Long Term Disability Insurance

Long Term Disability Insurance — Income Protection Through Age 65

Long term disability insurance replaces 50–70% of your income for years — or until retirement — if a serious illness or injury keeps you out of work. Critical coverage for self-employed, physicians, dentists, attorneys, and high-income professionals. Compare own-occupation policies from Assurity and Ameritas.

Benefits paid for years — up to age 65 or 67
Own-occupation coverage for specialized professionals
Tax-free benefits when you pay premiums yourself
Essential for self-employed, 1099, and small business owners
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2–30 yrs
Benefit Period
50–70%
Income Replaced
$60–$250
Typical Monthly Cost
1 in 4
Disabled Before 65
The Basics

What Is Long Term Disability Insurance?

Long term disability insurance is a private insurance policy that replaces 50 to 70% of your income for years — sometimes until age 65 or 67 — if a serious illness or injury prevents you from working. Unlike short term disability (3–12 months), long term disability is built for catastrophic scenarios: cancer, chronic illness, autoimmune disease, mental health conditions extending past a year, serious back injuries, or any disability that doesn’t resolve within months.

The Social Security Administration estimates 1 in 4 of today’s 20-year-olds will become disabled before retirement. Most people protect their car, their home, and their life — but not their income. That’s the gap long term disability insurance fills. Your ability to earn income is usually your single largest financial asset; a 35-year-old earning $75,000/year will earn over $2.25 million before retirement, before raises.

This is also called income protection insurance in some markets, particularly the UK and Australia — same product, different name.

Short-Term vs Long-Term

Short Term Disability vs Long Term Disability

Most working professionals need both. Here’s how they fit together.

The difference between short term and long term disability is benefit duration and what triggers a claim. Short term disability handles the recovery window — weeks to months — while long term disability takes over for serious or chronic conditions extending beyond a year.

FeatureShort Term DisabilityLong Term Disability
Benefit period3 to 12 months2–5–10 years, or to age 65/67
Elimination period0 to 14 days30, 60, 90, or 180 days
Income replacement60–70%50–70%
Common claimsSurgery, maternity, injury, mental health leaveCancer, autoimmune, back injury, chronic illness
Premium$30–$80/month$60–$250/month
Best forAnticipated short recovery (pregnancy, surgery)Career-ending or career-pausing conditions

How they stack: A typical professional with both policies might have short term disability covering days 1–180, and long term disability picking up at day 181 and continuing through age 65. The elimination period on the LTD policy is set to match where the STD policy benefits end — creating seamless income protection from week one through retirement.

Profession-Specific Coverage

Long Term Disability for Professionals

High-income specialists need own-occupation policies that protect their specific career — not just any job.

If you’ve spent years building expertise in a specialized career, a generic LTD policy isn’t enough. Own-occupation coverage is the strongest disability definition: it pays if you can’t perform your specific job, even if you could theoretically work in a different occupation. This matters most for surgeons (a hand injury ends a surgical career but not a desk career), dentists (back issues, repetitive strain), attorneys (cognitive demands), and other specialized professionals.

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Physician Disability Insurance
Physician disability insurance from Ameritas includes own-occupation coverage and specialty-specific definitions. Critical for residents and practicing physicians.
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Dentist Disability Insurance
Dentist disability insurance protects against the specific risks of dentistry — hand/wrist repetitive strain, back issues, vision changes that affect precision work.
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Attorney Disability Insurance
Cognitive demands of legal practice mean even partial impairment can end a practice. Own-occupation policies are critical for partners and trial attorneys.
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Nurse Disability Insurance
Disability insurance for nurses covers physical demands of patient care — lifting, repetitive strain, exposure risks. Particularly important for travel and ICU nurses.
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Resident Physician
Lock in coverage early during residency at low premiums with future-increase options. Locks future earning potential before income rises.
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High-Income Earners
Professionals earning $200K+ need supplemental LTD beyond group caps. Group plans typically max out around $10K/month — insufficient for high earners.
Self-Employed & Business Owners

Disability Insurance for Self Employed & 1099 Contractors

If you’re self-employed or a 1099 contractor, you have no employer-sponsored disability coverage. There’s no short-term disability, no long-term disability, no FMLA. If illness or injury prevents you from working, your income stops the day you do. Disability insurance for self employed is your only paycheck protection.

Both Assurity and Ameritas offer individual long term disability policies designed specifically for self-employed workers, freelancers, gig economy workers, and small business owners. Underwriting is based on your tax returns (typically last 2 years of Schedule C or 1099s), and benefit amounts are capped based on documented income.

Business Overhead Expense (BOE) coverage

For business owners, a separate BOE policy covers fixed business expenses (rent, utilities, employee salaries, loan payments) while you’re disabled — keeping your business operating until you can return. BOE is paired with personal LTD: personal LTD pays your salary, BOE pays your business expenses. Your advisor can structure both together.

