Most Disability policyholders never realize how specific policy language can affect their policies — until they learn how it can affect a claim. My Policy Advocate™ helps you understand your coverage before you need it.
Dr. Alistair Chen, a world-class neurosurgeon earning $800,000 annually , was forced out of surgery by a progressive tremor. He applied for benefits, but the insurer denied the claim. They argued his policy's "Total Disability" definition was ‘Any Occupation’—meaning he could still work as a hospital administrator or medical consultant for $150,000.
His policy didn’t define Total Disability as "unable to do my actual job" —just any job fitting his credentials.
Expanded Definition of Disability (Any Occupation) excludes virtually all white-collar professionals.
“Total Disability means… unable to perform the material and substantial duties of any gainful occupation for which you are… reasonably fitted by education, training or experience.”
Clara identifies the specific disability definition (‘Own Occupation’ vs. ‘Any Occupation’) and flags any 'Any Occupation' language for professionals whose income is tied to a specific specialty.
* This scenario described is fictious and is solely for illustrative or educational purposes so the insured has the opportunity to discuss these issues with their licensed insurance producer.
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For Educational Purposes Only: My Policy Advocate is an educational platform, not a licensed insurance agent, broker, or financial advisor. We do not sell insurance or provide legal, financial, or tax advice. Our goal is to help you understand your existing policies.
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