Convert Your Current Student Coverage to AMA-Sponsored Physician Disability Income Insurance

$1,000 Monthly Benefit Amount

Graduating Medical Students in participating medical schools under age 40 may enroll for $1,000 in monthly benefits for total disability. Benefits are payable regardless of whether your covered total disability is caused by injury, an illness, or organ donation.

Future Purchase Option

In year two and three of residency, insureds have the option to purchase an additional $500 of coverage annually, up to a $2,000 maximum monthly benefit, on a guaranteed issue basis. Upon Finishing Residency, the insured physician has the option to increase coverage to a $5,000 monthly benefit on a guaranteed issue basis and consider taking advantage of a one-time offer to convert their coverage to a new physician disability income insurance that offers level rates and a “True Own-Specialty” Definition of Disability. In year two as a Practicing Physician coverage can be increased up to a $10,000 monthly benefit through a simplified application process. And, in year four as a Practicing Physician coverage can be increased up to a $17,000 monthly benefit through a simplified application process.

Up to a 10% Rate Reduction

Members of the American Medical Association receive a 10% reduction. Rate reductions are reviewed annually and although not promised or guaranteed, premium credits have lowered the cost of this insurance since 2006. Rates may vary by state of residence.

5% Conversion Credit

If you convert your student coverage you will receive a 5% premium credit.

“Own-Specialty” Definition of Disability

This coverage includes an “Own-Specialty” definition of disability, which means, benefits are payable if you are unable, as the result of a covered an illness, injury, or organ donation to perform the duties of your own medical specialty and are not gainfully employed; even if you have the ability to work in another field of medicine.

Long-Term Benefit Periods

If you are disabled by injury, illness, or organ donation before age 62, benefits under this policy are payable up to age 67. If you are disabled at age 62, benefits are payable for up to 60 months. At age 63 and each year thereafter, the benefit period is reduced by six months depending on your age at disability. From age 70 to 75, benefits are payable up to 12 months.

Benefit Period Limitation

If you are disabled due to mental, nervous or emotional disorders before age 69, benefits under this policy are limited to 24 months. At age 69 and 70, benefits are limited to 18 and 12 months, respectively.

Medical School Loan Payment Benefit – Up to $200,000 if Totally and Permanently Disabled

This benefit is available to physicians insured prior to age 40. This benefit could pay up to $200,000 of eligible student loans if you are totally and permanently disabled before age 45. This benefit is paid in addition to your monthly disability benefit and it’s included in your coverage at no additional charge.

Catastrophic Disability (CAT) Rider

Residents who take advantage of the finishing residents coverage increase option will also have the opportunity to secure the Catastrophic Disability Rider, without medical underwriting. This rider increases your base monthly benefit by 30% if you become Totally Disabled and unable to perform two of six activities of daily living-bathing, dressing, toileting, transferring, eating, or continence. You will also be eligible for this benefit if your disability results in a Cognitive Impairment: the deterioration or irreversible loss of intellectual capacity. Benefit is available for 10% additional premium under age 60 (or 20% additional premium if age 60 and above). You must have a minimum of $3,000 in base benefits to elect the rider.

Cost of Living Adjustment (COLA) Rider

Residents who take advantage of the finishing residents coverage increase option will also have the opportunity to secure the Cost of Living Adjustment Rider, without medical underwriting.  For just 15% additional premium you may add the COLA option. With it, the monthly benefit payable for a covered total disability may be adjusted annually to reflect changes in the cost of living based on the CPI-U.* Years are measured from the start of the waiting period. In the first year, no adjustment will be made. Adjustments may be made to the monthly benefit paid in the second and each succeeding year. Note: If you choose this option in addition to the Catastrophic Disability Rider above, the cost of the COLA option will be an additional 1.5% in premium for a total of 16.5% (or an additional 3% in premium for a total of 18% if age 60 and above).*’CPI-U’ means the Consumer Price Index for All Urban Consumers, All items, as published by the Bureau of Labor Statistics. If the CPI-U, in New York Life’s opinion, is no longer a valid index for the purpose of this Option, or is no longer published by the Bureau of Labor Statistics, they will use a new index.

Extra Benefits for Rehabilitation

To help you recover, you may also qualify for rehabilitation benefits in addition to your monthly disability benefit if you participate in an approved accredited occupational rehabilitation program while you are disabled.

Residual Benefits for Part-Time Work

Collect partial benefits, if you return to work part time in your specialty (true own-specialty definition) or collect partial benefits, if you return to work part time in your specialty or any other occupation (own specialty definition), provided you first qualify for a covered Total Disability and provided your monthly income is reduced by at least 20%. Benefits will be based on a percentage of your total monthly benefit.

