates Your Coverage Needs

How Your Disability Insurance Broker Calculates Your Coverage Needs

When seeking disability insurance, partnering with a broker in Edmonton ensures you get the tailored protection that best suits your needs. Disability insurance is a vital safety net for income replacement if illness or injury leaves you unable to work, but how do brokers personalize this coverage to fit your situation? Let’s explore the key factors an Edmonton disability insurance broker considers when designing a comprehensive insurance plan. To get started on your own disability insurance policy, get in touch with a Vistaplan advisor today!

Assessing Your Income and Financial Obligations

One of the first things a disability insurance broker does is evaluate your income and monthly financial obligations. This includes your salary, bonuses, and any other sources of income. Since many group insurance plans only cover a portion of your base salary, brokers often recommend supplementing this with personal disability insurance to cover the full range of your financial needs.

Using tools like disability insurance needs calculators, brokers can help determine the exact amount of coverage you require by factoring in living expenses, debt repayments, and savings goals. This needs-based approach ensures that your insurance adequately replaces your income without leaving gaps that could cause financial strain during a long-term disability.

Understanding Your Employment and Current Coverage

While many individuals assume their group insurance is enough, brokers know that group coverage often has limitations. For example, group plans typically have maximum coverage caps that may leave high-income earners underinsured. Additionally, group policies often shift from covering your "own occupation" to "any occupation" after two years, which can significantly reduce your benefits if you're capable of working in any capacity, even if it's not in your current profession.

A disability insurance broker will review your existing policies and identify areas where supplemental coverage is necessary. For instance, if your group plan doesn’t cover bonuses or commissions, or if it has restrictions on partial disabilities, a broker can help you explore top-up insurance or complementary products like critical illness coverage.

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Determining Appropriate Benefit Periods

The duration of benefits is another critical factor brokers consider. Disability policies can vary significantly, from short-term plans that last a few months to long-term plans that cover you until retirement age. Choosing the right benefit period depends on your personal circumstances, such as your age, financial responsibilities, and long-term goals.

For example, if you're nearing retirement, you may opt for a shorter benefit period, whereas younger professionals typically need longer coverage to protect their income over an extended career. A disability insurance broker will help align the benefit period with your financial needs to ensure you’re protected for as long as necessary.

Evaluating the Definition of Disability

An important consideration in any disability policy is how the term “disability” is defined. Disability insurance can be structured to cover you if you are unable to perform your specific job (own occupation) or if you are unable to perform any job (any occupation). Brokers often recommend "own occupation" coverage, as it offers broader protection—especially for professionals whose jobs require specific skills, such as doctors or lawyers.

If your policy transitions to an "any occupation" definition after a certain period, your broker may suggest additional coverage to ensure you maintain an adequate level of financial support. This is especially crucial because losing "own occupation" coverage could drastically reduce your benefits​.

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Considering Tax Implications

Disability insurance benefits can be either taxable or non-taxable, depending on who pays the premiums. If your employer covers the cost of your group disability plan, any benefits you receive are typically taxable. However, if you purchase an individual plan and pay the premiums with after-tax dollars, the benefits are tax-free.

A disability insurance broker will take your tax situation into account and may suggest switching to a plan where you pay the premiums yourself to maximize your after-tax benefits in the event of a disability​.

Customizing Riders for Added Protection

In addition to standard disability coverage, brokers can recommend optional riders to further enhance your policy. These riders may include cost-of-living adjustments (COLA) to keep up with inflation, return of premium options, or future insurability riders, which allow you to increase your coverage without additional medical exams as your income grows.

Disability insurance brokers also consider your lifestyle and financial goals when suggesting these add-ons, ensuring that the extra coverage aligns with your broader financial plan.

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Reviewing Industry-Specific Needs

Certain professions come with unique risks that may require specialized disability coverage. For example, self-employed individuals and small business owners often need business overhead expense (BOE) insurance, which covers the fixed expenses of running a business during a disability.

Brokers will also advise professionals in physically demanding roles to consider enhanced disability coverage, as the likelihood of a disabling injury may be higher. By tailoring the policy to the specific risks of your industry, a disability insurance broker ensures you’re adequately protected, regardless of your profession​.

Protecting Your Financial Future with Personalized Coverage

Disability insurance isn’t a one-size-fits-all solution, and working with an Edmonton disability insurance broker helps ensure you get the most out of your coverage. By evaluating your income, existing benefits, and individual risks, brokers provide a customized plan that offers comprehensive protection for your financial future. Whether you need to supplement group coverage, adjust benefit periods, or add riders, a broker’s goal is to craft a policy that addresses all aspects of your life, ensuring you’re prepared for the unexpected.

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If you’re considering disability insurance or reviewing your current policy, now is the time to reach out to a trusted Vistaplan broker to assess your needs and explore the best options available to you. Call us today!

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About the Author - David Motkoski

David Motkosk At the Helm of Vistaplan Financial Group

David is a well-respected insurance advisor with over 30 years of experience helping healthcare professionals, business owners, and their families secure their financial futures. He takes the time to make certain his clients understand the life, disability, and health insurance products they are purchasing, so they can make the right choices for their budgets, plans, and futures. CONNECT WITH ME ON LINKEDIN

Life & Disability Insurance for Alberta Health Care Professionals, Business Owners, and Their Families Since 1983