WEBVTT

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Welcome back to the Deep Dive, where we take

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that overwhelming mountain of information, the

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stack of articles, research papers, and policy

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reviews you provided, and really try to distill

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it all down. Right, down to the essential, the

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surprising, and hopefully the truly actionable

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knowledge. And if you're joining us for this

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particular Deep Dive, you might be thinking about

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the future. Maybe looking at wealth building

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or risk mitigation. And while most people, I

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think, immediately think about insuring their

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assets. you know a house a car maybe even their

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stock portfolio sure the tangible stuff the tangible

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stuff today we're focusing on what is without

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a doubt the single most valuable and often the

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most vulnerable asset that you possess and that

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is your ability to earn an income exactly your

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capacity to perform with the source material

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we looked at repeatedly calls those core work

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functions such a fundamental disconnect isn't

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it in financial planning we spend so much time

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and and capital ensuring the things that store

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wealth. The objects. The objects, right. But

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we sometimes completely overlook ensuring the

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actual mechanism that generates all of that wealth

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in the first place. Your body and your mind.

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Your body and your mind. And what happens if

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that engine suddenly stalls? What if a physical

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impairment or an incapacity to work or, and this

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is a really vital inclusion in modern policy.

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No, absolutely. The inability to maintain composure

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because of, say, A severe psychological disorder.

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Yeah. What happens when that suddenly stops the

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paycheck? That is the core question we're answering

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today. I mean, that's what we're here to dissect.

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What is known broadly as disability insurance

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or DI. Right, DI. And depending on the context,

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you'll also hear it called disability income

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insurance or my favorite term, which is probably

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the most descriptive. Income protection. Income

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protection. I like that. It's very direct. It

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is. Its purpose is just foundational to modern

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financial security. It's about guarding your

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earned income against these unexpected, often

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life altering risks. So when we talk about this,

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this whole umbrella of income protection, we

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should probably be clear about the scope because

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it isn't just one single product, is it? No,

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not at all. According to our sources, DI really

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encompasses a whole spectrum of benefits. It

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can range from very short -term employer provisions

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like paid sick leave. Okay, so that counts. That

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counts, yes. And then you move up to short -term

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disability or STD. And then finally, you have

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the really comprehensive backstop of long -term

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disability LTD benefits. This is all housed under

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this single discipline. It is. So, okay, let's

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try to unpack this landscape. Our mission for

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this deep dive is to move quickly. but but thoroughly

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through this incredibly complex area. Right.

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We want to understand not just the mechanics

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of the modern policies, but also, you know, the

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history, the historical context of income protection.

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And then the modern types of coverage that are

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available, the private, the governmental, the

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employer provided plans. And crucially, figure

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out how all these different safety nets are designed

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to interact and in some cases overlap. The goal

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here for you is really demystification. We want

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to take this, you know, this often ignored area

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of financial planning and just show you how it

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operates. And it operates on multiple really

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distinct levels. Exactly. So at the very base,

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you've got these massive national programs like

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Social Security in the U .S., which are designed

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purely as a floor. The idea is to prevent, as

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the source material puts it, abject poverty.

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But then at the complete other end of the spectrum,

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at the very top, you have this niche, highly

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specialized private market. And this market designs

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policies to protect the really high earners.

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You know, think of specialist surgeons, corporate

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executives, successful small business owners.

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People who need their replacement. income to

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keep pace with, I don't know, seven -figure pre

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-disability earnings? Precisely. And understanding

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that vast difference in function from a basic

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safety net to specialized asset protection, that

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is absolutely key to being well -informed about

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your own financial stability and your own planning.

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Now, here's where we take a step back and look

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at the origin story, because this is where I

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think it gets really interesting. It does. When

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you hear disability insurance, you naturally

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think of, you know, modern offices, actuaries

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with supercomputers, complex risk modeling, that

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sort of thing. Sure. The modern insurance industry.

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Right. But the true origin story of this specific

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type of protection is, well... Surprising. It's

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rooted entirely in 19th century Industrial Revolution

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transportation. That's right. The whole concept

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of insuring against the inability to work because

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of a non -fatal event, which is distinct from

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simple life insurance, it started under a much,

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much narrower banner. Which was? Accident insurance.

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And the catalyst for the entire industry was

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the rapid and frankly terrifying expansion of

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the railway system. Yes. The founding moment

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is so specific, it's almost cinematic. It's the

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Railway Passengers Assurance Company, which was

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formed in England way back in 1848. I love that.

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The creation of this massive new industry was

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driven by a single new technological risk, a

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risk that just fundamentally changed how people

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traveled and how frequently they were getting

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injured. You have to put yourself in that mindset.

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You really do. Think about the socioeconomic

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landscape of the 1840s. Travel was, for the most

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part, slow. It was local. It was pretty predictable.

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Horses, carriages. Exactly. Then, all of a sudden,

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you have trains moving people across the countryside

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at speeds and volumes that were never before

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imagined. And this new technology created a massive,

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immediate, and very visible new risk. Catastrophic

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risk. High speed multi -casualty accidents. This

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was a type of risk that the existing insurance

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framework, which mainly covered things like property

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or just death, it just couldn't properly address

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it. So this company, which was originally called

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the Universal Casualty Compensation Company,

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was created to tackle exactly that problem. Their

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mandate was, well, it's twofold. First, to grant

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assurances on the lives of persons traveling

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by railway. So that's the life insurance part.

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Right. But. And this is crucial for our discussion

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also to provide compensation to the assured for

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injuries received and non -fatal accidents. That

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latter clause, that's the DNA of modern D .I.

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And their business model, even way back then,

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showed an incredible grasp of, you know, convenience

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and risk aggregation. How so? Well, they didn't

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just sell policies through brokers in an office

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somewhere. They struck a direct deal with the

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railway operators themselves. So they sold it

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right at the source of the risk. Exactly. They

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sold basic accident insurance as a package deal

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right along with the travel tickets. You'd buy

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your ticket and you'd have the option to buy

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a little insurance policy right there on the

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platform, maybe just to cover that one specific

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journey. The genius of that is putting the product

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exactly where the risk is being assumed by the

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customer. But what's really fascinating here

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is how quickly genuine risk assessment, the foundation

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of modern underwriting, entered the picture.

