The Money Meets Medicine Podcast

What is a Cost Of Living Adjustment (COLA) Rider?

Mike Kittner

Author: Michael Kittner
Chief Insurance Officer
Money Meets Medicine Disability Insurance

Disability Insurance for Physicians

 

As a physician, you’ve dedicated years to building a career that provides financial stability for you and your family. But what if an unexpected disability interrupted your ability to earn an income? Disability insurance is an essential safety net for protecting your income, and for physicians, the Cost-of-Living-Adjustment (COLA) rider is one of the most critical features to consider. Here’s why.

The Reality of Disability for Physicians

Disability may seem like a distant possibility, but statistics tell a different story:

  • 1 in 4 physicians will experience a disability during their career that lasts at least three months. (AMA)
  • The leading causes of disability among physicians include musculoskeletal disorders, cardiovascular conditions, and mental health challenges.
  • The average disability claim lasts 34.6 months—almost three years. (Council for Disability Awareness)

Given these statistics, having a robust disability insurance policy tailored to your unique needs as a physician is crucial. The COLA rider is a vital addition that protects the value of your benefits in the face of inflation.

What is the Cost-of-Living-Adjustment (COLA) Rider?

The COLA rider is your inflation protection. Here’s how it works:

  • Once you’re on claim for 12 months, the COLA rider kicks in.
  • Adjustments are either indexed on the Consumer Price Index (CPI) or Guaranteed
  • If indexed, you receive the lesser of the CPI increase or a capped percentage (commonly up to 3%).
  • Adjustments are never negative, meaning if inflation decreases, your benefit remains steady.

Examples of COLA Adjustments:

  • If inflation rises by 6%, your benefit increases by a maximum 3%.
  • If inflation rises by 2%, your benefit increases by 2%.
  • If inflation decreases by -1%, your benefit remains unchanged.

After recovering from your disability, you’ll have the option to:

  • Retain the COLA-increased benefit (at no additional cost if the increase is $300/month or more with Guardian).
  • Reset your benefit to its original amount before the COLA adjustments.

Guardian’s Innovative COLA Options

  • Guardian offers a 4-year delayed COLA rider as a more affordable option for those hesitant to add this feature to their policy; this comes with a 4% savings.

Why is the COLA Rider Important for Physicians?

1. Inflation Protection Over Time

Disability insurance benefits are designed to replace your income during a time when you cannot work. However, inflation erodes the purchasing power of money over time. Without a COLA rider, the benefit you receive in year one of a claim may not be sufficient in year five or ten. For instance:

  • A $10,000 monthly benefit today would be worth only $7,800 in 10 years if inflation averages 2.5% annually.
  • With a COLA rider, your benefit adjusts to keep pace with inflation, ensuring you can maintain your standard of living.

2. Long-Term Claims Require Long-Term Solutions

Physicians facing disabilities often encounter long recovery periods. With the average claim lasting nearly three years, maintaining the real value of your benefits becomes even more critical.

3. High-Income Earners Need Proportional Protection

Physicians typically earn well above average income levels, and their financial commitments—including mortgages, student loans, and family expenses—are proportionately higher. Protecting your income against inflation ensures that your benefits remain sufficient to cover these obligations.

 

Should You Always Get the COLA Rider?

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While the COLA rider is a valuable addition to any policy, it may not always be necessary for everyone. Here’s how we approach COLA recommendations:

  • Younger Clients: We highly recommend the COLA rider for physicians under 45. This group benefits most from inflation protection due to the longer time horizon.
  • Older Clients: For physicians 45 or older, we often suggest omitting the COLA rider to make premiums more affordable. This is because the shorter time to retirement reduces the impact of inflation.
  • Budget Constraints: If affordability is an issue, we recommend removing the COLA rider before lowering the benefit amount. Keeping a sufficient base benefit is more important than including inflation adjustments.

 

Key Takeaways for Physicians

Why the COLA Rider Matters:

  • Protects against inflation, ensuring benefits maintain their value over time.
  • Especially important for younger physicians with decades of potential inflation ahead.
  • A must-have for long-term claims to preserve financial stability.

When to Consider Alternatives:

  • If premiums become unaffordable, explore options like Guardian’s 4-year delayed COLA rider or forgo the rider entirely if you’re closer to retirement.

 

Final Thoughts on the Cost of Living Adjustment Rider

As a physician, your ability to earn an income is one of your most valuable assets. The COLA rider is an essential component of a comprehensive disability insurance policy, ensuring your benefits keep pace with inflation and protect your financial future. At Money Meets Medicine Disability Insurance, we specialize in helping physicians tailor disability insurance policies to their unique needs.

Contact us today to schedule a no-obligation quote, policy review, or consultation. Your career deserves the best protection—let us help you make that happen.

If you found this article helpful, shoot us an email and let us know! 

michael@moneymeetsmedicine.com
Visit our Instagram page @mmm_disability_insurance for even more DI value.

 

Physician Disability Insurance

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