{"id":352990,"date":"2016-04-04T10:46:35","date_gmt":"2016-04-04T15:46:35","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-law\/injury\/accident-injury-law\/total-vs-residual-benefits-what-you-need-to-know.html"},"modified":"2024-04-04T13:55:49","modified_gmt":"2024-04-04T18:55:49","slug":"total-vs-residual-benefits-what-you-need-to-know","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/injury\/accident-injury-law\/total-vs-residual-benefits-what-you-need-to-know.html","title":{"rendered":"Total vs. Residual Benefits of Disability Insurance"},"content":{"rendered":"\n<div class=\"wp-container-core-columns-is-layout-9d6595d7 fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n<div class=\"fl-page-articles fl-section-main fl-section-main-full-width\"><h1 class=\"fl-no-margin-top\">Total vs. Residual Benefits of Disability Insurance<\/h1>\n\n<section class=\"fl-gutenberg-byline\">\n    <div class=\"fl-gutenberg-byline-content\">\n                    By <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/lark-lewis-j-d\/\">Lark Lewis, J.D.<\/a> | Legally reviewed by <a\n                href=\"https:\/\/www.findlaw.com\/company\/our-team\/katrina-wilson-esq\/\">Katrina Wilson, Esq.<\/a>\n                | Last updated\n        <time>\n                            April 04, 2024\n                    <\/time>\n    <\/div>\n\n    \n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-legally-reviewed\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Legally Reviewed\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>This article has been written and reviewed for legal accuracy, clarity, and style by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with <a href=\"https:\/\/www.findlaw.com\/company\/company-history\/editorial-policy.html\">our editorial standards<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n\n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-fast-checked\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Fact-Checked\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>The last updated date refers to the last time this article was reviewed by FindLaw or one of our <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/contributing-authors.html\">contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please <a href=\"https:\/\/lawyers.findlaw.com\/?fli=bylinelink\" target=\"_blank\" rel=\"noopener\">contact an attorney in your area<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n<\/section>\n\n\n<div class=\"fl-key-takeaways fl-mb30\" data-testid=\"fl-key-takeaways\">\n    <div class=\"fl-card-content\">\n        <div class=\"fl-card-body fl-card-bg-teal fl-flex fl-flex-column\">\n                            <h2 class=\"fl-card-title fl-h2 fl-no-margin\">Key Takeaways<\/h2>\n                        <p>Total disability insurance policies pay benefits if you can&#8217;t work at all. Residual or partial disability insurance policies pay benefits if you can work only some of the time.<\/p>\n\n        <\/div>\n    <\/div>\n<\/div>\n\n\n<p>If you become disabled for an extended period of time, disability insurance can offer financial protection. It&#8217;s important to consider the different types of policies and their costs to select the right coverage for you.<\/p>\n<p>This article discusses how total <a href=\"https:\/\/www.findlaw.com\/injury\/accident-injury-law\/what-is-disability-insurance.html\">disability insurance<\/a> coverage and partial or residual disability insurance coverage differ. It also discusses what to consider when buying a disability insurance policy.<\/p>\n<p>But if you already have disability insurance and are trying to understand your policy to <a href=\"https:\/\/www.findlaw.com\/injury\/accident-injury-law\/disability-insurers-and-the-claim-process.html\">claim benefits<\/a>, consulting with a lawyer can be helpful. A <a href=\"https:\/\/lawyers.findlaw.com\/disability\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">disability law attorney<\/a> can explain your specific coverage and address a claim denial.\u00a0<\/p>\n<h2>Total Disability Insurance Coverage<\/h2>\n<p><a href=\"https:\/\/dictionary.findlaw.com\/definition\/permanent-and-total-disability.html\" target=\"_blank\" rel=\"noopener\">Total disability<\/a> means you can&#8217;t work at all, whether temporarily or for an extended period. But insurance policies can define total disability in different ways. Policies can offer presumptive total disability coverage, &#8220;own occupation&#8221; coverage, or &#8220;any occupation&#8221; coverage. We discuss each below.