Spending money as a new graduate – Income Protection Insurance

This week I consulted with a 36year old electrician. Outside of work he had a spontaneous VF arrest, thankfully witnessed, had bystander CPR and early defibrillation. He now has a implanted defibrillator. This has saved his life however he is now unable to work in his usual occupation of hands-on electrical contracting. He was smart and had income protection insurance which is now paying for his families needs (and had been for the prior three years) while he re-trains.

My First Income Protection policy from 2008
My first income protection policy from 2008. I’m afraid $28.60/month will not get you much these days and no-one will offer you a policy that lasts to age 65!!

Why income protection insurance?

Income protection insurance is an essential back up for your greatest asset – your ability to work. Is your car insured? Is your house or at least contents insured? These amounts may only be $20k to $1m in value you are protecting. Your income could be $5m -$10m over the span of your working life. Isn’t that worth protecting?

Now is the time to apply for income protection insurance before you develop any medical conditions or anything that might preclude you from being eligible for insurance. This income protection insurance is your pay if you are unable to work. The White Coat Investor suggests that 10-20% of doctors are unable to work at some stage in their life and Australian insurer TAL has reported on the types of problems people claim insurance for.

What triggers income protection insurance?

Being unable to work due to illness or accident. IP does not cover redundancy or not being able to find work and would not have covered people in the 2020 Covid19 job losses unless the person was actually infected with Covid.

When establishing the insurance you choose a waiting period. The longer the waiting period, the lower the yearly cost – however you will need to have an emergency fund/money in mortgage offset/family support to get you to the waiting period. Generally these periods are in 30day chunks – 30, 60 or 90 days. if you can wait the 3 months, premiums will be lower. When claiming you will need evidence of your condition and a consideration of when you will return to work, there are forms for you to complete and you treating team.

Inside superannuation or outside?

Income protection can be bought inside your super, like life insurance or outside. I have mine outside as IP is a tax deduction against income which is less useful inside super. If I do need it the money will be easier to access rather than being trapped in super and needing to meet the criteria for superannuation withdrawal. In comparison my life insurance is inside super as this is not a tax deduction and if life insurance is being collected I am dead so the superannuation assets flow to my defined beneficiaries as tax-free lump sums. Ideally your IP should be for your own occupation – if you have a CVA and cannot work as a doctor, the insurance cannot cast you off to work as a sales assistant. Superannuation IP policies tend not to have this own occupation stipulations and so may be less protective for you. However some protection is better than none. I you already have some IP inside super and have subsequently developed medical condition, you may not be able to acquire any insurance outside of that initial policy – something is better than nothing.

Which company?

You can make a direct application to an insurer or use an insurance broker. I have done this three ways- organising my own as a new graduate, then through a financial planner (my most expensive insurance, possibly over-insured) then later swapping to one organised via a broker.

Level or Stepped?

Premiums have been shooting up in Australia due to changes the insurance lead body is forcing to make insurance more sustainable. Level premiums should be the same with CPI increases, they will cost more initially but not increase a lot. Stepped will be lower cost to start then increase later as your risks of claiming increase.

Take action!

If you do not have IP, start applying now before something happens. I harass all the registrars that flow through our practice and you need to get onto this now. Take some concrete action and apply today.

Where to spend money as an early career doctor?

How exciting is that first income after the long years of study? I bought myself a Wustof-Trident chefs knife with the first intern pays as my reward, I still have it. What will you spend your money on that will stay with you?

As well as a reward, I want you to consider three important places to spend money:

  • insurance – income protection, life
  • financial education
  • billing/medical business education

Insurance – income protection

Now is the time to apply for income protection insurance before you develop any medical conditions or anything that might preclude you from being eligible for insurance. I’ll expand on this in another post. This income protection insurance is your pay if you are unable to work. The White Coat Investor suggests that 10-20% of doctors are unable to work at some stage in their life and Australian insurer TAL has reported on the types of problems people claim insurance for.

Financial Education

This can really pay long term dividends. This can be as simple as some bibliotherapy – Barefoot Investor, White Coat Bootcamp there are many out there. This might be as specific as financial advisor advice, ensuring you pay per hour and not a funds under management/retainer based process

Business/Medical Billing Education

This really is part of the hidden curriculum. Understand how to appropriately, ethically and correctly use the billing options is very important. Self education is the simplest and cheapest – reading the MBS guides, completing the online tutorials is a first step.

In Australia with have Business for Doctors and AOGP providing billing information training.

Book review – The White Coat investor’s Financial Boot Camp

White Coat Investors Boot Camp book

amazon link

Jim Dahle is the White Coat investor and head of the website, forum and podcast of the same name. Although American in focus there are many lessons for doctors in his book.  This book grew from a 12 email set that he sends out to new subscribers to his book – so for free you can get most of the information in this book by joining his email list.  This book follows up from the email series, provides more context and examples and more appendices and task lists.   This book is also an expansion of his much slimmer 2014 book.

Contents are:

  1. Disability (income) insurance
  2. Life Insurance
  3. Spending plan
  4. Student loan plan
  5. Boosting income
  6. Housing plan
  7. Retirement accounts
  8. Investing
  9. Correcting Mistakes
  10. Saving for college
  11. Estate plan
  12. Asset Protection

List of Missions

Conclusion

Appendix A Recommended Books

Appendix B Financial Priority List for attending Physicians

Appendix C An example of a written Financial Plan

Appendix D Glossary

Buy it: great mindset advice about avoiding the expensive doctors house, doctors car and not giving in to debt based lifestyle inflation. Good tickbox lists, the example financial plan is excellent.  I bought it to share with registrars.

Skip it: student loans, Retirement accounts are not applicable for us, but a small part of the book.