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Absolutely. The sources know that almost immediately

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the company charged higher premiums for second

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and third class travel. Now that sounds like

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simple class discrimination. It does, but it

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wasn't not in the modern sense. It was a pure

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actuarial decision. OK, so why? Because of the

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higher risk of injury that was inherent in the

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third class roofless carriages. Roofless carriages.

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So the actual design of the vehicle itself became

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an actuarial input. It did. Think about that

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for a moment. You have travelers sitting in these

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open air cars exposed to the elements. Soot sparks

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from the engine. And a much higher probability

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of being ejected or hit by debris if there's

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an accident. A much higher probability than someone

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sitting in the enclosed, you know, slightly more

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robust first class cabin. It's a perfect historical

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illustration of risk -based underwriting. They

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weren't just insuring against the possibility

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of an accident. No, they were calculating the

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verifiable likelihood of a person in a roofless

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carriage sustaining an injury versus someone

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who was protected inside the first -class compartment.

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So this shows that, what, 170 -plus years ago,

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they immediately recognized that the premium

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cost has to link directly to verifiable risk

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exposure and the environment. That's the fundamental

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DNA of modern insurance. And it was established

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right there on those Victorian railway platforms.

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OK, so let's fast forward 150 odd years. The

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private protection landscape is now incredibly

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complex and global. So if you're self -employed

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or if your employer just doesn't provide enough

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in benefits or maybe any at all. You have to

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start looking into securing what's called individual

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disability insurance or IDI. And IDI is where

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the customization is. Well, it's both a blessing

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and a curse. How do you mean? Well, it's a necessary

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step for high earners and for anyone outside

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of those traditional corporate safety nets. But

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it's not a simple one size fits all group policy.

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It's tailored to the individual. So there's a

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lot of variability. A huge amount. The source

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material really emphasizes that premiums and

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the benefits you can get for individual coverage

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vary considerably between companies, occupations,

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states and countries. And that variability makes

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sense, right? Because you, the listener, are

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shopping for a policy that has. to cover your

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specific risk, not the average risk of a thousand

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other employees. Exactly. So let's talk about

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the key factors that drive those costs and benefits,

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because this is where someone who is comparing

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policies really needs to focus their attention.

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Our sources list four critical factors, and they

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all seem to be about defining the exact risk

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the insurer is taking on. Precisely. The first

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two are quantitative and pretty straightforward.

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First is the level of monthly benefits provided.

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So the dollar amount. The dollar amount. And

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second is the benefit period. That is, how long

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do the payments last? Okay, so if you want, say,

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$15 ,000 a month. Until you're 67. That's an

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astronomical level of risk for the insurance

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carrier compared to a policy that only pays out,

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say, $4 ,000 a month for just five years. The

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duration and the amount, they define the maximum

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payout exposure for the insurer. Then you have

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the third factor, the elimination period, which

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is basically your waiting period. Yeah. A deductible

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period. Yes. How quickly do the benefits start

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after you file a disability claim? And this is

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a really crucial area for financial planning.

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Because if you want coverage that kicks in after

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only 30 days, you're going to pay a phenomenal

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premium. A huge premium. Because the insurer

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knows that many, many short -term illnesses or

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injuries will resolve themselves within 60 or

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90 days. So it's an explicit trade -off. If you

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have enough emergency savings to cover yourself

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for six months, or if your employer gives you

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90 days of sick leave or short -term disability.

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Then you can set your elimination period for

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180 days and your premium will drop dramatically.

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It's a direct calculation where your own savings

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capacity directly mitigates the risk premium

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you have to pay. But the single most important

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and often the most costly factor is the fourth

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one. Right. And that's the definition of disability.

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Our sources highlight that the premiums tend

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to be substantially higher for policies that

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define disability in, quote, broader terms. This

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factor is the absolute make or break element

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of an IDI policy. You cannot stress this enough.

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This is the technical distinction that separates

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a policy that truly protects a specialized career

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from one that is, frankly, practically useless

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for a high earner. And it all boils down to this

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massive divide between two concepts, own occupation.

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And any occupation. That's the divide. So let's

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break it down in detail. A restrictive policy,

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the one that costs less, will typically use an

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any occupation definition. Right. And that policy

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might say you are only considered disabled if

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you can't perform any job for which you are reasonably

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suited, you know, based on your education or

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experience. Or even more restrictively, sometimes

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it just says you can't perform any gainful activity

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at all. Which is an incredibly high bar. So let's

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use an example. A highly paid corporate lawyer.

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OK. Let's say they develop severe chronic back

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pain that prevents them from sitting for hours

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in court or in long meetings. And any occupation

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policy might argue that they are not disabled.

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Why? Because they could still work as a consultant

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or teach law or maybe take on a lower stress

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administrative role, even if that new job only

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pays 20 percent of their pre -disability income.

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So because they are still technically employed.

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The policy doesn't pay. Exactly. The policy says

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you can do an occupation so you're not disabled.

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That is financially devastating. It completely

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defeats the whole purpose of income protection,

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which is supposed to protect the specialized

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value of your existing career. It does. And this

00:12:37.029 --> 00:12:40.370
is precisely why high earners pay for the broader

00:12:40.370 --> 00:12:43.590
and much more expensive own occupation coverage.

00:12:44.090 --> 00:12:46.470
So how does that work? An own occupation policy

00:12:46.470 --> 00:12:49.409
says you are disabled if you can't perform the

00:12:49.409 --> 00:12:52.250
specific functions of your current highly paid

00:12:52.250 --> 00:12:54.750
profession. OK, let's use another example. A

00:12:54.750 --> 00:12:57.570
hand surgeon. Perfect example, a hand surgeon

00:12:57.570 --> 00:13:00.269
who loses the fine motor skills required for

00:13:00.269 --> 00:13:02.590
complex procedures because of nerve damage. They

00:13:02.590 --> 00:13:04.710
can't perform surgery anymore. No, but they can

00:13:04.710 --> 00:13:07.009
still think, they can teach, they can consult.

