Life Insurance/Disability Insurance while in residency

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CrazyJake

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I start as a CA-1 in a few weeks. Married with 2 kids. Considering life insurance and/or disability insurance, but not sure if it is a good move at this point.

Any thoughts or suggestions appreciated. Have a friend who wants to chat about it, nice guy, but want to make sure the above is in my best interest vs his financial gain.

I know that both are very much needed once we start practice, but wasn't sure this early in training.

thanks,
CJ
 
There are lots of threads on this topic - search for "guardian" and they will probably all come up.

If you learn one thing from these threads, it's to make sure your coverage is "own-occupation" and to make sure that is clearly defined to be what you think it should be.
 
Thanks for the reply Lord. I have searched the forums and have found a ton of info. My friend, who works for Northwestern, may have to address some specific ?'s next week...which he probably wasn't expecting.

Any experience with Northwestern policies?
 
Many programs have some kind of group disability and life insurance. If you are young without many assets or debt, most of these are probably fine. Better than nothing.

If you have significant financial commitments for which your family would have a hard time paying if you were to be disabled or die then a more beefed up policy would be worth it.

You can get a term life insurance policy on your own outside the residency for not too much money if you are healthy. Personally, I wouldn't get less than $1million. This would be worth it if you have kids since your spouse may have a hard time working and taking care of the kids without you around.

Statistically, you are more likely to need disability insurance but it can get very pricey. Own occupation is a great (only) way to go and if you don't need to prove income to get the benefit, then it would be worth the extra cost. If the benefit is only a percentage of your current salary as a resident then it's not worth it to pay for your own policy until you are out making more money.

Feel free to send me a PM if you want more feedback.
 
Since you have dependents, life and disability insurance are definitely good ideas, needed just as much now as post-residency. (To say otherwise implies that you're invincible now, but in 3 years will suddenly be at risk of death or disability). If you're young and healthy, you can secure a good low rate in life insurance now, so even if your health deteriorates, your premiums will not rise during the life of the policy.

Disability insurance, as previously mentioned, is more likely to be needed, but therefore more expensive.

It doesn't cost anything to get quotes, so I would recommend talking with an agent or two, finding out what it would cost, and then making your best decision.
 
The majority of "own occupation" disability policies are "current income dependent"

When I was just finished in 2004 and was shopping for this type of policy, they were basing quotes on my projected $4k a month replacement cause that's all I made.

It wasn't until 2006 when I was out for two years and making enough income to get "own occupation" quotes of $8-10k a month disability.
 
As a resident with a family, you probably have a very tight budget unless you scored a sugar mamma. If you are young and healthy a $1M 30 year term life policy should be very affordable. Less than $1k/yr. That is the minimum I would consider if I were you. You want your family to be secure. Your government student loan debt, if any, would be waived BTW.
Disability will be a lot more, probably around $3k/yr for 3500/mo. If you are disabled, which is far more likely, you're going to need that money to get back on your feet in a new career, or to pay for your long term care if severely disabled. Without that net, you are significantly risking your families future. If you just had a spouse, and no kids, I'd say you probably only need disability and no more than $250k of term.
As an attending with a family I have around $4M term and $12k/mo disability, most of which would be tax free. That's more than enough. You don't have to keep living like a rich doctor when you're disabled, but if I die, I want my family to live well, as if I was still there paying the bills. Most of the insurance is mine. I think that 200k term and 2500 disability are through the job. They pay for me to get another ~2500/mo on my own. Mine is all good, expensive, own occupation. The portion provided by the job sucks in comparison, but I cannot decline it.
Also, you MUST meet with a planner to figure out the best way to structure your insurance. Trusts, will, etc. That's critical, especially as inheritance taxes are going up this year.
 
All great advice thus far. Being in the industry, I will just add a few things:

As others have stated, Term insurance is the best option for you right now so try not to get convinced otherwise. $250K of Wholelife insurance will not take care of your family the way they need to be taken care of. Plan for living once you are more financially stable, right now just get the largest benefit for the least price possible. You do not need to work with a Mutual company to get a great company, so check around for pricing on this.

Specific to Northwestern Mutual - Pay close attention to the Definition of Disability and Residual Disability benefits. Additionally look for the description of limitations - they limit benefits for mental/nervous conditions to 24 months. They are a great company and have a fine contract, but there are better products out there. Lastly, NWM agents are pretty excited about their new DI product and the new verbage used. If you really want a great resource, visit http://www.disabilityinsuranceforums.com/messageview.cfm?catid=5&threadid=8333
This is a very thorough debate between NW Mutual Disability vs other carriers.

