Content Overview
- Summary
- Pre-Existing Condition Provisions
- Premiums
- Elimination Period (Also Known As "Waiting Period")
- Definition of Total Disability
- Partial Disability
- Recurring Disabilities Provision
- Benefit Amount
- Maximum Benefit Period
- Survivor Benefit
- Mental And Nervous Limitation
- Exclusions And Limitations
- Rehabilitative Training Or Employment
- Waiver Of Premium
- Riders: Guaranteed Insurability, Social Security Offset, Cost Of Living
- Renewal Terms
- Insurance Company Financial Situation
- Taxation of Benefits
Disability Insurance: Long Term: Individual
Exclusions And Limitations
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All plans have exclusions -- reasons the plan will not pay benefits -- or limitations on the maximum benefit period such as the Mental and Nervous limitation just mentioned.
Disabilities for the following reasons are usually excluded from coverage completely:
- Pre-existing conditions.
- Declared or undeclared war.
- Injury incurred while participating in the commission of a felony.
- Work-related injury which is usually covered by Workers' Compensation Insurance. To learn more, see Workers' Compensation.
- Substance abuse, although some plans will pay benefits provided the claimant is participating in an approved treatment program.
- Self-inflicted injuries.
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