00:13:07.450 --> 00:13:10.389
But they cannot perform the core duties of being

00:13:10.389 --> 00:13:13.970
a hand surgeon. An own occupation policy recognizes

00:13:13.970 --> 00:13:16.889
that they have lost the capacity to perform the

00:13:16.889 --> 00:13:19.149
job that generated their high income. And so

00:13:19.149 --> 00:13:21.009
they receive their full benefits. They receive

00:13:21.009 --> 00:13:23.590
full benefits even if they choose to go and teach

00:13:23.590 --> 00:13:26.039
or consult for a lower. income. So it's the difference

00:13:26.039 --> 00:13:28.700
between protecting your skill set versus protecting

00:13:28.700 --> 00:13:31.360
your bare minimum earning capacity. That is the

00:13:31.360 --> 00:13:34.259
perfect way to put it. And the broader that own

00:13:34.259 --> 00:13:37.059
occupation definition, especially those policies

00:13:37.059 --> 00:13:39.639
that pay if you are disabled from your job, even

00:13:39.639 --> 00:13:41.919
if you take another job, the more protected your

00:13:41.919 --> 00:13:43.960
specialized income is. But the premium is going

00:13:43.960 --> 00:13:46.779
to be much, much higher. Of course. And this

00:13:46.779 --> 00:13:49.220
complexity is why the source material mentions

00:13:49.220 --> 00:13:51.840
the existence of web -based disability insurance

00:13:51.840 --> 00:13:55.200
calculators. Right. For you, the listener, these

00:13:55.200 --> 00:13:58.179
tools are vital, not just for figuring out how

00:13:58.179 --> 00:13:59.759
much cash flow you need, but for helping you

00:13:59.759 --> 00:14:01.730
understand. the premium differences that come

00:14:01.730 --> 00:14:04.690
with customizing those four factors we just discussed.

00:14:04.929 --> 00:14:07.230
It's about bridging that gap between a sophisticated

00:14:07.230 --> 00:14:10.549
lifestyle and whatever government or employer

00:14:10.549 --> 00:14:13.590
safety net you might have. Exactly. So moving

00:14:13.590 --> 00:14:16.549
beyond that standard IDI, we get into a really

00:14:16.549 --> 00:14:18.980
specialized area. called high limit disability

00:14:18.980 --> 00:14:21.659
insurance. We do. So if you are a top executive

00:14:21.659 --> 00:14:24.720
or a highly paid professional athlete or a medical

00:14:24.720 --> 00:14:27.360
specialist making, I don't know, $800 ,000 million

00:14:27.360 --> 00:14:30.440
or more a year. Standard IDI policies just won't

00:14:30.440 --> 00:14:33.559
cut it. They often cap out around $15 ,000 or

00:14:33.559 --> 00:14:36.299
maybe $20 ,000 a month in benefits. Which leaves

00:14:36.299 --> 00:14:39.899
a massive, completely unacceptable hole in your

00:14:39.899 --> 00:14:42.899
replacement income. A huge gap. And that gap

00:14:42.899 --> 00:14:45.600
exists because standard insurance carriers need

00:14:45.600 --> 00:14:48.299
to diversify their risk. They typically don't

00:14:48.299 --> 00:14:51.360
want to place, say, a half million dollar annual

00:14:51.360 --> 00:14:53.879
payout risk on a single individual. It's too

00:14:53.879 --> 00:14:55.899
concentrated. It's too concentrated. Their risk

00:14:55.899 --> 00:14:58.279
pooling just limits what they can safely insure

00:14:58.279 --> 00:15:00.779
for one person. And this is where High Limit

00:15:00.779 --> 00:15:03.320
DI steps in. And the goal of this specialized

00:15:03.320 --> 00:15:06.600
coverage is what? Singular and clear? Very clear.

00:15:06.840 --> 00:15:09.379
It's designed to keep your total individual disability

00:15:09.379 --> 00:15:12.139
benefits. So that's combining your standard policies,

00:15:12.399 --> 00:15:15.659
any group policies, and this new high limit policy

00:15:15.659 --> 00:15:18.639
at a set percentage. Usually around 65 % of your

00:15:18.639 --> 00:15:21.120
earned income. Right. Around 65%, regardless

00:15:21.120 --> 00:15:23.440
of how high that income is. And this high limit

00:15:23.440 --> 00:15:25.460
coverage is almost always issued supplemental

00:15:25.460 --> 00:15:27.980
to standard coverage. It is. It's not a primary

00:15:27.980 --> 00:15:30.639
policy. It's designed specifically to top up

00:15:30.639 --> 00:15:32.259
the difference between what your primary policy

00:15:32.259 --> 00:15:35.379
will pay and that 65 % replacement income target.

00:15:35.789 --> 00:15:38.710
And the potential benefits are, well, they're

00:15:38.710 --> 00:15:41.490
astronomical. They have to be to reflect the

00:15:41.490 --> 00:15:43.269
immense salaries they're protecting. They are.

00:15:43.350 --> 00:15:45.269
The sources tell us that the additional benefits

00:15:45.269 --> 00:15:47.230
provided by high -limit disability insurance

00:15:47.230 --> 00:15:51.250
can be anywhere from an extra $2 ,000 all the

00:15:51.250 --> 00:15:54.870
way up to $100 ,000 a month. $100 ,000 a month.

00:15:54.950 --> 00:15:58.250
That represents a huge portion of financial risk

00:15:58.250 --> 00:16:02.039
concentrated on very few. very high earning individuals.

00:16:02.320 --> 00:16:04.320
It does. And to give that some more context,

00:16:04.600 --> 00:16:06.700
the source mentions that a single policy issue

00:16:06.700 --> 00:16:09.620
and participation coverage has been known to

00:16:09.620 --> 00:16:13.100
go up to $30 ,000 a month. And it cites specific

00:16:13.100 --> 00:16:16.159
high income sectors like hospitals. Right. You

00:16:16.159 --> 00:16:18.700
think of the specialized neurosurgeons or interventional

00:16:18.700 --> 00:16:21.399
cardiologists. Exactly. If they are disabled,

00:16:21.600 --> 00:16:24.279
the income stream they lose is so vast that the

00:16:24.279 --> 00:16:26.460
private market has to step in with specialized

00:16:26.460 --> 00:16:29.340
capital to cover that risk. It really highlights

00:16:29.340 --> 00:16:31.799
the vast capital being protected in these crucial

00:16:31.799 --> 00:16:34.700
and demanding fields. So now we need to transition.

