Finance
6
min read

How Long Is Short-Term Disability?

Learn about short-term disability insurance, its benefits, eligibility, application process, alternatives, and how it can provide financial stability during temporary disabilities.
Published on
July 16, 2024
Presented by Givers
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Key Takeaways

Sometimes, a loved one might fall at home or end up with a serious illness. For example, maybe your parent is dealing with chemotherapy for the next few months, or your uncle broke his leg. When this happens, your loved one might experience a long financial difficulty. They may even lose their job entirely.

With short-term disability insurance, your loved one can still have a financial safety net while they recover. Not only that, if you suffer a severe medical condition, you can receive benefits while you recover. How does short-term disability insurance work? 

What is a short-term disability?

A short-term disability is a temporary condition that prevents a person from performing their regular work duties due to illness, injury, or a medical condition. This type of disability typically lasts for a limited period, usually a few weeks to several months, after which the individual is expected to recover and return to work.

Illnesses, injuries, or medical conditions that might qualify for short-term disability typically include:

  • Serious illnesses: Conditions like severe infections, pneumonia, or significant mental health issues like major depression or anxiety disorders.
  • Injuries: Accidents causing fractures, sprains, or strains that prevent you from performing your job duties.
  • Surgery and recovery: Recovery periods following surgeries, such as appendectomies, joint replacements, or other significant surgical procedures.
  • Pregnancy and childbirth: Complications during pregnancy, childbirth, and the recovery period postpartum.
  • Chronic conditions: Flare-ups of chronic conditions like multiple sclerosis, rheumatoid arthritis, or severe migraines that temporarily incapacitate you.

Those with a short-term disability may have access to short-term disability insurance that provides partial income replacement for those temporarily unable to work. Benefits typically cover a portion of the individual's salary for a short duration, usually ranging from a few weeks to up to six months, depending on the policy.

Eligibility for short-term disability insurance

To be eligible for benefits, an employee typically needs to be unable to perform their regular job because of a medical condition and meet the policy's requirements, such as working for the company for a minimum amount of time.

Eligibility requirements for short-term disability insurance typically include the following:

  1. Employment status: You must be a full-time or part-time employee, depending on the policy, and have worked for the employer for a specified period, often ranging from 30 days to a year.
  2. Medical certification: You need to provide a medical certification from a healthcare provider confirming the disability and the inability to perform your job duties.
  3. Waiting period: Most policies have a waiting period, usually 7 to 14 days before benefits begin. You must be continuously disabled during this period.
  4. Pre-existing condition exclusion: Some policies may exclude coverage for disabilities related to pre-existing conditions for a certain period, such as six months to a year before the policy starts.
  5. Active employment: You must be actively at work when the disability begins, meaning you were not on leave or receiving other disability benefits.

It's worth noting that if a worker gets hurt on the job, worker's compensation will cover the wages, not short-term disability. However, some companies will give your care recipient a combination of benefits. Workers' compensation is available in most states. 

When a caregiver takes time off to care for a sick relative, they don't qualify for short-term disability insurance. Instead, they may want to take advantage of the Family and Medical Leave Act.

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How long do short-term disability benefits last?

Short-term disability benefits typically last from a few weeks to up to six months, depending on the specific policy. Some policies may offer benefits for a shorter duration, such as three months, while others may extend coverage for up to a year, but six months is the most common duration. The exact length of time will be specified in the individual insurance policy.

Your doctor's opinion on how long it will take for you or your loved one to get better is very important to the insurance company. If you follow your doctor's orders and go to all appointments, it shows that you're serious about getting better, and you'll likely get benefits for a longer time.

How to apply for short-term disability 

Short-term disability insurance will help your care recipient in several ways. Often, up to 40-70% of wages are paid. The amount paid is determined by the policy you select and the terms of your coverage.

Employer-provided coverage

To apply for short-term disability insurance, first check with your employer to determine if short-term disability coverage is part of your benefits package. If it is, you will typically need to fill out an application form provided by your human resources department.

This form will require personal information and details about your employment and medical condition. You will also need a medical certification from your healthcare provider confirming your disability and your inability to work. Submit the completed application and medical certification to your employer or directly to the insurance company, following their specific procedures.

Voluntary coverage

If you purchase a policy independently, contact the insurance provider to obtain and complete the necessary application forms. After submission, there may be a waiting period before benefits begin, so it's important to apply as soon as you anticipate needing coverage. Throughout the process, ensure you keep copies of all documents and maintain communication with your employer or insurance provider to track the status of your application.

Elimination period for short-term disability benefits

There is usually a waiting period, called the elimination period, between the onset of a disability and when the benefit payments begin. This period typically starts from the first day the employee cannot work due to a covered condition.

The elimination period can range from 1 to 14 days, depending on the specific policy. The employee will not receive benefits during this time, but it does not affect the total duration of coverage received after the waiting period ends.

The elimination period is something to consider when choosing a short-term disability insurance plan, as it determines how quickly benefits will be available in the event of a disability.

Which option is best for you?

Consider factors like the elimination period (the waiting time before benefits begin), benefit amount, coverage duration, and premium cost when choosing a plan. Additionally, evaluate the policy's definitions of disability, exclusions or limitations, and the claims process to ensure it aligns with your needs.

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Alternatives to short-term disability insurance

While short-term disability insurance is a valuable option for many, there are alternative methods to ensure financial stability during periods of temporary disability:

  1. Sick leave and Paid Time Off (PTO): Many employers offer paid sick leave or PTO, which can provide income replacement during short-term illnesses or injuries. Check your employer's policies to see how much time you have accrued.
  2. Emergency savings: Building an emergency savings fund can provide a financial cushion during unexpected medical events. Financial advisors typically recommend saving three to six months of living expenses for emergencies.
  3. State disability insurance programs: Some states offer their own state disability insurance (SDI) that provide benefits similar to private short-term disability insurance. Only five states (California, Hawaii, New Jersey, New York, and Rhode Island) and Puerto Rico currently have an SDI program.
  4. Workers' compensation: If your disability is due to a work-related injury or illness, you may be eligible for workers' compensation benefits, which cover medical expenses and a portion of your lost wages.
  5. Family and Medical Leave Act (FMLA): While FMLA does not provide paid leave, it helps eligible employees take up to 12 weeks of unpaid leave for certain family and medical reasons without losing their job or health insurance coverage.
  6. Personal loans or credit: Sometimes, personal loans or lines of credit can cover expenses during a short-term disability. However, we recommend you use this as a last resort due to the potential for high-interest debt.
  7. Long-term disability insurance: While primarily for long-term conditions, some long-term disability insurance policies have shorter waiting periods and can begin to provide benefits after short-term disability benefits are exhausted.
  8. Social Security Disability Insurance (SSDI): SSDI is a federal program providing long-term benefits to individuals with severe disabilities expected to last at least one year or result in death. SSDI is not ideal for short-term needs due to its lengthy approval process and strict eligibility requirements.

A note from Givers

At Givers, we are committed to providing education and resources to help caregivers and their loved ones make informed decisions. Understanding your options and finding the right support can provide peace of mind, allowing you to focus on what matters most—caring for your family.

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