Tradies Insurance Australia :: Articles

Disability Insurance - How it Works

How does disability insurance work for young and healthy individuals?

Disability Insurance - How it Works

The information on this website is general in nature and does not take into account your objectives, financial situation, or needs. Consider seeking personal advice from a licensed adviser before acting on any information.

If you work in a sedentary occupation and are young and healthy, insurance and especially disability insurance is probably not at the top of your list of things to investigate. Would you be able to pay your bills should you be out of work for 90 days? Most people look at the odds of something happening to them and discount themselves as part of the statistics but at least 30% of people 35-65 suffer a disability lasting 90 days. It could be broken bones from any number of accidents or a problem pregnancy or any of many possibilities.
If you work in a sedentary occupation and are young and healthy, insurance and especially disability insurance is probably not at the top of your list of things to investigate.

Would you be able to pay your bills should you be out of work for 90 days?

Most people look at the odds of something happening to them and discount themselves as part of the statistics but at least 30% of people 35-65 suffer a disability lasting 90 days.

It could be broken bones from any number of accidents or a problem pregnancy or any of many possibilities.

Disability Insurance was created with the intention of replacing approximately 75-80% of your gross income tax free should you become sick or ill enough that it prevents you from working and earning a living in your occupation.

Most Disability insurance is geared toward white collar occupations.

Blue/Gray collar disability insurance is available through some insurance carriers.

If you are a fireman, policeman or a roofer or any the other occupations considered blue collar you will need to do more research for basic information beyond this site.

Different insurance companies offer disability insurance policies but they are not the same.

Do not assume they are and go for the lowest cost. Do not buy the cheapest disability insurance policy you find.

Doing this would lower your odds of getting paid a monthly benefit and the benefits could be significantly lower than what you would receive from a better contract.

If you are in the initial stages of investigation of such policies know that they are not easy to shop and just compare prices, you need to compare the following to truly get what you need.

Disability insurance policies have a definition of total disability written in the policy.

You should understand this before you buy.

There are three basic types of policies.

* Own Occupation - "Unable to perform duties of your regular occupation." If you are not severely disabled and you can do work in some other occupation you will still be considered totally disabled in your own occupation but you will not be penalized while on claim for working in another occupation.

* Modified own occupation (Income Replacement Insurance) - This is the most common definition in the industry today. "Unable to perform duties of your regular occupation, and are NOT engaged in any other occupation." In other words if you go back to work in some other capacity you will be penalized during a claim. The insurance company MAY offset your monthly benefit check.

* Gainful Occupation - This is the common definition for a policy written for an employer sponsored group.

"Unable to perform duties of your regular occupation, or any occupation for which you are deemed qualified." This definition leaves the determination of your disability up to the insurance company. It is not clear what would happen should you become disabled. Avoid this type of policy if you are buying disability insurance on your own. If you receive it through your employer look into supplementing it with a better policy.

Renewability is another aspect that you should understand when buying a disability policy. Review the following three types available.

* Non-Cancellable and Guaranteed Renewable - Guarantees that after purchasing this policy they will not change your premium schedule, your monthly benefits or your policy benefits to age 65 or whatever age you agreed to. Even if your income goes down later in life and you become totally disabled the insurance company will pay you the total disability benefit you originally placed in force. Even if you changed jobs from a white collar to a more risky occupation later on. As long as you kept your policy in force they can not change anything. This is the best and really only way to go. Make sure the exact words "Non-Cancellable and Guaranteed Renewable" are written into the policy.

* Guaranteed Renewable - This guarantees that they will probably not change anything about the policy, but they can. They can change the policy year, occupation class and the premium with approval from the state. Be very careful of this type of policy.

* Conditionally Renewable - You get no guarantees with this type of policy. Different companies may offer you different conditions for you to renew each year and these conditions may be very hard to meet. Avoid this completely.

Many disability claims involve a residual claim.

This means a person can still perform the duties of their occupation but they have a loss of income of at least 20% or they have suffered what is called a loss of time and duties.

On a loss of time and duties claim they normally stop paying a residual claim once you are back at work full time. But, your income may not be back to what it was before you were disabled.

A residual provision based on loss of income would appear to protect you for an unlimited amount of recovery time. The loss of time and duties portion of a policy may have a recovery benefit portion but may only pay out for a limited time.

A person may be residually disabled longer than totally disabled.

Presumptive disability protects against drastic disabilities that occur. Presumptive disability varies. This covers for loss of sight, hearing, speech, and limbs.

This coverage is built into most contracts but not all. The wording maybe different and they use words like, Total, Irrecoverable and Permanent.

An irrecoverable loss or disability is permanent and that is what they will pay on. Total loss means if you have a total loss and it is permanent it covers you.

Total loss also covers broken bones and temporary loses of sight, hearing, and speech etc. Make sure you understand their meaning.

Recurrent disability is where you recover from one disability and then another one pops up.

There is what the insurance industry calls an "elimination period".

The time you wait between the onset of a disability and when you are eligible to collect benefits.

Most policies are for 14 to 90 days. Recurrent disabilities should have no elimination period.

