Michael Pottruff
⎹ Desjardins Financial Security Independent Network ⎹
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Life & Health Insurance Advisor
Desjardins Financial Security Independent Network
Licensed for Insurance in the province of Ontario
Many group disability plans calculate benefits as a percentage of an employee's income.
What some people may not realize is that the amount received during a claim can also be affected by factors such as plan maximums, coordination provisions, and other eligible sources of income, depending on the terms of the plan.
As a result, the benefit received may differ from the percentage outlined in the plan. Understanding how your coverage works before you need it can help you make more informed decisions about your benefits.
If you're unsure how disability benefits are calculated under your group plan, feel free to reach out and I'd be happy to help you better understand your coverage.
06/10/2026
Most people don't discover gaps in their coverage until they're trying to make a claim.
By then, the focus shifts from planning ahead to dealing with an unexpected expense or limitation.
The reality is that many employees simply haven't had the opportunity to review their benefits in detail. Taking the time to understand your coverage before you need it can help set clearer expectations and reduce surprises down the road.
That's why regular benefits reviews are so important.
Why do you think coverage gaps are often discovered after the fact?
How group disability coverage is structured👇
Group disability coverage is generally set up at the employer level in partnership with an insurance provider, rather than being designed individually for each employee.
The structure of the plan is influenced by factors such as the level of coverage selected by the employer, the overall cost of offering benefits to the group, and standard plan design guidelines used by insurers.
Eligibility rules and plan terms are also defined as part of the group policy.
Because group plans are designed to apply to a broad employee population, many of the terms and conditions are standardized across members of the same plan.
This means there is often limited variation in how coverage applies from one employee to another.
Understanding how the plan is structured can help provide more clarity on how coverage works within a workplace benefits program.
If you have questions about your group disability coverage, contact me to review your plan.
The Hidden Cost of Never Reviewing Your Group Benefits
Many people enroll in a workplace benefits plan and assume it stays the same over time. However, coverage details and personal needs can change.
Group benefits can include details that are easy to overlook, including what services are covered, coverage limits, cost-sharing, and eligibility rules. When these aren’t reviewed after initial enrollment, expectations and actual coverage may not always align.
This can result in unexpected costs, underused benefits, or missed opportunities to use what’s available.
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