00:16:34.860 --> 00:16:36.700
We've been talking about protecting the individual's

00:16:36.700 --> 00:16:39.340
paycheck. But let's look at a related but entirely

00:16:39.340 --> 00:16:49.730
distinct form of private. This is a really crucial

00:16:49.730 --> 00:16:53.029
distinction that often gets confused. A BOE policy

00:16:53.029 --> 00:16:55.909
is designed to protect the business, not the

00:16:55.909 --> 00:16:58.029
owner's personal income stream. Although, of

00:16:58.029 --> 00:16:59.669
course, protecting the business is existential.

00:17:00.070 --> 00:17:02.750
It is, because if the business fails, the owner's

00:17:02.750 --> 00:17:05.589
income stream dries up completely anyway. So

00:17:05.589 --> 00:17:07.970
this policy is the lifeline that's designed to

00:17:07.970 --> 00:17:09.970
keep the lights on and the doors open. Pretty

00:17:09.970 --> 00:17:12.509
much. If the owner of a professional practice,

00:17:12.809 --> 00:17:15.589
let's say a small manufacturing firm, an independent

00:17:15.589 --> 00:17:18.009
accounting office, or a busy dental practice,

00:17:18.269 --> 00:17:21.690
if that owner experiences a disability, the BOE

00:17:21.690 --> 00:17:24.210
policy reimburses the business for the overhead

00:17:24.210 --> 00:17:26.869
expenses it still has to pay. This allows the

00:17:26.869 --> 00:17:29.329
business to continue operating, maybe at a reduced

00:17:29.329 --> 00:17:32.509
capacity, until the owner can come back or the

00:17:32.509 --> 00:17:34.630
business can be successfully sold or transferred.

00:17:34.930 --> 00:17:37.470
Absolutely. Without it, the disability of the

00:17:37.470 --> 00:17:39.490
owner almost guarantees the death of the business.

00:17:40.220 --> 00:17:42.740
The detailed list of eligible expenses in the

00:17:42.740 --> 00:17:44.619
source material is really important because it

00:17:44.619 --> 00:17:47.819
shows just how broad this policy is. It's comprehensive

00:17:47.819 --> 00:17:50.799
for operational needs. It is. It'll cover rent

00:17:50.799 --> 00:17:53.460
or mortgage payments, utilities, leasing costs

00:17:53.460 --> 00:17:56.140
for equipment, all the basic physical overhead.

00:17:56.589 --> 00:17:58.470
But it goes much deeper into the administrative

00:17:58.470 --> 00:18:01.390
necessities. It does. It covers things like laundry

00:18:01.390 --> 00:18:03.769
and maintenance fees and critically accounting,

00:18:04.109 --> 00:18:07.170
billing and collection service fees. Basically

00:18:07.170 --> 00:18:09.250
anything that's required to make sure the firm

00:18:09.250 --> 00:18:12.049
maintains its administration, its cash flow and

00:18:12.049 --> 00:18:14.210
its regulatory compliance, even if the owner

00:18:14.210 --> 00:18:16.509
isn't there or actively working. And here is

00:18:16.509 --> 00:18:19.269
maybe the most critical detail for business continuity,

00:18:19.529 --> 00:18:21.710
one that speaks directly to staff retention.

00:18:22.089 --> 00:18:25.690
Which is? BOE covers employee salaries and employee

00:18:25.690 --> 00:18:28.079
pay. benefits. This is the genius of the coverage.

00:18:28.319 --> 00:18:30.779
If the owner is disabled for six months, the

00:18:30.779 --> 00:18:33.559
business can use the BOE payout to retain its

00:18:33.559 --> 00:18:36.480
core team, its most valuable paralegals, its

00:18:36.480 --> 00:18:38.839
specialized technicians, its experienced office

00:18:38.839 --> 00:18:41.039
managers. Because if you lose your talent pool

00:18:41.039 --> 00:18:43.279
because you can't pay them. The business infrastructure

00:18:43.279 --> 00:18:46.539
just collapses and recovery becomes nearly impossible.

00:18:46.940 --> 00:18:49.099
So it's not just a payment policy. It's protection

00:18:49.099 --> 00:18:51.000
against the complete failure of the business

00:18:51.000 --> 00:18:54.380
due to the temporary absence of its primary driver.

00:18:54.829 --> 00:18:56.769
Right. And it also covers things like property

00:18:56.769 --> 00:18:59.410
tax and other regular monthly expenses, making

00:18:59.410 --> 00:19:02.369
it a really comprehensive shield for all those

00:19:02.369 --> 00:19:04.730
ongoing financial commitments that don't just

00:19:04.730 --> 00:19:07.630
start because the owner is ill or injured. OK,

00:19:07.730 --> 00:19:10.869
so we've now explored this highly flexible, highly

00:19:10.869 --> 00:19:13.509
tailored and let's be honest, often expensive

00:19:13.509 --> 00:19:16.009
world of private insurance. We have. But for

00:19:16.009 --> 00:19:18.470
most of the population, the absolute foundation

00:19:18.470 --> 00:19:21.430
of income protection is the social safety net

00:19:21.430 --> 00:19:23.190
that's provided by the government. That's the

00:19:23.190 --> 00:19:26.079
crucial pivot. In virtually all developed countries,

00:19:26.339 --> 00:19:28.799
the National Social Insurance Program is the

00:19:28.799 --> 00:19:31.559
single most important form of disability insurance.

00:19:31.940 --> 00:19:34.839
It is the bedrock that the entire system rests

00:19:34.839 --> 00:19:37.099
upon. So in the UK, we'd see this under the National

00:19:37.099 --> 00:19:39.420
Insurance Scheme. Right. And in the US, we're

00:19:39.420 --> 00:19:42.400
talking about Social Security specifically, Social

00:19:42.400 --> 00:19:45.599
Security Disability Insurance, SSDI, and also

00:19:45.599 --> 00:19:48.359
Supplemental Security Income, or SSI. And the

00:19:48.359 --> 00:19:50.180
core importance of these programs, it really

00:19:50.180 --> 00:19:53.160
can't be overstated. No, it can't. They provide

00:19:53.160 --> 00:19:55.660
what our sources call a floor beneath all other

00:19:55.660 --> 00:19:59.200
disability insurance. If you are uninsured or

00:19:59.200 --> 00:20:02.299
just grossly underinsured, these massive governmental

00:20:02.299 --> 00:20:04.839
programs are designed to catch everyone. They're

00:20:04.839 --> 00:20:08.019
enormous systems supporting millions of beneficiaries.

