Illinois Mutual
Simplified Issue Disability Income Insurance (SIDI)

Highlights

• The qualifying process is much less rigorous than most other individual disability insurance products.  The medical questionnaire is abbreviated and there are no questions related to family history, substances, hazardous avocations, or driving.   No exams or financials are required.  This relaxed underwriting is made possible though somewhat broader exclusions and modest issue amounts compared to traditional products.

• Available to individuals on a standalone basis.  No employer sponsorship is required.

• Not available in AK, CA, CO, DC, HI, ME, MT, NH, NJ, NM, NY, OR, RI, and VT.

• The actively at work requirement to qualify for a policy is 20+ hours per week in an insurable occupation and not currently disabled.  Hours are not verified and applicants are expected to use common sense in representing themselves.  Non-billable hours can be included.

• The maximum possible benefit is $3,000 per month for 24 months (12 months in UT) even for the most highly qualified candidates.  The Benefit Period is determined on a per-claim basis, not an aggregate lifetime basis.

• The definition of disability type is own-occupation-and-not-working, but only for the first 12 months of claim.  If a 24 month Benefit Period is chosen, the definition of disability type is transitional own occupation because the definition changes to any-occupation after 12 months on claim.

• Elimination Period options can be as short as zero (0) days for accidents and seven (7) days for illness, except in CT, DE, and SD, where the minimum allowed is sixty (60) days; and MA, MD, and WA where the minimum is ninety (90) days.

• Coverage is Guaranteed Renewable to age 72, during which time the premium may increase.  Future premiums are based on original issue age, which is better than a graded (increasing) premium structure, but inferior to the non-cancellable sort seen in other products.

• Pregnancy is treated the same as any other condition, subject to a special 9 month probationary period as measured from the policy effective date.  Refer to exclusion item (k).

Medical Eligibility

No exam is required.  The medical questions on the application are as follows:

A. In the past 10 years, have you tested positive for, or been diagnosed by a medical professional with, Human Immunodeficiency Virus (AIDS virus) or Acquired Immune Deficiency Syndrome (AIDS?

B. In the past 12 months, have you been diagnosed, treated, given advice, or prescribed medication by a medical professional, or been hospitalized, for any of the following:
(1) Heart Attack or Heart Surgery 
(2) Congestive Heart Failure 
(3) Stroke/Transient Ischemic Attack (TIA) 
(4) High Blood Pressure treated with 3 or more medications 
(5) Insulin Dependent Diabetes 
(6) Cancer (except basal cell skin cancer) 
(7) Hepatitis B 
(8) Hepatitis C 
(9) Cirrhosis 9 
(10) Kidney Disease (except stones)

C. In the past 6 months, except for colds, flu, or normal pregnancy:
(1) Have you taken time off work for 5 or more consecutive days due to a physical or mental impairment, sickness, or injury? 
(2) Have you had restrictions or limitations such that you were unable to perform all of your regular occupational duties?

Exclusions

(a) War or act of war, whether declared or undeclared

(b) Riding in or driving any motor-driven vehicle in a race, stunt show or speed test;
(c) Operating, learning to operate, serving as a crew member of or jumping or falling from any aircraft, including those which are not motor-driven. This does not include flying as a fare paying passenger;

(d) Engaging in hang-gliding, bungee jumping, parachuting, sailgliding, parasailing or
parakiting or any similar acitivities;

(e) Participating or attempting to participate in an illegal activity and/or being incarcerated in a penal institution;

(f) Committing or trying to commit suicide or injuring yourself intentionally, whether you are sane or not;

(g) Addiction to alcohol or drugs, except for drugs taken as prescribed by your Physician;

(h) Practicing for or participating in any semiprofessional or professional competitive athletic contest for which you receive any type of compensation or remuneration;

(i) Having a neurosis, psychoneurosis, psychopathy, psychosis, or mental or emotional disease or disorder of any kind. However, Alzheimer’s disease and other organic senile dementias are covered under this Policy;

(j) Having an On-Job Accident, unless an On-Job Total Disability Benefit is shown in the Schedule*;

(k) Giving birth as the result of a normal pregnancy, including Cesarean, within the first nine months after the Policy Effective Date as shown in the Schedule. Complications of a pregnancy will be covered to the same extent as any other sickness.

* The On-Job Total Disability Benefit referred to in item (j) will automatically be included for individual purchases.  Coverage obtained through an employer may or may not have on-job coverage.

There is a limitation for pre-existing conditions (including symptoms) for the first twelve (12) months of the policy's existence.