Communicable Disease Benefit

If you contract a Communicable Disease* before age 67, you may qualify for benefits without the requirement that you suffer a covered total disability. You’ll be eligible for this benefit if the illness causes you to earn less than 75% of your average monthly income for the period before your practice was limited and/or condition was disclosed as a result of contracting the disease.*Communicable Disease means any of the following conditions, but only if: (a) the medical profession recommends; or (b) an appropriate governmental agency requires; the disclosure of the diagnosis of the Communicable Disease and/or a limitation of his or her practice due to contracting the Communicable Disease: Acute Viral Hepatitis of a non A type, Human Immunodeficiency Virus (HIV), Acquired Immune Deficiency Syndrome (AIDS) or tuberculosis.

Family Care Benefit

This coverage will pay up to one basic monthly benefit to you to care for a close family member with a Serious Health Condition.* Your spouse or domestic partner; child, including a step-child, adopted child or child of your domestic partner; or your parents, are considered ‘close family members.’ The health condition must be certified by the family members’ licensed attending physician.
You must be working at least 20% fewer hours and have a loss of 20% or more of your average monthly income, due to the time off to qualify. The monthly benefit is the amount payable in proportion to the loss of monthly income up to a maximum of one basic monthly benefit.
0%-19%: No benefit

20%-25%: 25% of the Basic Monthly Benefit is payable

26%-50%: 50% of the Basic Monthly Benefit is payable

51%-75%: 75% of the Basic Monthly Benefit is payable

76%-100%: 100% of the Basic Monthly Benefit is payable

*Serious Health Condition is a condition that causes the family member: to be unable to complete, without substantial supervision, two of six ‘activities of daily living’ including bathing, dressing, toileting, transferring, (e.g., in and out of bed), eating and continence; to require substantial supervision due to severe cognitive impairment; to be hospitalized; or to become terminally ill with a condition that is reasonably expected to result in death within 12 months.

Layoff or Leave of Absence Benefit

Your insurance can continue beyond the end date of the coverage if you cease to be employed full-time due to layoff, leave of absence, or a leave of absence required by state law or by the Family and Medical Leave Act of 1993 (FMLA). Your coverage will continue for up to 90 days during a temporary layoff or a leave of absence other than state mandated leave or FMLA; or the greater of the period required by state law or by FMLA provided the leave authorization is in writing and required premium is paid. The insurance will then end on the earliest of 90 days after the temporary lay-off or leave of absence (other than state mandated leave of FMLA) began; the date the layoff becomes permanent; the date the state mandated leave or FMLA leave ends; or the date insurance would otherwise end.

Your Choice of Waiting Periods

Select a waiting period of 2, 3, 6, or 12 months. The waiting period is defined as the period of time from the start of a covered total disability during which no benefits are payable. Benefits are not payable if you work in any occupation during the waiting period. (Note: for organ donation, the waiting period is waived as long as insurance has been in effect for at least six months.)

Waiver of Premium

Once claim payments begin, any premium becoming due will be waived; no further premiums will be due while you remain disabled.

Worldwide Coverage

Subject to U.S. government regulations on restricted countries. You’ll have 24-hour/7-day a week protection, whether you are at home, at work, or on vacation anywhere in the world. U.S. residency is required to maintain coverage.

You’re eligible to enroll for this group coverage if you’re a medical student graduating from a participating medical school, residing in the U.S, under age 50, and will be actively engaged full-time in the duties of your profession as a resident physician.
Membership in the American Medical Association is not required.

Your coverage will be effective on 7/1, 8/1, or 9/1. Coverage will be in force from the effective date provided you are eligible, actively at work, and premiums are paid when due.

Coverage terminates at age 75.

As long as you are a physician actively at work, a resident of the United States, under the age of 75 (not retired), pay your premiums when due, the group policy remains in force, and the AMA continues to sponsor this policy and you have not received the maximum benefits payable under the policy, your coverage can be renewed. Coverage will be terminated upon the suspension or revocation, or voluntary surrender in any state, of your license to practice medicine as a result of a criminal act, ethical violation or gross malpractice.

Premiums increase on the renewal date on or immediately after the date you reach a higher age bracket. You also cannot be singled out for a rate increase, regardless of how many claims you have made or the changing status of your health. However, rates may be adjusted on a class-wide basis. For example, a “class” may be a group of insureds of the same age group.

No monthly benefit will be paid for Disability due to:

• Intentionally self-inflicted injury or attempted suicide, while sane or insane;
• A declared or undeclared war or an act of war;
• The use of any narcotic drug or other substance which is (a) subject to the Federal or the various state controlled substances acts, unless the prescription shall have been written by an Attending Physician other than you, or (b) required by law to be dispensed by prescription only and used for other than a bonafide medical purpose as it relates to you or for other than the treatment of an existing medical condition.
• A disability that does not require the regular care of a doctor.
• Any impairment which has been restricted from your coverage.

Benefits will not be paid, or accrued, for any period of time while you are incarcerated.

Benefits will be paid either for Injury or for Sickness, but not for both, during any concurrent period of Disability.

Yes, for a few reasons:

First, the monthly benefit amount paid through employer-sponsored disability insurance is likely to be taxable, reducing the true amount of protection the coverage provides. In contrast, the benefits of this policy could be free of income tax when you pay the premiums with your own after-tax dollars. Consult your tax advisor.