00:20:08.420 --> 00:20:10.559
And the key distinction here is their purpose.

00:20:10.839 --> 00:20:13.519
The purpose is everything. The general theory

00:20:13.519 --> 00:20:15.619
behind the benefit formula is that the amount

00:20:15.619 --> 00:20:18.000
they provide is sufficient only to prevent abject

00:20:18.000 --> 00:20:20.740
poverty. It is not designed to replace a $200

00:20:20.740 --> 00:20:23.720
,000 salary. Not even close. It's designed to

00:20:23.720 --> 00:20:26.740
ensure basic survival and a measure of dignity.

00:20:26.799 --> 00:20:29.519
So if that's the case, does relying solely on

00:20:29.519 --> 00:20:32.349
something like SSDI. actually become a financial

00:20:32.349 --> 00:20:34.450
trap for people who were previously high earners.

00:20:34.549 --> 00:20:37.190
That is the painful reality. For a high earner,

00:20:37.230 --> 00:20:40.230
SSDI can become a poverty trap. And what's more,

00:20:40.390 --> 00:20:43.609
the definition of disability for SSDI is notoriously

00:20:43.609 --> 00:20:45.910
strict. Stricter than private insurance. Much

00:20:45.910 --> 00:20:48.630
stricter. You must be unable to engage in any

00:20:48.630 --> 00:20:51.670
substantial gainful activity, and the disability

00:20:51.670 --> 00:20:54.009
must be expected to last for at least one year

00:20:54.009 --> 00:20:56.670
or result in death. It's an exceptionally high

00:20:56.670 --> 00:20:59.329
bar, and it often leads to years of administrative

00:20:59.329 --> 00:21:01.640
back and forth. And we have to mention the timing

00:21:01.640 --> 00:21:04.880
hurdle as well. Even once you're approved, SSBI

00:21:04.880 --> 00:21:07.440
benefits don't start immediately, do they? Not

00:21:07.440 --> 00:21:09.539
at all. There is a five -month waiting period

00:21:09.539 --> 00:21:11.940
after the onset of the disability before any

00:21:11.940 --> 00:21:14.220
benefits begin. And this is yet another one of

00:21:14.220 --> 00:21:17.539
those gaps that private IDI or STD policies are

00:21:17.539 --> 00:21:20.440
specifically designed to bridge. So moving from

00:21:20.440 --> 00:21:22.720
that national safety net, the second largest

00:21:22.720 --> 00:21:25.200
form of DI is the kind that's provided by employers.

00:21:25.400 --> 00:21:27.900
Right. And the sources note a very logical reason

00:21:27.900 --> 00:21:30.450
for this prevalence. One of those... common reasons

00:21:30.450 --> 00:21:33.569
for disability is on -the -job injury. And while

00:21:33.569 --> 00:21:35.809
on -the -job injuries are certainly common and

00:21:35.809 --> 00:21:38.210
visible, employer benefits are often comprised

00:21:38.210 --> 00:21:40.890
of several subtypes. They might offer a general

00:21:40.890 --> 00:21:43.809
group short -term or long -term disability policy.

00:21:44.089 --> 00:21:46.750
But they almost always include or rely very heavily

00:21:46.750 --> 00:21:50.059
upon workers' compensation. Right. And workers'

00:21:50.160 --> 00:21:52.319
compensation, you hear it called workman's comp

00:21:52.319 --> 00:21:55.680
or compo in some places. It is frequently misunderstood.

00:21:56.299 --> 00:21:58.079
People confuse it with comprehensive disability

00:21:58.079 --> 00:22:01.359
insurance. All the time. But it has an extremely

00:22:01.359 --> 00:22:04.160
limited scope, even though it provides very comprehensive

00:22:04.160 --> 00:22:06.619
benefits within that scope. Okay. What is that

00:22:06.619 --> 00:22:09.390
scope? Workers' comp offers payments to employees

00:22:09.390 --> 00:22:12.490
who are usually temporarily, but sometimes permanently,

00:22:12.789 --> 00:22:15.569
unable to work because of a job -related injury

00:22:15.569 --> 00:22:18.910
or illness. The key phrase there being job -related.

00:22:19.190 --> 00:22:21.069
That's the whole thing. It's a risk management

00:22:21.069 --> 00:22:23.630
system tied specifically to the workplace environment

00:22:23.630 --> 00:22:26.710
and the employment contract. And when we analyze

00:22:26.710 --> 00:22:28.650
workers' comp, we see that it's far more than

00:22:28.650 --> 00:22:31.549
just income protection. According to our sources,

00:22:31.769 --> 00:22:34.910
it functions as a single system with three distinct

00:22:34.910 --> 00:22:38.259
simultaneous purposes. The first is that it compensates

00:22:38.259 --> 00:22:41.039
for economic loss. So both past wages and potential

00:22:41.039 --> 00:22:43.559
future earnings lost because of the injury. Second,

00:22:44.160 --> 00:22:47.240
and this is crucial, it reimburses or pays for

00:22:47.240 --> 00:22:50.279
medical and life expenses. So it functions as

00:22:50.279 --> 00:22:52.019
a form of health insurance, but specifically

00:22:52.019 --> 00:22:54.839
covering the injury and the rehabilitation. And

00:22:54.839 --> 00:22:58.170
third. Third, it provides benefits to dependents

00:22:58.170 --> 00:23:00.210
of workers who are killed during employment,

00:23:00.349 --> 00:23:02.450
so it offers a limited form of life insurance.

00:23:02.769 --> 00:23:05.549
It's a multifaceted system tailored entirely

00:23:05.549 --> 00:23:08.150
to employment -related injury. But here is the

00:23:08.150 --> 00:23:11.849
critical limitation, the absolute aha moment

00:23:11.849 --> 00:23:14.769
that everyone needs to internalize when they're

00:23:14.769 --> 00:23:16.450
planning their finances. This is the big one.

00:23:16.589 --> 00:23:19.430
Workers' compensation provides no coverage to

00:23:19.430 --> 00:23:22.859
those not working. This is the fundamental differentiator

00:23:22.859 --> 00:23:25.519
that justifies every single private IDI policy

00:23:25.519 --> 00:23:28.619
ever sold. The statistics show that most disabilities

00:23:28.619 --> 00:23:31.440
occur while the injured person is not working.