Cost & Pricing

Long Term Disability Insurance Cost

Long term disability insurance typically costs 1 to 3% of your gross annual income. A 35-year-old professional earning $100,000/year pays approximately $60–$250/month for individual long term disability coverage. The exact rate depends on:

  • Your occupation class. Office workers (Class 1) pay less than tradespeople (Class 5). Physicians and dentists are mid-class.
  • Your age and gender. Younger costs less. Female premiums historically run 30%+ higher due to claim statistics, though some carriers offer unisex pricing.
  • Benefit period. 5-year benefits cost less than to-age-65 benefits.
  • Elimination period. 90-day elimination is standard; 180-day is cheapest.
  • Riders. Own-occupation, future increase, residual disability, COLA — each rider adds cost but adds protection.

Is disability insurance tax deductible?

For individuals: no. Premiums paid with after-tax dollars are not deductible — but the resulting benefits are tax-free. For business owners paying through the business: deductible as a business expense, but benefits become taxable to the recipient. Your advisor and CPA can structure the right approach for your situation.

Is long term disability taxable?

Same rule as short term: if you pay premiums with after-tax dollars (individual policy), benefits are tax-free. If your employer pays premiums or you pay through pre-tax payroll deduction, benefits are taxable as income. Most individual LTD policies result in tax-free benefits.

How It Works

How Does Long Term Disability Work?

01
Buy & Get Approved
Apply with full or simplified underwriting. Most policies approved in 2–6 weeks. Lock in low premiums while young and healthy.
02
Wait Through Elimination
After becoming disabled, you wait through the elimination period (typically 90 days) while filing your claim with medical documentation.
03
Receive Monthly Income
Once approved, receive monthly tax-free benefits for years — or until age 65 — depending on your benefit period and continuing eligibility.
Mortgage Protection Angle

Mortgage Disability Insurance

Mortgage disability insurance is a specialized form of long term disability designed to cover your mortgage payment if you become disabled. Some borrowers buy a standalone mortgage protection policy; most are better served by a properly sized standard LTD policy that covers the full mortgage payment plus other living expenses.

If your gross income is $7,000/month and your mortgage is $2,500/month, a 60% LTD policy paying $4,200/month already covers your mortgage with $1,700/month left over for other expenses. Standalone mortgage protection products typically cost more per dollar of coverage than a properly sized standard LTD policy. Ask your advisor to compare both options before choosing.

Carriers We Compare
FreedInsure is independent — we compare both major disability carriers to find the best fit for your occupation and income level.
Assurity
Ameritas
Assurity offers competitive long term disability with simplified-issue underwriting and strong rider options for blue-collar and middle-income workers. Ameritas specializes in own-occupation long term disability for professionals — physicians, dentists, attorneys, and other specialty occupations.
Common Questions

Long Term Disability Insurance FAQ

How long does long term disability last?
Benefit periods range from 2 years to age 65 depending on your policy. Common options: 5 years, 10 years, to age 65, or to age 67. Longer benefit periods cost more but provide greater protection. Most professionals choose to-age-65 coverage.
Is long term disability taxable?
If you pay premiums with after-tax dollars on an individual policy, benefits are tax-free. If your employer pays premiums or you pay through pre-tax payroll deduction, benefits are taxable as income. Most individual LTD policies result in tax-free benefits.
When does long term disability kick in?
After the elimination period ends — typically 90 days after disability begins. Common LTD elimination periods are 30, 60, 90, or 180 days. Most professionals pair LTD with short term disability so STD pays during the elimination period and LTD takes over after.
Is long term disability worth it?
For most working professionals: yes. SSA estimates 1 in 4 of today’s 20-year-olds will become disabled before retirement. Social Security Disability denies 67% of initial applications and pays a maximum of around $3,800/month — far less than most professional incomes. Private LTD covers the gap.
Do I need long term disability insurance?
If your savings can’t cover 1–2 years of living expenses without income, yes. Disability insurance for self employed is especially critical — you have no employer safety net. High-income professionals need supplemental LTD beyond group plan caps.
What is an elimination period?
The waiting period between when disability begins and when benefits start paying. A disability elimination period is best described as a deductible measured in days. For LTD, common periods are 30, 60, 90, or 180 days. Longer = lower premium.
What’s own-occupation coverage?
The strongest disability definition. Pays if you can’t perform your specific job — even if you could work in a different occupation. Critical for surgeons (hand injury), dentists (back/wrist), attorneys (cognitive), and specialty professionals. Ameritas excels here.
How much disability insurance do I need?
Most professionals target 60–70% income replacement. Calculate your essential monthly expenses (housing, food, utilities, debt payments, basic discretionary) — that’s your minimum benefit need. Higher incomes typically require supplemental coverage above group plan caps.
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Long term disability insurance from Assurity or Ameritas. Own-occupation policies for professionals, simplified underwriting for self-employed. Free advisor service.

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