Skip to main content

Principles of Disability: Benefits and Underwriting

  • Chapter
  • 65 Accesses

Abstract

Disability may be a recent offshoot of the tree of Insurance Medicine, but as Harrison illustrates, its roots can be found deep in the soil of Elizabeth’s England. Pioneering underwriters signed what we now recognize as a contract of insurance not long after Harrison.ii However, a separate contract for disability coverage would not appear for over 250 years.

With us, the poor is commonly divided into three sorts, so that some are poor by impotency, as… the diseased person that is judged to be incurable: the second are poor by casualty… as the wounded soldier: the third consisteth of the thriftless poor as the rioter that hath consumed all…

For the first two sorts… which are the poor indeed, and for whom the word doth bind us to make some daily provision, there is order taken throughout every parish in the realm, that weekly collection shall be made for their help and sustentation…

William Harrison, Description of England, 15871

We will pay the Disability Benefit in any month after the Insured has satisfied the Elimination Period that the Insured is continuously, totally disabled as the result of Sickness until the Policy Anniversary when the Insured’s age is 65.

We will pay the Lifetime Accident Benefit in any month after the Insured has satisfied the Elimination Period that the Insured is continuously, totally disabled as the result of an Accident which began before the Policy Anniversary when the Insured’s age was 65.

Adapted from a modern Individual Disability Policy

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   279.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Holinshed’s Chronicle. London. 1887 (available at: http://leehrsn.50megs.com)

    Google Scholar 

  2. Singer RB. Comparative morbidity — What Are the Prospects? J Insur Med 1988; 20(3): 47–50.

    Google Scholar 

  3. Brown AE. The Association of Life Insurance Medical Directors of America: 100 Years of Progress. J Insur Med 1989; 21: 156–63.

    Google Scholar 

  4. Baker WJ. Disability income insurance: an Odyssey. J Insur Med 1992; 24: 278–9.

    CAS  PubMed  Google Scholar 

  5. Soule, CE. Disability Insurance — The Unique Risk, 2nd edn. Homewood, Illinois. Business One Irwin, 1989.

    Google Scholar 

  6. Weida BJ. The ABCs of Medically Underwriting Individual Disability Income. J Insur Med 1988; 20: 30–4.

    Google Scholar 

  7. Scarlett, DE. Disability Insurance Overview. J Insur Med 1995; 27(2): 91–6.

    CAS  PubMed  Google Scholar 

  8. Wolfe F, Smythe HA et al. The American College of Rheumatology 1990 Criteria for the classification of Fibromyalgia. Arthitis Rheum 1990; 33: 160–72

    Article  CAS  Google Scholar 

  9. Holmes GP, Kaplan JE et al. Chronic Fatigue Syndrome: a working case definition. Ann Intern Med 1988; 108: 387–9.

    Article  CAS  PubMed  Google Scholar 

  10. World Health Organization. International Classification of Impairments, Disabilities and Handicaps. Geneva, Switzerland. 1980.

    Google Scholar 

  11. US Department of Justice. Americans with Disabilities Act of 1990. (available at www.usdoj.gov/crt/ada/statute.html).

  12. World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva, Switzerland. 2001 (available at http://www3.who.int/icf/onlinebro wser/icf.cfrn).

    Google Scholar 

  13. Cocciarella L, Andersson GBJ, eds. Guides to the Evaluation of Permanent Impairment, 5th edn. Chicago, IL. AMA Press. 2001.

    Google Scholar 

  14. US Department of Health and Human Services, Social Security Administration, Disability Evaluation Under Social Security, SSA Publication No. 65–039, September, 1994. (www.ssa.gov/disability/professionals/bluebook/).

    Google Scholar 

  15. United States Department of Labor, Dictionary of Occupational Titles, 4th edn (revised). Washington, DC. US Government Printing Office. 1991.

    Google Scholar 

  16. US Department of Labor. 0*NET, (available at http://online.onetcenter.org).

  17. Talmage JB, Melhorn JM, eds. A Physician’s Guide to Return to Work, Chicago, Ill. AMA Press. 2005; Chapter 9.

    Google Scholar 

  18. Demeter SL, Andersson GBJ, eds. Disability Evaluation. Chicago, Ill. AMA Press. 2003.

    Google Scholar 

  19. Aylward M, Chief Medical Advisor, Department for Work and Pensions, UK. Personal Communication.

    Google Scholar 

  20. Day JC. Population Projections of the United States by Age, Sex, Race, and Hispanic Origin: 1995 to 2050, U.S. Bureau of the Census, Current Population Reports. Washington, DC. U.S. Government Printing Office. 1996.

