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For advisers only. Not for use with customers. FRIENDS® Protection Income Protection vs. State benefits in 2009 State benefits & Welfare Reform •FRIENDS Changes to the State benefits system took effect on 27th October Protection 2008. ® • The old system assessed incapacity based on what a claimant could not do rather than what they could do. • The new focus is to identify what work claimants are capable of doing, and will test how severe their condition is. • The amount of State benefit people receive depends on the outcome of their assessment. Source: Department of Work & Pensions (2009) State Benefits in 2009 FRIENDS® Protection • Statutory Sick Pay (SSP) of £79.15 a week is payable for the first 28 weeks if the claimant is employed • Employment and Support Allowance (ESA) of £64.30 a week is payable after 28 weeks. ESA replaced State Incapacity Benefit for new claimants after 26/10/2008 • The self-employed and those who do not qualify for SSP, can claim ESA at the start of their incapacity. 28 weeks Statutory Sick Pay Source: Department of Work & Pensions (April 2009 rates) Employment & Support Allowance (ESA) State Benefits in 2009 - Work Capability Assessment FRIENDS® Protection • The Work Capability Assessment takes place during the first 13 weeks on ESA • The Work Capability Assessment is a medical test designed to look at what the claimant ‘can do’ rather than what they ‘cannot do’. 28 weeks Statutory Sick Pay Source: Department of Work & Pensions (April 2009 rates) 41 weeks Employment & Support Allowance (ESA) State Benefits in 2009 - Outcomes of the Work Capability Assessment… FRIENDS® Protection The ‘Support Group’ • Claimants who are incapable of taking part in any workrelated activity will receive between £95.15 to £108.55 a week. Source: Department of Work & Pensions (April 2009 rates) State Benefits - Outcomes of the Work Capability Assessment… FRIENDS® Protection The ‘Work-Related Activity Group’ • Claimants considered capable of any work-related activity will receive a benefit of £89.80 a week • But they must attend 6 work focused interviews in an effort to obtain alternative employment. • Failure to comply would result in a reduction to the level of benefit being received. Source: Department of Work & Pensions (April 2009 rates) State Benefits - Outcomes of the Work Capability Assessment… FRIENDS® Protection • Therefore, people applying for ESA will fall into one of three categories: Qualify for ‘Support Group’ ( £95.15 to £108.55 a week) Qualify for ‘Work-Related Activity Group’ Fail Capability Assessment Source: Department of Work & Pensions (April 2009 rates) (£89.80 a week) (end of benefits) State Benefits FRIENDS® Protection • As not everyone will qualify for long-term ESA, applicants need to decide whether or not to cover an amount for ESA, when calculating the level of Income Protection benefit they require. Income Protection FRIENDS® Protection • Income Protection is designed to replace the Income of a policyholder in the event of suffering an accident or illness preventing them from being able to work • The amount of any Income Protection benefit payable will always be less than the policyholder’s preincapacity income, but it will be a great deal more than any State benefits! FRIENDS® Protection Income Protection vs. State Benefits Case Study Case Study FRIENDS® Protection • Andy is single, aged 35 and works as a Sales Consultant for an IT company in Newcastle upon Tyne. • He earns £40,000 a year and has taken out an Income Protection policy with Friends Provident. • He also has sick pay arrangements with his employer which will pay out for 1 month. Case Study FRIENDS® Protection • After tax and National Insurance, Andy’s take home pay is £2,460.33 a month, or £567.77 a week. • The following will illustrate the effect of how having an Income Protection policy compares to having to rely on State benefits. Take home pay based on 2009/2010 Tax & National Insurance rates - No other deductions assumed Case Study FRIENDS® Protection £600.00 In the event of Andy suffering an accident or sickness preventing him from working, for the first month he will be paid his full salary of £567.77 a week by his employer. £567.77 £500.00 £400.00 £300.00 £200.00 £100.00 £0.00 Weeks 1 to 4 Employer Benefits Take home pay based on 2009/2010 Tax & National Insurance rates - No other deductions assumed SSP Income Protection Case Study FRIENDS® Protection In the event of Andy suffering an accident or sickness preventing him from working, for the first month he will be paid his full salary of £567.77 a week by his employer. After 1 month, his income would stop. Andy would be able to apply for Statutory Sick Pay (SSP) at a rate of £79.15 a week. £600.00 £567.77 £500.00 £400.00 £300.00 £200.00 £100.00 £79.15 £0.00 Weeks 4 to 28 Employer Benefits Take home pay based on 2009/2010 Tax & National Insurance rates - No other deductions assumed Statutory Sick Pay – Source Department of Work & Pensions (Rates from April 2009) SSP Income Protection Case Study FRIENDS® Protection £600.00 Without Income Protection, Andy would have to rely on SSP at a rate of £79.15 a week until his 28th week of sickness. £567.77 £500.00 £400.00 £300.00 £200.00 £100.00 £79.15 £0.00 Weeks 4 to 28 Employer Benefits Take home pay based on 2009/2010 Tax & National Insurance rates - No other deductions assumed Statutory Sick Pay – Source Department of Work & Pensions (Rates from April 2009) SSP Income Protection Case Study FRIENDS® Protection £600.00 Without Income Protection, Andy would have to rely on SSP at a rate of £79.15 per week until his 28th week of sickness. To Andy, this is an income drop of £488.62 per week - a massive 86% drop in NET income! £567.77 £500.00 £400.00 £300.00 £200.00 £100.00 £79.15 £0.00 Weeks 4 to 28 