Frequently Asked Questions

Short-Term Disability (STD) coverage offers wage replacement to persons who experience wage loss due to a disability. STD coverage lasts for up to one year.

Short-Term Disability (STD) Insurance usually lasts a year or less and you generally get it during the first year after you become disabled. Long-Term Disability (LTD) Insurance can last for a much longer period of time. LTD benefits may continue for a set number of years, such as five years, or until you reach a certain age, like 65.

You can get Short-Term Disability (STD) coverage either through a group or individually. Group coverage can be offered by an employer, a professional group, or association. You can buy individual coverage directly from an insurance broker based on medical underwriting.

No. Short-Term Disability (STD) Insurance is not a government benefit and is not connected to any public benefit program. It is private insurance that you get through a private company.

To find out if you have STD coverage through your employer, talk to your Human Resources person. To sign up for an individual policy, contact an insurance company or insurance agent.

If you are looking for information about public Social Security benefits for people with disabilities, see DB101's Social Security Disability Insurance (SSDI) article and DB101's Supplemental Security Income (SSI) article.

If you get disability coverage through your employer, you may have to work for the employer for a specified period of time — known as a service wait — before you become eligible for benefits. If you get disability income insurance coverage from a professional group or association, you may have to be a member of the group or association for a set period of time before you become eligible for benefits.

You may buy individual policies directly from an insurance agent based upon medical underwriting. Individual policies are usually available if you have not had any medical treatment for a potentially disabling condition during the past 10 years. Medical treatment includes prescription medications and physician consultations. You may also be denied coverage if you work in a high-risk occupation, are a recreational pilot, or do other activities that the insurer considers risky. Each insurer has its own system for deciding whether it wants to offer you coverage.

If you have employer-sponsored disability income insurance, you must meet the active work requirement to be eligible to enroll in benefits. If you get disability income insurance through a professional group or association, you must meet their specific requirements to be eligible to enroll in coverage.

Short-Term Disability (STD) coverage means you will get a monthly income replacement that is either a percentage of your pre-disability earnings or a specified dollar amount.

The initial enrollment period is the best time to enroll if you have a pre-existing condition. During the initial enrollment period, your medical history is usually not subject to medical underwriting. However, pre-existing condition exclusions may limit or delay the use of coverage.

A pre-existing condition is any medical condition for which you were diagnosed, treated, or experienced symptoms of before the coverage effective date. If you have a pre-existing condition, the insurer may choose not to supply you with Short-Term Disability (STD) coverage.

If the insurer does supply you with coverage, your STD plan may have a pre-existing condition exclusionary period. During this period of time, your prior medical condition(s) will not be covered by the policy. However, after the pre-existing exclusionary period ends, the condition becomes covered by your disability income insurance.

To meet the requirements for the pre-existing condition exclusionary period for Short-Term Disability (STD) coverage:

• Enroll during the initial enrollment period
• Continue membership in the group (employer, professional group, association); and
• Stay enrolled in coverage during both the service wait and the pre-existing condition exclusionary period.

Once the exclusionary period has passed, you will then be covered for any pre-existing condition.

In Short-Term Disability (STD) coverage, a pre-existing condition exclusionary period usually lasts between six and 12 months.

No. Disability income insurance only offers wage replacement. With employer-sponsored coverage, the employer may use your eligibility for Short-Term Disability (STD) to decide continued eligibility for other benefits, such as health and life coverage.

If you have individual Short-Term Disability (STD) coverage, you will be responsible for all costs, which can vary depending on your health and the plan you choose.

For group STD coverage, you may be responsible for no cost, a percentage of the cost, or the entire cost. With employer-sponsored coverage, you may be responsible for the amount that is above what the employer chooses to pay. Your employer will decide how much they will pay and how much you need to contribute. Your employer can explain these benefits details.

Short-Term Disability (STD) coverage can last up to 12 months.

Enrollment and eligibility requirements depend on the type of Short-Term Disability (STD) coverage you have – group (employer, professional group, association) or individual. For example, if you have employer-sponsored disability income insurance, you will need to meet the active work requirements, which means that you have to work a minimum number of hours per week. If you are unable to meet the active work requirements due to a disability and you have passed the service wait and pre-existing condition exclusionary periods, insurance may be used to replace a portion of your wages.

For coverage to continue, you need to make sure to pay your monthly premium. If you have insurance coverage through a professional group or association, you will also need to keep your membership to maintain your eligibility for STD benefits.

No. There are no resource limits for Short-Term Disability (STD) coverage.

Private disability income insurance is offered through individual or group (employer, professional group, or association) plans. Private coverage does not have income limits and resource limits. Coverage varies between insurance policies.

State and federal wage replacement programs, like Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI), are public benefits. To be eligible for public income replacement, a person does not have to belong to a group but must meet other specific requirements.

Yes. Some group Short-Term Disability (STD) plans are portable, if you are not disabled when you leave the group. A portable plan lets you stay covered under the plan, even if you leave your employer. You would be responsible for paying your premium. Be sure to check your summary plan description to see if the plan is portable.

If your STD policy is not portable and you go to another employer that offers STD, you will have to enroll at your new employer during the initial enrollment period and complete their group plan’s service wait and pre-existing condition exclusionary period.

If you work fewer hours or leave work due to a disability, you may be eligible to get partial benefits if this provision is included in your policy. Check the summary plan description for details. Also, you may want to consider consulting a Work Incentive Consultant about Social Security disability programs, such as Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI).