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Long term disability insurance is crazy expensive in the USA.

My wife got multiple quotes around $15,000 a year for a perfectly healthy 28 year old woman. It excluded back issues because she went to a chiropractor a few times. This was for like 60% income replacement too.



I would guess that there's a serious adverse selection problem in personal disability insurance.


The strange thing is long term disability insurance for a group plan is really cheap. My work provides it as an option and I only pay $300/year or so for the premiums, work doesn't pay any percent of the premiums.


Adverse selection is a huge problem in insurance. And disability fraud is especially bad (like billions of dollars in CA every year).

As a result, insurance companies don't want to play in that space, since their average margin is only like 6% anyway. States backstop the insurance companies, to make sure they continue to offer the product.




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