00:23:31.559 --> 00:23:33.539
So they might be in a car accident on the weekend.

00:23:33.720 --> 00:23:35.640
Or suffering a chronic illness that develops

00:23:35.640 --> 00:23:38.450
at home. Or getting injured during a recreational

00:23:38.450 --> 00:23:41.329
activity like skiing or cycling. And since the

00:23:41.329 --> 00:23:43.869
vast majority of debilitating accidents and illnesses

00:23:43.869 --> 00:23:46.029
happen outside the workplace, they're simply

00:23:46.029 --> 00:23:48.130
not covered by workers' compensation. At all.

00:23:48.250 --> 00:23:50.569
And that immediately demonstrates why relying

00:23:50.569 --> 00:23:52.730
solely on your employer's workers' comp scheme

00:23:52.730 --> 00:23:55.750
is, frankly, financial malpractice. You need

00:23:55.750 --> 00:23:58.450
that private, individual, or group LDD policy

00:23:58.450 --> 00:24:02.410
that covers you 247 for any cause. That makes

00:24:02.410 --> 00:24:05.180
the distinction crystal clear. Workers' comp

00:24:05.180 --> 00:24:08.200
covers the accident tied to the job and its environment.

00:24:08.579 --> 00:24:11.440
General DI covers the inability to perform the

00:24:11.440 --> 00:24:14.240
work itself, regardless of where or how the injury

00:24:14.240 --> 00:24:16.390
or illness occurred. We've spent a lot of time

00:24:16.390 --> 00:24:19.829
on definitions, mechanics, and financial planning.

00:24:20.069 --> 00:24:23.170
Now, let's pivot to a specific, highly detailed

00:24:23.170 --> 00:24:25.730
case study that really uses the source material

00:24:25.730 --> 00:24:28.890
to illustrate the real -world complexities and

00:24:28.890 --> 00:24:31.549
frustrations of navigating these national disability

00:24:31.549 --> 00:24:35.390
benefits under immense strain. Okay. And that's

00:24:35.390 --> 00:24:37.450
the situation faced by American veterans returning

00:24:37.450 --> 00:24:40.259
from war. This specific information comes from

00:24:40.259 --> 00:24:43.359
some in -depth 2007 reporting. It focuses on

00:24:43.359 --> 00:24:45.519
American veterans of the Afghanistan and Iraq

00:24:45.519 --> 00:24:47.700
wars and their struggles to receive Veterans

00:24:47.700 --> 00:24:51.079
Affairs or VA benefits. And it serves as a sobering,

00:24:51.079 --> 00:24:53.559
almost painful look at how these massive government

00:24:53.559 --> 00:24:55.839
safety nets operate when they're overwhelmed

00:24:55.839 --> 00:24:59.019
by acute, high -volume need. It does. The sources

00:24:59.019 --> 00:25:01.000
documented immense difficulty and frustration,

00:25:01.259 --> 00:25:03.240
particularly around bureaucratic delays and just

00:25:03.240 --> 00:25:05.460
the wait times. And this wasn't just a matter

00:25:05.460 --> 00:25:08.500
of waiting a few weeks. The reporting cited the

00:25:08.500 --> 00:25:11.700
specific anecdote of one veteran who had to wait

00:25:11.700 --> 00:25:15.819
an astounding 17 months. 17 months. That is nearly

00:25:15.819 --> 00:25:18.460
a year and a half just to start receiving his

00:25:18.460 --> 00:25:21.359
initial payments. Imagine that reality. A veteran

00:25:21.359 --> 00:25:23.380
returns. They're burdened with physical wounds,

00:25:23.500 --> 00:25:26.839
maybe PTSD, maybe both, which make returning

00:25:26.839 --> 00:25:29.440
to civilian employment impossible. And they're

00:25:29.440 --> 00:25:31.680
trying to manage recovery. Medical appointments,

00:25:31.779 --> 00:25:34.259
often psychological rehabilitation. All without

00:25:34.259 --> 00:25:37.460
an income stream for 17 months. The bureaucratic

00:25:37.460 --> 00:25:39.720
hurdle itself becomes a serious impediment to

00:25:39.720 --> 00:25:42.619
recovery and just stable living. And beyond the

00:25:42.619 --> 00:25:45.099
sheer length of the waits, the reporting highlighted

00:25:45.099 --> 00:25:49.140
vast variation in the outcomes. So a veteran's

00:25:49.140 --> 00:25:51.140
situation depended heavily on their state of

00:25:51.140 --> 00:25:53.400
residence. Right. And that geographic disparity

00:25:53.400 --> 00:25:56.200
alone points to a systemic breakdown in consistency.

00:25:56.660 --> 00:25:59.160
The quality and the speed of the aid you got

00:25:59.160 --> 00:26:00.960
was dependent on where you happened to live,

00:26:01.039 --> 00:26:03.460
not on the severity of your wounds. Furthermore,

00:26:03.640 --> 00:26:05.960
the outcomes varied significantly based on whether

00:26:05.960 --> 00:26:07.859
the veteran had served in the active army, the

00:26:07.859 --> 00:26:10.750
National Guard, or the reserves. And that variation

00:26:10.750 --> 00:26:12.910
suggests that the path to claim approval was

00:26:12.910 --> 00:26:15.250
not uniform across all the service branches,

00:26:15.529 --> 00:26:18.789
which adds even more layers of complexity. So

00:26:18.789 --> 00:26:21.789
for those who were reservists or in the Guard,

00:26:22.029 --> 00:26:24.410
their connection to the full time administrative

00:26:24.410 --> 00:26:26.990
infrastructure of the Army was often weaker.

00:26:27.269 --> 00:26:30.130
Which could potentially delay or complicate their

00:26:30.130 --> 00:26:33.089
claims process. It's another hurdle. The sources

00:26:33.089 --> 00:26:35.309
describe the whole claim approval process as

00:26:35.309 --> 00:26:38.349
being fraught with difficulty. And for many veterans

00:26:38.349 --> 00:26:41.069
who were burdened with severe wounds, these benefits

00:26:41.069 --> 00:26:43.809
were, at least initially, their sole income.

