How to Insure Your Income: Presumptive Disability

This benefit usually is optional and provides for total disability benefits if an injury or sickness causes you the total and irrecoverable loss of:

  • speech;
  • hearing in both ears;
  • sight in both eyes; or
  • use of bodily limbs (hands, legs, etc.).

So, if you have a stroke and -- as a result -- lose the ability to speak, you have suffered a presumptive disability and would be entitled to total disability benefits for the duration of the benefit period.

Usually, the requirement that you be under the care of a physician is waived due to the nature of presumptive disabilities.

The claims process usually is simplified with presumptive disabilities. Normally, when you have a disability claim, you and an attending physician must complete a claim form periodically -- every month, once a quarter, etc. -- for the duration of the claim.

For a presumptive disability claim, there is a single claim form completed at the onset of the claim. Due to the severity of the disability, no further claim forms usually are needed.

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