<\/p>\n<h3>Presumptive Total Disability Coverage<\/h3>\n<p>Most insurance companies presume certain conditions are totally disabling. These conditions typically include:<\/p>\n<ul>\n<li>Loss of sight in both eyes<\/li>\n<li>Loss of hearing in both ears<\/li>\n<li>Loss of speech<\/li>\n<li>Loss of the use of both hands<\/li>\n<li>Loss of the use of both feet<\/li>\n<li>The use of only one hand and one foot<\/li>\n<\/ul>\n<p>Suppose you&#8217;re <a href=\"https:\/\/www.findlaw.com\/injury\/accident-injury-law\/disability.html\">affected by one of these conditions<\/a>. In that case, you generally don&#8217;t have to meet the usual requirements to be totally disabled and get total disability benefit payments. Also, you can get your benefit amount immediately and maintain your eligibility even if you can return to work.<\/p>\n<h3>Own Occupation Disability Coverage<\/h3>\n<p>An &#8220;<a href=\"https:\/\/www.policygenius.com\/disability-insurance\/own-occupation-disability-insurance\/\" target=\"_blank\" rel=\"noopener\">own occupation<\/a>&#8221; insurance policy generally defines total disability as the inability to perform your job&#8217;s substantial and material duties. You don&#8217;t need to be totally helpless. You can even work in another occupation and get disability benefits.<\/p>\n<p>Because an &#8220;own occupation&#8221; policy is broader in its coverage, it can come with a higher premium than other policies. This type of policy may not be available to you if you work in a riskier job or have a complex medical history.\u00a0<\/p>\n<h3>Any Occupation Disability Coverage<\/h3>\n<p>Some disability insurance policies define &#8220;total disability&#8221; as the inability to perform the duties of\u00a0<a href=\"https:\/\/www.investopedia.com\/terms\/a\/any-occuption.asp\" target=\"_blank\" rel=\"noopener\">any occupation<\/a>. This definition is narrower than the one in an &#8220;own occupation&#8221; policy. Under this definition, you must be unable to work in any occupation instead of just your own occupation.<\/p>\n<p>&#8220;Any occupation&#8221; policies typically define &#8220;disability&#8221; by your ability to engage in any gainful occupation for which you&#8217;re reasonably suited. Determining whether you&#8217;re reasonably suited for an occupation involves consideration of your education, work experience, and other factors.<\/p>\n<p>Many disability insurance policies use an &#8220;own occupation&#8221; definition of disability and an &#8220;any occupation&#8221; definition. You can buy a policy that provides &#8220;own occupation&#8221; coverage for a limited period, such as two years. When this period ends, you must meet the narrower &#8220;any occupation&#8221; definition of disability to continue getting benefits. <a href=\"https:\/\/www.findlaw.com\/injury\/accident-injury-law\/long-term-vs-short-term-disability-insurance.html\">Long-term disability policies<\/a> are often designed this way.<\/p>\n<h2>Residual and Partial Disability Insurance Coverage<\/h2>\n<p>Residual disability usually means the inability to perform one or more duties of your occupation. It&#8217;s also defined as the inability to perform these duties as often as you could before your disability arose, coupled with the loss of a significant percentage of your pre-disability income.<\/p>\n<p>Partial disability is like residual disability. But how disability insurance companies calculate these two types of benefits differs. Learn about the differences below.<\/p>\n<h3>Residual Disability Coverage<\/h3>\n<p><a href=\"https:\/\/www.policygenius.com\/disability-insurance\/what-is-a-residual-disability-benefit\/\" target=\"_blank\" rel=\"noopener\">Residual disability<\/a> policies pay benefits according to the income you&#8217;ve lost because of your disability. These policies pay benefits even if you can work part-time and aren&#8217;t totally disabled.<\/p>\n<p>Your benefits are based on the percentage of income you earn working part-time in relation to what you used to earn when working full-time. Most companies need a loss of income of at least 20% compared with your pre-disability income to qualify for residual disability benefits.<\/p>\n<p>Depending on your residual disability policy, you may get a reduced or no benefit if your monthly income exceeds a certain percentage of your pre-disability income. Under some policies, you must first qualify for a period of total disability to qualify for residual disability benefits.<\/p>\n<p>You can buy a stand-alone residual policy. This is an income replacement policy. Or, you can opt for a total disability policy with residual coverage as a rider. An <a href=\"https:\/\/www.findlaw.com\/consumer\/insurance\/insurance-riders.html\">insurance rider<\/a> is a supplementary part of your insurance that adds benefits to your original, standard policy. An income replacement policy is generally less expensive than a total disability policy.<\/p>\n<h3>Partial Disability Coverage<\/h3>\n<p><a href=\"https:\/\/www.law.cornell.edu\/wex\/partial_disability\" target=\"_blank\" rel=\"noopener\">Partial disability<\/a>\u00a0coverage is like residual disability coverage. Both types of coverage pay benefits if you can perform some of the duties of your occupation.