00:26:43.990 --> 00:26:46.769
Right. Their only source of money. So the inability

00:26:46.769 --> 00:26:48.930
of the system to process these claims efficiently

00:26:48.930 --> 00:26:51.410
meant that the administrative hurdles effectively

00:26:51.410 --> 00:26:54.309
created a secondary financial and emotional trauma

00:26:54.309 --> 00:26:56.809
right on top of their physical injuries. Think

00:26:56.809 --> 00:26:59.309
about the added stress of trying to file complex

00:26:59.309 --> 00:27:01.950
forms and appeal denials while you're also recovering

00:27:01.950 --> 00:27:04.529
from a serious wound or dealing with severe PTSD.

00:27:05.279 --> 00:27:07.079
The administrative burden on these disability

00:27:07.079 --> 00:27:10.619
programs, whether it's SSDI or the VA, is one

00:27:10.619 --> 00:27:12.440
of the greatest challenges to the systems utility.

00:27:12.970 --> 00:27:16.089
Absolutely. A claim involving a visible injury,

00:27:16.329 --> 00:27:18.329
like the loss of a limb, that might be clear

00:27:18.329 --> 00:27:21.829
cut. But complex claims, things related to traumatic

00:27:21.829 --> 00:27:24.210
brain injury, TBI, or post -traumatic stress

00:27:24.210 --> 00:27:27.430
disorder, PTSD. They often involve these lengthy

00:27:27.430 --> 00:27:30.130
medical reviews, subjective criteria. Which just

00:27:30.130 --> 00:27:32.650
further exacerbate those long wait times. To

00:27:32.650 --> 00:27:36.009
really understand the scale of the benefit being

00:27:36.009 --> 00:27:38.349
discussed and the financial pressure these veterans

00:27:38.349 --> 00:27:41.119
were under. The source material provided some

00:27:41.119 --> 00:27:43.759
concrete financial data, and this is essential

00:27:43.759 --> 00:27:46.059
for grasping the actual cost of living versus

00:27:46.059 --> 00:27:48.539
the safety net that was being provided. In 2007,

00:27:48.799 --> 00:27:51.740
a veteran with a 100 % disability rating, so

00:27:51.740 --> 00:27:53.779
that means they were considered completely disabled

00:27:53.779 --> 00:27:56.740
under VA standards, they received about $2 ,400

00:27:56.740 --> 00:27:59.140
a month. And while that amount increased slightly

00:27:59.140 --> 00:28:01.660
if you had dependents, let's just contextualize

00:28:01.660 --> 00:28:04.799
that number. Okay. In 2007, $2 ,400 a month might

00:28:04.799 --> 00:28:07.220
barely cover a basic apartment rental, utilities,

00:28:07.539 --> 00:28:10.140
and minimal food in many high -cost areas of

00:28:10.140 --> 00:28:13.160
the U .S., especially near large military bases

00:28:13.160 --> 00:28:15.119
or cities. It was truly a bare minimum safety

00:28:15.119 --> 00:28:18.190
net. And for comparison, a 50 % rating, which

00:28:18.190 --> 00:28:20.750
is still a significant life -altering but not

00:28:20.750 --> 00:28:23.329
total disability, that brought in around $700

00:28:23.329 --> 00:28:26.309
a month. Attempting to restart a civilian life,

00:28:26.529 --> 00:28:29.329
undergo rehabilitation, support a family on $700

00:28:29.329 --> 00:28:31.849
a month, all while facing significant physical

00:28:31.849 --> 00:28:34.309
or mental limitations. It's an impossible task.

00:28:34.549 --> 00:28:36.990
It really emphasizes how critical complementary

00:28:36.990 --> 00:28:39.809
private insurance or a strong spousal income

00:28:39.809 --> 00:28:42.740
becomes in that situation. And we also have comparison

00:28:42.740 --> 00:28:45.000
data from five years later, which is helpful

00:28:45.000 --> 00:28:47.420
for analyzing the impact of inflation on that

00:28:47.420 --> 00:28:49.900
fixed income. The sources updated these figures

00:28:49.900 --> 00:28:53.119
to 2012. And they showed a slow inflationary

00:28:53.119 --> 00:28:56.420
adjustment. Very slow. The 100 % rating had increased

00:28:56.420 --> 00:29:00.400
slightly to $2 ,673 a month, and the 50 % rating

00:29:00.400 --> 00:29:03.680
increased to $797 a month for a single veteran.

00:29:03.880 --> 00:29:06.059
Seeing those numbers side by side really demonstrates

00:29:06.059 --> 00:29:08.279
the constant challenge that is faced by anyone

00:29:08.279 --> 00:29:10.579
who is reliant on government disability benefits.

00:29:11.039 --> 00:29:13.920
The increases often lag way behind the true cost

00:29:13.920 --> 00:29:16.079
of living. Which means that even as they receive

00:29:16.079 --> 00:29:18.700
benefits, their purchasing power is slowly eroding,

00:29:18.819 --> 00:29:20.619
trapping them in that low -income bracket we

00:29:20.619 --> 00:29:22.859
discussed earlier. But the section concludes.

00:29:23.500 --> 00:29:26.319
With a much broader and frankly, a pretty sobering

00:29:26.319 --> 00:29:29.059
comparison noted in the source material. It's

00:29:29.059 --> 00:29:31.299
a tough one. For all the obstacles, the long

00:29:31.299 --> 00:29:34.240
wait times, the bureaucratic hurdles and the

00:29:34.240 --> 00:29:36.619
sometimes inadequate monthly figures that were

00:29:36.619 --> 00:29:38.500
faced by injured Americans. They would still

00:29:38.500 --> 00:29:41.019
likely receive much better compensation and health

00:29:41.019 --> 00:29:44.319
care than equally injured Afghan or Iraqi soldiers.

00:29:44.640 --> 00:29:47.059
And that instantly puts the entire domestic challenge

00:29:47.059 --> 00:29:50.140
into a global context. It does. It reminds us

00:29:50.140 --> 00:29:52.700
of the immense disparity in how nation states.

