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Critical illness cover or income protection?

37 replies

jessicama · 09/09/2021 20:34

Buying a house with my DP and we're weighing up insurance options in case of loss of income due to illness

We're leaning towards taking out both critical illness cover AND income protection. But it comes at a price!

Clearly we hope neither of us ever have to claim.. but definitely gives peace of mind to have it.

I know it's a very personal decision, but I just wondering what other people have opted for - and how you figured out the best compromise for your situation?

OP posts:
PigletJohn · 10/09/2021 13:27

"consider what happens post-mortgage pay off"

you mean, find a convenient way to save some money to spend in 25 years time.

An insurance product, paying commission and bearing charges, may not be the best way.

Thehobbit2013 · 10/09/2021 17:35

I have recently taken out income protection using drewberry insurance brokers. The policy pays out 80% of my income in the event of illness until I either return to work or retire. I have six months full pay from work so to bring premiums down it doesnt kick in for the first 26 months

SpidersAreShitheads · 12/09/2021 19:00

I was the Underwriting Manager for a life and health insurance company - and as part of that role I also assessed claims for critical illness, IPB, life cover etc.

Without question I would take out critical illness. I'm actually uninsurable so I can't. But critical illness is one of the most vital types of insurance.

IPB does not always pay out what you think - and the claims process is generally protracted. Also, you might not get paid out if you are only unable to do YOUR job. Each IPB policy comes with something known as "definition of disability" which you have to fulfil to be able to get paid.

Sometimes this is "own occupation" but sometimes it's "own or suited". You need a policy based on own occupation ideally - but bare in mind that "own occupation" is NOT the same as "own job".

So, for example, if you work in an office and you break your legs and can't walk into work. Your office doesn't have an entrance which is accessible to wheelchairs, and the office is too narrow for a wheelchair to fit around - all of this means you can't do your job. Your claim wouldn't be paid because particular problems which are unique to your job at that specific company aren't covered. IPB policies only cover your occupation IN GENERAL. So if you could still do the role at a generic firm, an IPB policy won't pay out.

(I know this example is stupid as workplaces have to be accessible but my brain has gone blank to think of an alternative haha!)

I don't want to drone on or bore anyone but happy to expand on any of the policy terms, or how these types of claims are assessed if anyone has any questions.

jessicama · 12/09/2021 20:25

@SpidersAreShitheads I will double check the policy for the wording of it's our jobs or any job. Would you still recommend IP on top of CI?

And with the critical illness, do you think the decreasing insurance - to cover our mortgage - is a sensible route? It definitely makes the monthly premium more affordable than the level option

OP posts:
SpidersAreShitheads · 12/09/2021 23:21

So, as you probably know, the critical illness pays out a lump sum if you get diagnosed with one of the conditions covered. It depends what you want to use this money for - would it be to live off? Or simply to pay off your mortgage? If you have it decreasing in line with your mortgage, that's absolutely fine if you're only planning to use it to pay off the mortgage - but if you were hoping to use it as a source of income too, then you won't want it to be decreasing.

You can get stand-alone critical illness or it can be bundled with your life cover. The life cover is reduced by the amount of critical illness which is paid out - that can be a cheaper option to consider.

Critical illness covers all the main major illnesses you're likely to get - cancer, heart attack, stroke, MS etc. The risk is that if you have one of these conditions, will you be able to return to work afterwards? If you can't return to work afterwards, you'll need a longer term plan for your income - so that means either taking out a larger lump sum for critical illness, or taking out IPB.

IPB is the more expensive type of cover and it's a lot more subjective. There will be a claims assessor like me who sifts through the medical reports to decide if you're making your best efforts to be able to work (putting it bluntly). And as I said, that will be assessed against the policy terms - not the actual job you perform. Also, a medical certificate from your GP won't trigger a payout. The company will ask for specialist reports and may ask you to attend an independent examination too. And they will then continue to request updates every few months - which may include sending you for more examinations etc.

Not trying to scaremonger, but I did this job for 15 years at a senior level - and I cannot tell you how many people were disappointed with the length of time it took for IPB claims, or the evidence needed. This is an industry standard by the way, not something that was just something that this particular insurer did. All the insurers get together regularly to talk about how to assess IPB claimants etc.

Also, this may be obvious but bear in mind IPB is an income replacement scheme - so you will have to prove your income in the 12 months prior to becoming ill. This means if you get a salary drop etc, your entitlement will be recalculated when you claim. You can't cover your whole salary either, the maximum you can get is usually 60% of your salary. Could you manage on that for the long term? If not, IPB probably isn't worth taking out as you'd have to find another job anyway and that would stop your claim.

