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What Is an Own-Occupation Policy?


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    Highlights

  • Own-occupation policies pay benefits if you're unable to perform your specific occupation's duties, regardless of other employment
  • These policies are particularly popular among doctors for protection against career-ending injuries
  • The definition of 'disabled' in the policy is flexible, allowing full benefits even with alternative work
  • Modified own-occupation policies cover individuals not employed at the time of disability
Table of Contents

What Is an Own-Occupation Policy?

Let me explain what an own-occupation insurance policy is. It covers you if you become disabled and can't perform the majority of the duties you've been trained for in your occupation. This policy requires that you were employed when the disability happened. You might hear it called a 'pure own-occupational policy' or 'own-occupation disability insurance.' Doctors often buy these to protect against injuries that could end their careers.

How an Own-Occupation Policy Works

When you activate an own-occupation policy, you and the insurance company agree on a contract. It states that they'll pay you a monthly benefit if you become disabled. But you need to know what counts as a disability here.

The key is how the policy defines 'disabled.' In an own-occupation setup, it's flexible. You can find another job and still get full benefits. Under this definition, you'll receive payments if you can't work in your 'own occupation,' no matter if you're employed elsewhere. The contract might say something like: 'You will be considered disabled if you are unable to perform the material and substantial duties of your occupation, even if you are gainfully employed in another occupation.'

Remember, the definition of own-occupation hinges on how the insurance contract spells out 'disabled.' Sometimes, if you're not working when disabled, a standard own-occupation policy won't cover you. But a modified own-occupation policy will. It includes coverage for those not employed at the time, and it's geared toward highly trained pros like surgeons.

Key Takeaways

  • An own-occupation policy covers you if you're injured and can't do your occupation's duties.
  • You can get benefits if unable to work in your 'own occupation,' but you can seek other employment.
  • Doctors commonly buy these policies.

Example of an Own-Occupation Policy

Take Mark, a surgeon who enjoys home improvement on weekends. One day, his hand slips on a saw, and he loses a finger. He can't perform surgeries anymore, but he could switch to another medical field or even a non-medical job.

Under the own-occupation definition, Mark can't do the substantial duties of being a surgeon. If he has this policy, he gets full benefits, whether he works in another specialty or a different profession. That's why these policies offer the most flexibility and are essential for doctors.

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