Look for a policy that has at least a 12 month recurrent clause in case some new problem shows up. Make sure your elimination period can be satisfied with either a total disability or a residual.

Policies that have an elimination period just for total disability or with just consecutive days of disability are not good.

Be sure to find out how long disability benefits will be paid.

This benefit period is from the time you are eligible to collect benefits while on a claim and when you go back to work or if you are permanently disabled it would pay the claim until the "To Age 65" or whatever the age or time frame stated on your insurance policy. To age 65 is the most popular and most disabilities last a little over 3 years.

There are optional riders you can add to a base policy for additional protection.

They may include a Cost of Living Adjustment, Automatic increase rider and other options. There are also exclusions that your insurance agent should discuss with you.

Published: Wednesday, 6th May 2009
Author: 146

Rate this article

0 Comments

No comments yet. Be the first to share your thoughts.


Insurance News

AFL Players Face Loss of Brain Injury Insurance Coverage
AFL Players Face Loss of Brain Injury Insurance Coverage
10 Jun 2026: Paige Estritori
As of May 1, 2026, Australian Football League (AFL) players will no longer have insurance coverage for brain injuries under their superannuation policies. This change comes after Zurich Insurance decided to exclude total and permanent disability (TPD) benefits for claims related to traumatic head injuries, concussions, chronic traumatic encephalopathy (CTE), post-concussion syndrome, or any neurological impairments linked to brain injury. - read more
Dynamic Insurance Services Initiates Legal Action Against Major Insurers
Dynamic Insurance Services Initiates Legal Action Against Major Insurers
10 Jun 2026: Paige Estritori
Dynamic Insurance Services has filed a competition lawsuit against Steadfast Group, QBE Insurance, and Allianz Australia Insurance, alleging that these companies engaged in coordinated conduct that effectively cut off its access to essential insurance products. The lawsuit, filed in March 2026, claims that Steadfast terminated its network agreement with Dynamic in early 2026, followed by QBE and Allianz ending their arrangements. This sequence of events led to the loss of authorized representatives and significantly impaired Dynamic's ability to operate effectively. - read more
Soft Conditions Persist in Australian Commercial Insurance Market Through H1 2026
Soft Conditions Persist in Australian Commercial Insurance Market Through H1 2026
26 May 2026: Paige Estritori
The Australian commercial insurance market has maintained its soft stance throughout the first half of 2026, characterized by competitive pricing and expanded insurer capacity. This trend is largely attributed to improved insurer profitability post-COVID-19, stabilized reinsurance conditions, and a global capital surplus intensifying competition. - read more
Regulators Urge Action to Address Sustainability Challenges in TPD Insurance
Regulators Urge Action to Address Sustainability Challenges in TPD Insurance
26 May 2026: Paige Estritori
The Australian Prudential Regulation Authority (APRA) and the Australian Securities and Investments Commission (ASIC) have jointly called for decisive action to address mounting sustainability pressures in the Total and Permanent Disability (TPD) insurance market. This call to action follows a CEO roundtable held on April 15, 2026, which included senior representatives from 19 life insurers and reinsurers, as well as officials from Treasury and the Council of Australian Life Insurers. - read more
Trades Insurance Articles

A Guide to Choosing Income Protection Insurance for Tradies
A Guide to Choosing Income Protection Insurance for Tradies
Income protection insurance is a vital safety net for those who earn their livelihood through skilled trades. It is designed to replace a portion of your income if you're unable to work due to illness or injury, ensuring that you can meet your financial obligations while you recover. This type of insurance provides peace of mind, knowing that even if the unexpected happens, your bills can still be paid and your lifestyle maintained. - read more
Understanding Commercial Vehicle Insurance: A Guide for Australian Tradies
Understanding Commercial Vehicle Insurance: A Guide for Australian Tradies
Commercial vehicle insurance is a specialised type of coverage designed to protect vehicles used for business purposes. It covers a wide range of potential risks including accidents, theft, and damage, ensuring the vehicles vital to your work are adequately protected. This form of insurance is tailored specifically to mitigate the risks associated with using vehicles for trade and business, offering peace of mind to business owners. - read more
Tailored Insurance Solutions: Meeting the Unique Needs of Tradies
Tailored Insurance Solutions: Meeting the Unique Needs of Tradies
Tailored insurance solutions are customised insurance plans that cater to the specific needs and circumstances of individuals and businesses. Unlike traditional, one-size-fits-all policies, tailored solutions provide flexibility and detailed coverage options that align with the unique risks and demands of various professions, including tradespeople. - read more
Choosing the Right Public Liability Policy: Tips for Australian Tradies
Choosing the Right Public Liability Policy: Tips for Australian Tradies
Public liability insurance is a type of coverage designed to protect businesses and their owners against claims that may arise from accidents or injuries that occur on their business premises or as a direct result of their business activities. For tradies, these policies can cover incidents such as property damage or personal injury to a customer or member of the public. - read more

Knowledgebase
Exclusion:
Specific conditions or circumstances for which the insurance policy does not provide coverage.