Re the definition that applies - it will be in your policy terms. It's often labelled "definition of disability". If you are in an office job now, you should be given an "own occupation" definition, but as I said, that's your general occupation as it applies in the wider market, not your specific job at your specific company. When you apply for a policy the underwriters can opt to put an endorsement on your IPB policy which changes the definition of disability - they will do this if you are deemed to be in a high risk job. But a high risk job isn't what you think - it's about the likelihood of you claiming, based on stats.

Higher risk jobs where there are high rates of claims often have an endorsement added. Teachers for example - we had lots and lots of IPB claimants who were teachers off with stress/anxiety/depression, many of whom never returned to work. Teachers are therefore often given an "any occupation" definition when they apply for IPB which means to get a payout they must be unable to do ANY type of occupation. That's much harder to qualify for.

If you get full pay for six months, you will want IPB with a deferred period of six months or longer. None of us have a crystal ball but I guess it depends what you think there's a chance you might be off long-term sick with. Six months+ is a very long time to be off. Most of our IPB claims were either for mental health, back pain, or chronic fatigue/fibromyalgia. Critical illness wouldn't cover any of those things - so I guess it's whether you want to take the risk of not being protected against this type of chronic illnesses or not?

My personal opinion, based on everything I've seen on the inside, would be to have as much critical illness as possible, and not bother with IPB. If depression/back pain etc kept me off one job for six months or longer, I think you've got a very slim chance of successfully returning so I'd probably look for a different job. But then, I'm 45 and I'm fairly confident that I know my weak spots for health - but what I don't know is whether I'll suddenly get struck down with cancer or another major illness. That's why for me, critical illness is an absolute priority but IPB, less so.

Some people like to have IPB as well as critical illness, and I understand why as they do different things. But I'd just caution about understanding the limitations of IPB and how it's administered if you need to claim.

SpidersAreShitheads · 12/09/2021 23:22

I'm sorry, that's a ridiculously long reply!

Zeal · 13/09/2021 06:38

Insurance should be used to avoid catastrophe.

It is statistically more probable to contract a critical illness than death, though both are a catastrophe and should be insured against. If the event arises, as a matter of fact, there is a payout.

Loss of income, unless due to a critical illness, is often temporary. If there are two incomes, savings will often bridge the gap. Claims on policies for loss of income are normally policed stringently. The periodic follow up is intrusive. At worst, you might not be able to lift a bag of shopping out of your car boot for fear of being labelled an insurance fraud.

chinateapot · 13/09/2021 06:52

I have income protection and life insurance and thought I was fairly well covered as illness that stopped me working would be covered by income protection.

But then my kid got cancer and I couldn’t work because it was my child that was ill, not me. Critical illness cover would have given us a payout (albeit not as large as if it had been my own illness) but it would have helped a lot. So it’s just worth thinking about child illnesses too.

LadyWithLapdog · 13/09/2021 12:17

@SpidersAreShitheads I’m not the OP but thank you for such a thorough reply. Lots to mull over.

@chinateapot 💐

jessicama · 14/09/2021 11:26

@SpidersAreShitheads Sorry for the delayed reply - but that really was a brilliantly helpful post - absolutely no need to apologise!

I hadn't thought before about how they assess IPB, so that's definitely something to consider - as also pointed out by @Zeal

@chinateapot Flowers

OP posts:
CoastalWave · 29/11/2021 22:29

Sorry to revive an old thread..

But a quick question..

I have Critical Illness and Life Insurance. We have quite a bit of life insurance (about £300k, house is worth £250k) but Critical Illness cover is £30k

Do I seriously need to think about upping it?

What amount of Critical Illness would you consider the bare minimum? (mortgage is £160k for reference)

Nerdippy · 30/11/2021 10:38

@CoastalWave

Sorry to revive an old thread..

But a quick question..

I have Critical Illness and Life Insurance. We have quite a bit of life insurance (about £300k, house is worth £250k) but Critical Illness cover is £30k

Do I seriously need to think about upping it?

What amount of Critical Illness would you consider the bare minimum? (mortgage is £160k for reference)

You can apply for a critical illness payout if one of you becomes seriously ill (obviously if the illness is one of the ones covered in the policy), unlike life insurance which pays out on death.

Ask yourself how you (and SO) would manage financially if you were unable to work for a prolonged period (think 18 months - 2 years).

A lot of employers will still give you full pay for 6 months, half pay for another 6 months, then nothing. How much money would you need to cover your outgoings for approximately 2 years, maybe more?

A critical illness may also prevent you from returning to your previous job, so factor in a reduced income. Will £30k be enough?

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