|
Association of Optometrists
|
- Cover From Day One for
Optometrists
|
|
|
|
|
|
|
|
Past Claim Analysis
|
|
As part of our offering to the Association of
Optometrists of Ireland, we provide Day One Income
protection cover which will pay a replacement income if you
are unable to work through illness, injury or disability.
What is Day One cover?
You may be familiar with the more common 'deferred
period' Income Protection which will pay you after 4, 8 or
13 weeks has elapsed from the time you are first unable to
work.
Day One cover allows you to claim from
the very first day you can't work due to illness or injury.
For the self employed or those who have no sick pay it
gives great peace of mind that they will be able to keep
their lifestyle even in the event of such an illness. You
can claim for 1 day or if required all the way to age 60.
There are no occupation or smoking loadings.
|
|
|
Claims
|
History
|
|
|
|
|
|
|
|
|
|
It is
staggering to see that 50% of all claimants are 45 years
of age or under.
It is worth noting that infections accounted for 42% of
all claims in 2009, that were paid under Day One cover but
would not be covered on a typical 13 or 26 week deferred
period because the illness
was shorter than the
deferred period.
37% of claims were for musculoskeletal disorders. A fact
that may surprise many is that only 6% of claims were
related to cancers.
|
Testimonial
|
"I have been
with DG Mutual for ten years now and have claimed twice
from them once for 4 weeks and once for two weeks. Both
times I found them very efficient and easy to claim from,
once I sent in the claim form I was paid very promptly
and with no problems. I am happy to recommend them for
Income Protection."
- Veterinary
Surgeon, North East
"I availed of the DG Mutual Income Protection scheme in
December 2010. It was a short term claim and I found the service
excellent, my case was handled efficiently, without fuss and I got
paid quickly. I found everyone in both Omega Financial and DG very
helpful and supportive. I am happy to recommend it to other
Doctors' "
- Dr Lisa Murphy, Limerick
|
|
|
|
Claims Experience (
D.G.
Mutual
2009 Figures)
|
|
|
Female:
60% of claims happen under the age of 45.
Male:
37% of claims are
under 45.
The pie chart shows analysis of the claims paid
in
2009 by gender.
* Examples of claims in 2009
|
|
|
|
|
|
|
Gender
|
Age at Claim
|
Nature of Incapacity
|
Duration
|
Benefit paid to date
|
|
Male
|
31
|
Swine Flu
|
8 days
|
€800
|
|
Male
|
50
|
Depression
|
to age 60
|
€88,000 (est)
|
|
Male
|
33
|
Back Problems
|
to age 60
|
€225,000 (est)
|
|
Female
|
35
|
Arthritis
|
5 months
|
€5,000
|
|
Income
Protection Cover - Case Studies
|
|
|
|
|
|
|
|
|
|
I am a 30-year-old PAYE Vet earning €45,000. What cover
should I have?
To fully protect your income you need to cover yourself for
€580 per week escalating in line with inflation. It is best
that you take a Day One cover of €580 a week which will
cost you €63.80 per month.
*Prices as at 4/3/2010 based on a 30
year-year old male earning €45,000 non-smoker. NRA 60. Day
One constant bond.
|
|
|
|
|
|
I am a 45-year-old male self employed
pharmacist earning €70,000. I am already covered for €400
per week with Friends First. What should I do?
Firstly you need to keep your existing cover in place. You
obviously took it out when you were younger so you're
getting good value now as a result. It would be advisable
to have additional cover from Day One for €400 per week
which will cost you €90 per month. This will ensure you
will have Day One cover in the event of you going out sick
and then your deferred period will commence giving you
total cover of €800 per week.
* Prices as at 4/3/2010 based on a 45
year-year old male earning €70,000 non-smoker. NRA 60. Day
One constant bond.
|
|
|
|
|
|
I am a 38 year old self employed male
Doctor and i would like to be covered for €1000 per week
in case I cannot work due to illness. What will this cost
me?
The premium for level cover is €130 per
month.
|
|
|
|
|
|
Claims Examples
|
|
Case Study 1: Income
Protection Policy
A 47 year old who joined
the Society on 1st April 1995, subscribing to one of DG
Mutual's Immediate Constant policies, which allows a member
to claim benefit from the very first day they are medically
incapacitated. In the event of it being a long term claim,
the amount he receives will never reduce up until he
reaches the end of the policy on his 60th Birthday.
Unfortunately for him, in the April 1995 he
submitted a claim for Nausea as he was currently feeling
unwell. The policy he had with the Society started on the
first day he was off. The member stated that they were
suffering from fever and headaches, whilst feeling
confused. After further diagnosis of his condition, Mr H
was diagnosed with a sudden episode of Tuberculosis
Meningitis. Despite treatment and improving slightly, he is
currently still incapacitated from work as he suffers from
left arm monoplegia and persisting visual loss.
Through subscribing with the Society, he covered himself in
the event of illness and the Society has been meeting his
claim for Sickness Benefit since April 2005 and has
currently paid benefit of €207,000 so far. The Society's
payments have enabled him to concentrate on his recovery
and well being and not have to worry about any financial
hardship at an already stressful and traumatic time.
As well as having
benefit paid to him, DG Mutual also sets aside a capital
account for each of its members in keeping with the
Society's mutuality. His capital account accrues funds on
a yearly basis and despite him claiming since 1995, no
penalties are attached to the capital account regardless
of whether a member claims once or on numerous occasions.
Currently in his account the sum stands at €1,592.18 and
this will continue to grow upwards until he reaches the
age of 60 in 2023.
|
|
Case Study 2: Income
Protection Policy
57 year old, Mrs M, joined the Society in February 1983.
When taking out the policy with DG Mutual she decided to
subscribe for sickness benefit and this was taken out of
the Society's Immediate Constant policy which starts from
the first day a member is medically incapacitated. The
policy has also been set up until she reaches the age of
60. She has had claims with the Society since her
acceptance and these have ranged from a slipped disc in her
back as well as a fractured right wrist due to a skiing
accident. At all times the Society paid sickness benefit
from the first day she was incapacitated.
In
April 2007 after a visit to her G.P, she was diagnosed with
anxiety and depression. Unfortunately, symptoms for her
incapacity included panic attacks, inability to work and
the loss of 12lbs in body weight in 6 weeks. Despite
ongoing treatment by her Consultant Psychiatrist and her
G.P, the Society is of the opinion that the claim will go
to expiry and we have been supporting her through her
incapacity with her income protection policy and will
continue to do so until April 2013. Currently the Society
has paid €20,160.00 in benefit.
She also has
a capital account with the Society. Currently this stands
at €4,882.31. This will increase in line with the Society's
interest and apportionment rates every year. Also when the
policy finishes in April 2013 the Society will give the
member a terminal bonus. This is currently set at 25% and
is added to their fund.
|
|
|
Case Study 3: Income Protection
Policy
Mr D is a 54 year old who joined the Society in 1982. At
the time of joining, he decided to subscribe to the
Society's Immediate Reducible Benefit from the first day of
incapacity and chose the expiry date of the policy to be
when he ascertained the age of 65. In February 08, he was
diagnosed with Cervical Spondylosis which is a 'wear and
tear' of the vertebrae and discs in the neck. It is a
common cause of neck pain in older people and for a Dentist
with the nature of their job and positioning throughout the
day, can be extremely painful. Due to his Income Protection
policy, DG Mutual paid his claim from the first day that he
was unable to perform his occupation.
In the
December 2008, he had recovered sufficiently for his
treating G.P and Specialist to certify him fit to commence
his occupation and he was relieved and extremely pleased to
be able to return to work. However due to the nature of his
incapacity there was a chance that there could be an
immediate repeat of the initial incapacity. In order to
help him at work, the Society working with one of its many
contacts, supplied him with state of the art Ergonomics
Equipment which would help him whilst he was at work. This
included a specialist chair and neck rest to help him
whilst he continued with his life long occupation.
He continues to be a member with the Society. Despite his
incapacity, if he was unfortunate enough to have a relapse,
he would be entitled to claim against his DG Mutual product
again as no exclusions are placed after a claim. Also due
to the Society being a Mutual Society, he also has the
benefit of his capital account which accrues funds on a
yearly basis. The amount in his capital account has no
reflection on whether he has claimed or not and currently
he has over €5000.00 in his account which is payable when
the policy expires in 2020.
|
|
|
|
|