    Google Scholar 

  21. Flexner A. Medical Education in the United States and Canada: A Report to the Carnegie Foundation for the Advancement of Teaching, Bulletin 4. Boston. Updyke. 1910. (http://www.carnegiefoundation.org/eLibrary/docs/flexner_report.pdf).

    Google Scholar 

  22. Engel, GL. A unified concept of health and disease. Perspect Biol Med 1960; 3: 459–85.

    Article  CAS  PubMed  Google Scholar 

  23. Engel GL. The Clinical Application of the Biopsychosocial Model. Am J Psychiatry 137(5): 535–544.

    Google Scholar 

  24. Albrecht GL, Devlieger PJ. The disability Paradox: high quality of life against all odds. Soc Sci Med 2000; 50(6): 757–9 and 761–2.

    Article  Google Scholar 

  25. Reed P, ed. The Medical Disability Advisor: Workplace Guidelines for Disability Duration, 4th edn. Boulder, CO. Reed Group Ltd. 2001.

    Google Scholar 

  26. Act of Parliament. Disability Discrimination Act 1995. (http://www.hmso.gov.uk/acts/actsl995/1995050.htm).

  27. Aylward M and LoCascio J. Problems in the Assessment of Psychosomatic Conditions in Social Security Benefits and Related Commercial Schemes. J. Psychosomatic Research 39 (6): 755–65.

    Article  Google Scholar 

  28. Waddell G, Aylward M, Sawney P, eds. Back pain, incapacity for work and Social Security Benefits: an international literature review and analysis. Royal Society of Medicine Press, London, 2002: 21 and 101–12.

    Google Scholar 

  29. Waddel G. Models of Disability Using Low Back Pain as an Example. London. The Royal Society of Medicine Press, 2002.

    Google Scholar 

  30. Bigos SJ et al. A Longitudinal, Prospective Study of Industrial Back Injury Reporting. Clin Orthop 1992 (June); 279: 21–34.

    Google Scholar 

  31. Singer RB. Comparative morbidity — what are the prospects? J Insur Med 1988; 20: 47–50.

    Google Scholar 

  32. Weida BJ. The ABC of medically underwriting individual disability income. J Insur Med 1988; 20: 30–4.

    Google Scholar 

  33. Kita MW. Morbidity and disability. J Insur Med 1992; 24: 268–74.

    CAS  PubMed  Google Scholar 

  34. Braun RE. A probabilistic approach to underwriting suspected alcohol abuse. J Insur Med 1989; 21: 255–60.

    Google Scholar 

  35. Foxberger Brown B, Lightcap Brown J, eds. Underwriting. Life Office Management Association (LOMA) 1998.

    Google Scholar 

  36. Kita MW. Morbidity and disability. J Insur Med 1992; 24: 268–74.

    CAS  PubMed  Google Scholar 

  37. Magni, G. On the relationship between chronic pain and depression when there is no organic lesion. Pain 1987; 31:1–21.

    Article  CAS  PubMed  Google Scholar 

  38. Hotopf M et al. Temporal relationships between physical symptoms and psychiatric disorder. Brit Jour Psychiatry 1998; 173: 255–61

    Article  CAS  Google Scholar 

  39. McBeth J et al. Features of somatization predict the onset of chronic widespread pain. Arthritis & Rheumatism 2001; 44 (4): 940–6.

    Article  CAS  Google Scholar 

  40. Applegate KL et al. Does personality at college entry predict number of reported pain conditions at mid-life? A longitudinal study. Jour of Pain 2005; 6(2): 92–7.

    Article  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Copyright information

© 2006 Palgrave Macmillan, a division of Macmillan Publishers Limited

About this chapter

Cite this chapter

Locascio, J. (2006). Principles of Disability: Benefits and Underwriting. In: Brackenridge, R.D.C., Croxson, R.S., MacKenzie, R. (eds) Brackenridge’s Medical Selection of Life Risks. Palgrave Macmillan, London. https://doi.org/10.1007/978-1-349-56632-7_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-349-56632-7_9

  • Publisher Name: Palgrave Macmillan, London

  • Print ISBN: 978-1-349-56634-1

  • Online ISBN: 978-1-349-56632-7

  • eBook Packages: Palgrave History CollectionHistory (R0)

Publish with us

Policies and ethics