<\/p>\n<p>But loss of earnings isn&#8217;t considered when determining partial benefits. Instead, you&#8217;ll receive pay in an amount equal to 50% (or possibly less) of the benefit you would earn if you were totally disabled. The benefit period is also much shorter than for total disability coverage. The benefit period is usually only six to 12 months.<\/p>\n<h2>Factors to Consider When Choosing a Disability Insurance Plan<\/h2>\n<p>When deciding on a disability insurance plan, there are a few basic things to consider. Generally, the maximum amount of disability income that you can buy is 70% of your occupational earnings. Also, the period between the beginning of your disability and payment of monthly benefits (known as the waiting period) generally runs from 30 days to one year.<\/p>\n<p>Beyond the above considerations, keep in mind:<\/p>\n<ul>\n<li>A total disability policy with residual disability coverage offers the most protection but at a higher cost.<\/li>\n<li>Stand-alone residual disability coverage provides income protection at a lower cost.<\/li>\n<li>Partial disability coverage provides benefits for a short time and at the lowest cost.<\/li>\n<li>Generally, the cheaper the policy is, the longer the waiting period will be.<\/li>\n<\/ul>\n<p>A <a href=\"https:\/\/www.findlaw.com\/hirealawyer\/choosing-the-right-lawyer\/what-is-disability-law.html\">disability lawyer<\/a> can give you a comprehensive assessment of the benefits and options available if you become disabled. This can include private disability insurance, <a href=\"https:\/\/www.findlaw.com\/socialsecurity\/disability.html\">Social Security Disability Insurance<\/a> (SSDI), <a href=\"https:\/\/www.findlaw.com\/injury\/workers-compensation.html\">workers&#8217; compensation benefits<\/a>, or even a <a href=\"https:\/\/www.findlaw.com\/injury\/accident-injury-law\/personal-injury-law-the-basics.html\">personal injury lawsuit<\/a>.<\/p>\n<h2>Need Help With Your Disability Insurance Benefits? Contact a Lawyer Today<\/h2>\n<p>Wondering whether your disability insurance policy covers your injury or medical condition? Or maybe you want to ensure your coverage protects you in the event of a future disabling accident or impairment. Issues like a wrongfully <a href=\"https:\/\/www.findlaw.com\/injury\/accident-injury-law\/bad-faith-disability-claim-denial-lawsuit-basics.html\">denied disability claim<\/a> can also raise questions, including what you can do to get the benefits you deserve.<\/p>\n<p>Contacting an experienced disability attorney can offer you peace of mind. A <a href=\"https:\/\/lawyers.findlaw.com\/disability\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">disability lawyer<\/a>\u00a0can also help you, as a claimant, with your disability claim.<\/p>\n\n\n<div class=\"was-this-helpful\">\n    <div\n            class=\"was-this-helpful__question-container\"\n            aria-labelledby=\"was-this-helpful__question\"\n            role=\"group\"\n    >\n        <span\n                id=\"was-this-helpful__question\"\n                class=\"was-this-helpful__question fl-text-lg-bold\"\n        >Was this helpful?<\/span>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"Yes\"\n                value=\"yes\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">Yes<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n  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<fieldset>\n                    <legend class=\"was-this-helpful__feedback-form-title\" tabindex=\"0\">Why was this not helpful?<\/legend>\n                    <div class=\"was-this-helpful__choose-option-message\" role=\"status\">\n                        <p class=\"was-this-helpful__choose-option-message-text\"><\/p>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--missing-info\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Missing Information\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--missing-info\"\n                        >Missing the information I need<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--complicated\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Too complicated\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--complicated\"\n                        >Too complicated \/ too many steps<\/label>\n                    <\/div>\n                    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          class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Other\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--negative-other\"\n                        >Other<\/label>\n                    <\/div>\n                <\/fieldset>\n            <\/div>\n            <div class=\"was-this-helpful__form-buttons-container\">\n                <button\n                    class=\"was-this-helpful__feedback-button was-this-helpful__feedback-button--positive at-feedback-submit fl-button secondary\"\n                    type=\"submit\"\n                >\n                    <span class=\"fl-button-content\">Submit<\/span>\n                    <i\n                        class=\"fa fa-angle-right medium\"\n                        aria-hidden=\"true\"\n                    ><\/i>\n                <\/button>\n                <button\n                    class=\"was-this-helpful__feedback-button was-this-helpful__feedback-button--cancel fl-button primary disabled\"\n                    type=\"reset\"\n                >\n                    <span class=\"fl-button-content\">Cancel<\/span>\n                    <i\n                        class=\"fa fa-times-circle medium\"\n                        aria-hidden=\"true\"\n                    ><\/i>\n                <\/button>\n            <\/div>\n        <\/form>\n    <\/div>\n    <div class=\"was-this-helpful__thank-you-message\" role=\"status\">\n        <i class=\"was-this-helpful__thank-you-message-icon fa fa-check\"><\/i>\n        <p class=\"was-this-helpful__thank-you-message-text\" aria-live=\"polite\"><\/p>\n    <\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"fl-section-sidebar\"><div class=\"fl-editors-summary\" data-testid=\"fl-editors-summary\">\n    \n    <div class=\"fl-editors-summary-content\" data-testid=\"fl-editors-summary-content\">\n                    <h2>Can I Solve This on My Own or Do I Need an Attorney?<\/h2>\n                <div class=\"fl-editors-summary-content-main\" data-testid=\"fl-editors-summary-content-main\">\n            \n        <\/div>\n        <ul class=\"fl-list-style-none\">\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    A lawyer&#8217;s advocacy can help ease your stress during the claims process\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    Disability insurance providers have lawyers on their side, so hiring your own lawyer may be beneficial\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    An attorney can represent you during disability insurance benefit disputes or appeals\n\n                <\/li>\n                    <\/ul>\n                    <div class=\"fl-editors-summary-content-description\" data-testid=\"fl-editors-summary-content-description\">\n                <p>A disability lawyer can help protect your benefits. Get dedicated support for your disability insurance claim or dispute.<\/p>\n\n            <\/div>\n                            <div class=\"fl-editors-summary-content-link fl-flex\" data-testid=\"fl-editors-summary-content-link\">\n                <i class=\"fa fa-angle-right medium\" aria-hidden=\"true\"><\/i>\n                <p class=\"find-attorney\"><a href=\"https:\/\/lawyers.findlaw.com\/disability\/#USER_GEO\/?fli=esum:FL3905\" target=\"_blank\" rel=\"noopener\">Find a local attorney<\/a><\/p>\n\n            <\/div>\n            <\/div>\n<\/div>\n\n\n\n<div class=\"email-subscription fl-mb30\">\n    <div class=\"email-subscription-header\">\n        <div class=\"email-subscription-header-content\">\n            <h3 class=\"fl-callout-sm fl-no-margin\">Stay Up-to-Date With How the Law Affects Your Life<\/h3>\n        <\/div>\n        <div class=\"email-subscription-header-image fl-flex fl-items-end\">\n            <img decoding=\"async\"\n                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coverage.<\/p>\n","protected":false},"author":41135,"featured_media":0,"parent":352917,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"app\/Http\/Controllers\/Templates\/ArticleWithBreadcrumbsController.php","meta":{"_acf_changed":false,"_stopmodifiedupdate":true,"_modified_date":"","_autodraft_ids":[],"_cloudinary_featured_overwrite":false,"_sb_is_suggestion_mode":false,"_sb_show_suggestion_boards":false,"_sb_show_comment_boards":false,"_sb_suggestion_history":"","_sb_update_block_changes":"","_is_real_time_mode":false,"_realtime_collaborators":"","footnotes":"","cf_checklist_status":[]},"categories":[2734],"tags":[],"state_laws_tags":[],"flmsa":[],"class_list":["post-352990","page","type-page","status-publish","hentry","category-injury"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages\/352990","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/users\/41135"}],"replies":[{"embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/comments?post=352990"}],"version-history":[{"count":1,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages\/352990\/revisions"}],"predecessor-version":[{"id":398077,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages\/352990\/revisions\/398077"}],"up":[{"embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages\/352917"}],"wp:attachment":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/media?parent=352990"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/categories?post=352990"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/tags?post=352990"},{"taxonomy":"state_laws_tags","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/state_laws_tags?post=352990"},{"taxonomy":"flmsa","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/flmsa?post=352990"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}