00:29:52.809 --> 00:29:55.769
value and treat their injured combatants, even

00:29:55.769 --> 00:29:57.410
when they're allied and fighting in the same

00:29:57.410 --> 00:29:59.690
conflicts. It underscores the financial and logistical

00:29:59.690 --> 00:30:01.869
complexities of administering aid even in the

00:30:01.869 --> 00:30:03.710
most developed nations. While simultaneously

00:30:03.710 --> 00:30:07.549
highlighting the dire situations faced by coalition

00:30:07.549 --> 00:30:10.529
partners globally. We have covered a vast amount

00:30:10.529 --> 00:30:12.950
of ground in this deep dives into income protection.

00:30:13.250 --> 00:30:16.250
It's clear that this is a layered product. It's

00:30:16.250 --> 00:30:18.990
not a single one -size -fits -all policy. Not

00:30:18.990 --> 00:30:21.900
at all. We started with the history. Acknowledging

00:30:21.900 --> 00:30:24.339
that foundational role of 19th century accident

00:30:24.339 --> 00:30:26.940
insurance born on the railway platforms, which

00:30:26.940 --> 00:30:29.700
defined early risk assessment based on carriage

00:30:29.700 --> 00:30:31.940
class. Then we moved into the modern private

00:30:31.940 --> 00:30:34.339
landscape, where we really scrutinized those

00:30:34.339 --> 00:30:36.740
four factors. The benefit level, the benefit

00:30:36.740 --> 00:30:40.079
period, the elimination period, and most importantly,

00:30:40.220 --> 00:30:42.730
the definition of disability. All the things

00:30:42.730 --> 00:30:45.210
that make individual disability insurance so

00:30:45.210 --> 00:30:48.410
tailored and so variable. We dedicated significant

00:30:48.410 --> 00:30:51.109
time to defining that distinction between own

00:30:51.109 --> 00:30:54.329
occupation. and any occupation. And we showed

00:30:54.329 --> 00:30:56.990
how specialized coverage like high limit D .I.

00:30:56.990 --> 00:31:00.009
and business overhead expense policies can protect

00:31:00.009 --> 00:31:02.569
both high earners and the infrastructure of small

00:31:02.569 --> 00:31:04.630
professional firms. And then we emphasize the

00:31:04.630 --> 00:31:07.430
foundational safety nets, the broad social insurance

00:31:07.430 --> 00:31:10.869
programs like SSDI and SSI, which serve as the

00:31:10.869 --> 00:31:13.369
absolute floor designed to prevent abject poverty.

00:31:13.769 --> 00:31:15.690
And we clearly differentiated those from the

00:31:15.690 --> 00:31:17.269
very limited scope of workers' compensation,

00:31:17.849 --> 00:31:20.049
highlighting that since most disabilities occur

00:31:20.049 --> 00:31:22.630
off the job, workers' comp is just utterly inadequate

00:31:22.630 --> 00:31:26.140
as a sole source of income protection. We grounded

00:31:26.140 --> 00:31:29.420
all those concepts in that challenging case study

00:31:29.420 --> 00:31:32.180
of American veterans. We illustrated the real

00:31:32.180 --> 00:31:35.000
world impact of administrative bureaucracy, geographic

00:31:35.000 --> 00:31:37.460
and service branch inequities. And the critical

00:31:37.460 --> 00:31:40.359
importance of those specific yet often minimal

00:31:40.359 --> 00:31:43.700
monthly benefits as a sole source of income for

00:31:43.700 --> 00:31:46.680
injured service members. So we have focused entirely

00:31:46.680 --> 00:31:49.440
on the system's ability to replace earned income.

00:31:49.599 --> 00:31:51.980
That's right. But as we wrap up, we need to return

00:31:51.980 --> 00:31:54.180
to a concept that was mentioned briefly in the

00:31:54.180 --> 00:31:56.859
source material. list of related topics, and

00:31:56.859 --> 00:32:00.119
that's total permanent disability or TPD insurance.

00:32:00.599 --> 00:32:03.319
TPD takes the discussion far beyond simple income

00:32:03.319 --> 00:32:06.200
replacement. How so? When we talk about DI, we

00:32:06.200 --> 00:32:08.279
are usually discussing a situation where the

00:32:08.279 --> 00:32:10.599
claimant is expected to either recover or be

00:32:10.599 --> 00:32:13.599
supported until their retirement age. TPD coverage

00:32:13.599 --> 00:32:16.319
defines disability not just as an inability to

00:32:16.319 --> 00:32:18.819
perform those core work functions for a set period,

00:32:18.960 --> 00:32:22.049
but as a permanent total incapacity. A lifelong

00:32:22.049 --> 00:32:24.809
state. And this raises a profound and highly

00:32:24.809 --> 00:32:27.230
complex question that builds on everything we've

00:32:27.230 --> 00:32:29.930
dissected today. What are the societal, the legal,

00:32:29.950 --> 00:32:32.130
and the economic challenges posed by having to

00:32:32.130 --> 00:32:34.690
measure and compensate a lifelong state of non

00:32:34.690 --> 00:32:38.170
-productivity? Right. When you shift from a temporary

00:32:38.170 --> 00:32:41.650
measure income replacement to compensating for

00:32:41.650 --> 00:32:44.430
a permanent total incapacity, the focus of the

00:32:44.430 --> 00:32:47.230
benefit has to shift entirely. It does. The compensation

00:32:47.230 --> 00:32:49.609
is no longer just about replacing a paycheck.

00:32:50.759 --> 00:32:52.740
compensating for the total loss of a productive

00:32:52.740 --> 00:32:55.559
future and the need for potentially lifelong

00:32:55.559 --> 00:32:59.000
care. So how does that fundamental shift in definition

00:32:59.000 --> 00:33:01.279
require us to think differently about medical

00:33:01.279 --> 00:33:04.779
evaluation, actuarial risk, and the ethical responsibilities

00:33:04.779 --> 00:33:07.740
of society and insurers to support those who

00:33:07.740 --> 00:33:09.799
can never fully participate in the labor market

00:33:09.799 --> 00:33:11.990
again? The financial and social modeling for

00:33:11.990 --> 00:33:14.670
TPD is completely different. It requires insurers

00:33:14.670 --> 00:33:17.470
to project claims payouts decades into the future.

00:33:17.609 --> 00:33:20.130
And that is the next level of this deep dive

00:33:20.130 --> 00:33:22.210
we leave for you to explore as you consider the

00:33:22.210 --> 00:33:23.670
true breadth of income protection.