Second, the level of protection you now carry may not be enough to help cover the living expenses that would continue should you become disabled. Using this policy to increase your total coverage can help you avoid having to deplete savings and investments intended for other purposes.

Third, this is a one-time special offer of guaranteed coverage with opportunities to increase your coverage at pivotal times in your career. If you decide not to convert your coverage at this time, you can still apply for AMA-sponsored Disability Income Insurance, but you will have to go through underwriting and you will not be eligible for guaranteed future increases of your coverage.

Finally, unlike many employer-provided plans, this coverage is yours to keep without interruption, even if you change jobs or become self-employed. This policy adds an extra layer of protection that you control, and it can move with you throughout your career.

Some disability insurance limit their definition of ‘total disability’ to the inability to work in any occupation. This means you might not be eligible for benefits if you are sick or injured but still able to work in another profession.
Other policies may include an ‘own occupation’ definition of disability, meaning that you might not be eligible for benefits if you were able to perform any physician job in the field of medicine, even though you were no longer able to carry out the duties and responsibilities of your medical specialty.
This coverage contains a preferred definition of disability, called ‘own specialty’, that is so important for physicians. It means you are eligible to receive benefits if you’re unable to perform the duties of your own medical specialty- not just any job or some other job in the medical profession.
In addition, you will have the opportunity in the future to enhance the protection of this coverage by choosing the ‘True Own-Specialty’ definition of disability to allow you to collect full benefits if you choose to return to work in another occupation, regardless of the income you earn. Additional cost applies.

You will be considered totally disabled, after the waiting period, if you are unable to perform the material and substantial duties of your medical specialty as a result of a covered illness, injury or organ donation. House or hospital confinement is not required to be eligible for benefits, but you must be under the care of a physician. During the waiting period, you will be considered totally disabled if you are not working in any occupation.

Total disability is presumed, and the waiting period waived, if you experience total and irrecoverable loss of speech, hearing in both ears, sight of both eyes, loss of use of both hands or feet or one hand and foot.

No. Membership in the AMA is not required to apply, although members pay less.

Since 1988, AMA Insurance has offered high-quality, attractive coverage designed to meet the unique needs of physicians nationwide. We can take advantage of the buying power available to large groups to secure attractive rates and physician-focused coverage you won’t find anywhere else. This policy has provided physician-exclusive rates to help keep the cost flexible, even for significant amounts of coverage. AMA-sponsored disability insurance has been protecting physicians for more than five decades with solid, dependable coverage at attractive pricing.

A medical student, under age 50, graduating from a participating medical school can enroll for $1,000 in monthly benefits regardless of their current salary, debt, or other insurance. There is no underwriting, medical exams, or health questions.

In year two and three of residency, you have the option to purchase an additional $500 of coverage annually, up to a $2,000 maximum monthly benefit, on a guaranteed issue basis. Upon Finishing Residency, you will the option to increase coverage to a $5,000 monthly benefit on a guaranteed issue basis and take advantage of a one-time offer to convert your coverage to a new physician disability income plan that offers level rates and a “True Own-Specialty” Definition of Disability. In year two as a Practicing Physician your coverage can be increased up to a $10,000 monthly benefit through a simplified application process. And, in year four as a Practicing Physician your coverage can be increased up to a $17,000 monthly benefit through a simplified application process.

The waiting period is defined as the period of time from the start of total disability during which no benefits are payable. You have your choice of waiting periods. You may have to rely on your personal savings and other financial assets as you wait for benefits to be payable. The waiting period is only satisfied if you are not working in any occupation.

No. This insurance is designed to help replace your income while you’re unable to work; the money is sent directly to you, and you may use it any way you wish.

That depends on your age at the time the disability begins. If you are disabled before age 62, benefits under this coverage are payable up to age 67. If you are disabled at age 62, benefits are payable for up to 60 months. From age 63 to 69, the benefit period is reduced in six-month increments, depending upon your age at the time the disability begins. From age 70 to 75, benefits are payable up to 12 months.

If you are disabled due to mental, nervous, or emotional disorders before age 69, benefits under this coverage are limited to 24 months. At age 69 and 70, benefits are limited to 18 and 12 months, respectively. This limitation does not apply to any period you are institutionalized in any treatment facility.

No. You can never be singled out for a rate increase or have your coverage cancelled due to your health. You are also assured that your rates will never increase as a result of the number of claims you’ve made. Rate increases occur as you move from one age bracket to the next. Additionally, the insurance company can only change premium rates for the group.

Once you enroll and coverage is issued, you’ll receive a Certificate of Insurance. Then you’ll have 30 days to decide if you’re completely satisfied with your coverage. If you decide this coverage isn’t right for you, return your Certificate within that 30-day period. Your coverage will be invalidated, and you will be sent a full refund. You will be under no further obligation.

No. You don’t need to send any money until you’ve reviewed your Certificate of Insurance and confirmed that it meets your needs. Your first premium notice will be enclosed with your Certificate of Insurance.