Something many Physicians do not know about is the Graded Premium option. It is essentially an increasing premium schedule. This is a great way to get top quality Disability insurance for dirt cheap - however you should only do this for the few years it takes to get you on your feet. Once you are able to handle a higher premium, you can have the company structure the premiums on a level basis.


Hope this helps.
 
Thanks for all the replies...very helpful. My program does offer coverage for life and disability insurance while I'm a resident as a group member.

MR Insurance - are you recommending to bypass the individual DI insurance while in residency (which has not been my 'take' on researching all this and from most of the post above)?

Also, I read thru the link (NWM vs others) and there is a lot to try and piece out. It seems like the 2 most common carriers argued in the discussion, NW and Guardian, both have solid contracts, but it comes down to how the language is interpretted or what your disability is...then it's still a guessing game on how the contract will be applied to your given disability. I kept reading each post and I flip-flopped sides for the last 2 hours!

Plus, what do you mean by defin of disability and residual disability benefits? Again, from the link...after reading all of it, I'm not sure I understand it any better? The NWM agents were very excited about the new language of their DI contract and their 'own occupation coverage' that was updated in 2009. They mentioned that they could sell me a Guardian policy, but it's not the best for me and that most of their clients have switched over to NWM since '09. Thoughts?

Thanks again for all the previous posts.

CJ
 
MR Insurance - are you recommending to bypass the individual DI insurance while in residency (which has not been my 'take' on researching all this and from most of the post above)?
Absolutely NOT. Perhaps I did not explain myself properly but I would not typically suggest you bypass individual DI options while in residency.

Also, I read thru the link (NWM vs others) and there is a lot to try and piece out. It seems like the 2 most common carriers argued in the discussion, NW and Guardian, both have solid contracts, but it comes down to how the language is interpretted or what your disability is...then it's still a guessing game on how the contract will be applied to your given disability. I kept reading each post and I flip-flopped sides for the last 2 hours!
You touched on a very important point which is that it comes down to what your disability is. If you knew in advance how, when and for how long you will be disabled this would be really easy. The problem is that you do not, and hopefully will never be disabled anyway. This is the primary reason why purchasing a comprehensive policy that covers more situations is better.

Plus, what do you mean by defin of disability and residual disability benefits? Again, from the link...after reading all of it, I'm not sure I understand it any better? The NWM agents were very excited about the new language of their DI contract and their 'own occupation coverage' that was updated in 2009. They mentioned that they could sell me a Guardian policy, but it's not the best for me and that most of their clients have switched over to NWM since '09. Thoughts?

The definition of Total disability and description of Residual benefits are different between these two carriers. With Guardian, you are getting a Pure Own Occupation as that forum explained. It states that you will be considered totally disabled if an injury or illness prevents you from performing the material and substantial duties of your occupation, which may be deemed as your medical specialty. This means that if you become unable to practice Anesthesiology, you can move into a different specialty or occupation and still receive benefits for Total disability. With Northwestern this is not the case. In this type of scenario Northwesterns contract would reduce your benefit by any earned income you are receiving.

Now, does that mean Guardian is better. Not necessarily, but it does mean that you are purchasing a more liberal definition, which is likely to pay more benefits in more situations. Since we do not know what disability if any, you will experience, a more liberal definition is better. Wouldn't you agree?

Residual disability benefits pay benefits for partial disability claims. The structure that Guardian provides, although similar to many other contracts has a slightly more competetive edge. In the first 12 months of a residual claim, Guardian will pay you for your loss of income (must be greater than 15% loss), up to the maximum benefit or your original income. Most companies will only pay a proportionate benefit, meaning a 30% loss of income qualifies for 30% of monthly benefit.

Additionally, some companies will only pay partial claims when there is a loss of income and duties or time. Guardian pays solely on loss of income, which means less requirements and higher probability of being paid.

Do not get me wrong however. The key to purchasing Disability insurance is not necessarily the the product you buy but the agent you work with. Working with an experienced agent will work wonders.

For example if you are a resident Anesthesiologist, neither Guardian nor Northwestern may be the right choice. If you haven't been informed already, Northwestern limits their benefits for mental/nervous conditions to 24-months - meaning if you are disabled due to mental/nervous disorder, you will only qualify for a maximum benefit period of 24-months. Typically, you can look to other carriers in order to avoid this, but as an Anesthesiologist it becomes even more difficult. Guardian for example, does not usually have this limitation, but they do for Anesthesiologists. An experienced agent is likely to inform you of this, and perhaps recommend you consider purchasing two policies from two different insurers. One which provides excellent benefits overall, like Guardian and then another which may have slightly less quality provisions but will not limit the benefits for mental/nervous issues.

Again it comes back to the on thing you mentioned which is, it depends on the exact situation at time of disability. Since we cannot see into the future, the best we can do is cover as many avenues as possible.

Helpful?
 
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