Texas General Lines — Life, Accident, Health and HMOHealth InsuranceHard

An insurance producer is explaining the difference between an 'Accidental Death and Dismemberment (AD&D)' policy and a 'Disability Income' policy to a client. Which key distinction should the producer emphasize regarding the benefits paid?

  1. AAD&D pays for specific accidental losses of life or limb, while Disability Income replaces lost earnings due to inability to work.
  2. BAD&D benefits are taxable, while Disability Income benefits are always tax-free.
  3. CAD&D covers illnesses, while Disability Income only covers accidents.
  4. DAD&D pays a monthly income, while Disability Income pays a lump sum for loss of life or limb.
Show answer & explanation

Correct answer: A. AD&D pays for specific accidental losses of life or limb, while Disability Income replaces lost earnings due to inability to work.

AD&D policies pay a lump-sum benefit for accidental death or the loss of specific body parts or functions due to an accident. Disability Income policies, conversely, provide a regular income stream (usually monthly) to replace lost earnings when the insured is unable to work due to illness or injury (accidental or otherwise).

Why the other options are wrong

  • B. Taxation depends on who pays the premiums; this is not the primary distinction in benefits paid.
  • C. This is incorrect; AD&D covers accidents, and Disability Income covers both accidents and illnesses.
  • D. This statement reverses the typical payouts; AD&D is lump sum, Disability Income is monthly.

AD&D vs. Disability Income

Accidental Death and Dismemberment (AD&D) insurance provides a lump-sum payment for accidental death or specific accidental injuries, while Disability Income insurance provides a regular income stream if the insured is unable to work due to illness or injury.

  • AD&D: Event-driven (accident), lump sum for specific losses.
  • Disability Income: Income replacement, covers both illness and accident.
  • AD&D is often a rider; Disability Income is a standalone policy.
  • Both are distinct from life insurance (which covers death from any cause).

Memory trick: AD&D is for 'oops' and 'ouch' (lump sum), Disability is for 'can't work' (income).

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