Employer Benefits Take home pay based on 2009/2010 Tax & National Insurance rates - No other deductions assumed Statutory Sick Pay – Source Department of Work & Pensions (Rates from April 2009) SSP Income Protection Case Study FRIENDS® Protection £600.00 At 28 weeks, Statutory Sick Pay ceases and is replaced by ‘Employment & Support Allowance’ with a reduced benefit of £64.30 a week During the next 13 weeks, Andy would have to undergo a ‘Work Capability Assessment’ which is a medical examination carried out by a doctor. £567.77 £500.00 £400.00 £300.00 £200.00 £100.00 £64.30 £0.00 Week 29 to 41 Employer Benefits Take home pay based on 2009/2010 Tax & National Insurance rates - No other deductions assumed Employment & Support Allowance – Source Department of Work & Pensions (Rates from April 2009) ESA Income Protection Case Study FRIENDS® Protection £600.00 The assessment is to determine the severity of Andy’s incapacity and whether he is capable of ANY form of work. The results of the Work Capability Assessment will determine what State benefit he can claim next – if any! £567.77 £500.00 £400.00 £300.00 £200.00 £100.00 £64.30 £0.00 Week 29 to 41 Employer Benefits Take home pay based on 2009/2010 Tax & National Insurance rates - No other deductions assumed Employment & Support Allowance – Source Department of Work & Pensions (Rates from April 2009) ESA Income Protection Case Study FRIENDS® Protection £600.00 Assessment Outcomes: If Andy is assessed as being incapable of ANY work-related activity, he could receive a benefit of from £95.15 to £108.55 a week depending on the severity of his condition. £567.77 £500.00 £400.00 £300.00 £200.00 £100.00 £95.15 £0.00 From Week 42 Employer Benefits Take home pay based on 2009/2010 Tax & National Insurance rates - No other deductions assumed Employment & Support Allowance – Source Department of Work & Pensions (Rates from April 2009) ESA Income Protection Case Study FRIENDS® Protection £600.00 £567.77 Assessment Outcomes: £500.00 If Andy is assessed as being capable of work-related activity, he could join the ‘Work-Related Activity Group’ and receive a benefit of £89.80 a week But there are conditions – Andy would have to attend 6 work focused interviews in an effort to obtain alternative employment – or risk losing his benefit £400.00 £300.00 £200.00 £100.00 £89.80 £0.00 From Week 42 Employer Benefits Take home pay based on 2009/2010 Tax & National Insurance rates - No other deductions assumed Employment & Support Allowance – Source Department of Work & Pensions (Rates from April 2009) ESA Income Protection Case Study FRIENDS® Protection £600.00 Assessment Outcomes: £500.00 Andy could also fail the Work Capability Assessment and at this point his benefit could cease completely. £400.00 £567.77 £300.00 £200.00 £100.00 £0.00 £0.00 From Week 42 Employer Benefits Take home pay based on 2009/2010 Tax & National Insurance rates - No other deductions assumed Employment & Support Allowance – Source Department of Work & Pensions (Rates from April 2009) ESA Income Protection Case Study FRIENDS® Protection £600.00 With an Income Protection policy, Andy can choose to take out the maximum cover available to him. With Friends Provident he can cover £24,000 of his income, equivalent to £462 a week, tax free. He could have had this paid from week 5. £567.77 £500.00 £400.00 £300.00 £200.00 £100.00 £0.00 £0.00 Week 5 Employer Benefits Take home pay based on 2009/2010 Tax & National Insurance rates - No other deductions assumed Income Protection Benefit maximum benefit – Source: Friends Provident 2009 £462 ESA Income Protection Case Study Conclusion FRIENDS® Protection • In this example you have seen, if Andy was unable to work for 2 years and joined the ‘Work Capability Group’ the total income he would have received would be: Relying on State benefits £567.77 for 4 weeks £79.15 until week 28 £64.30 for the next 13 weeks £89.80 until 2 years = £10,663.98 Case Study Conclusion FRIENDS® Protection • But, with an Income Protection policy, he would have received: Relying on State Benefits £567.77 for 4 weeks With Friends Provident Income Protection £79.15 until week 28 £567.77 for 4 weeks £64.30 for the next 13 weeks £462 for 100 weeks £89.80 until 2 years = £10,663.98 = £48,471.08 Issues with State Benefits FRIENDS® Protection • If claimants have not made sufficient National Insurance contributions, benefits applied for become means tested which means: – Any other income being received either by the claimant or a spouse will affect the amount of benefit they can receive. – Those with savings of between £6,000 and £16,000 will receive a reduced amount of payment – People with savings over £16,000 will not receive any benefit. Issues with State Benefits FRIENDS® Protection • For couples, rates will differ depending on circumstances • For single people aged under 25, rates paid are lower during the assessment phase (week 29 to 41). Friends Provident Income Protection vs State Benefits - Key Messages The State Benefits system is not designed to give people a comfortable standard of living – benefit rates reflect this. FRIENDS® Protection It is getting more difficult for people to qualify for long term state benefits. The Department of Work and Pensions (DWP) do not use ‘Own’ Occupation – they use ‘Any’ Occupation when determining a claimant’s capacity to work. If applicants applying for Income Protection believe that they might be eligible for State Benefits, these can be deducted from the Income Protection benefit being applied for. Rehabilitation & Proportionate Benefit also allow people who are taking steps back into the workplace to maintain a good standard of living. For more information, call your usual FRIENDS® contact. FRIENDS® Protection Friends Provident Life Assurance Limited Registered and Head Office: Pixham End, Dorking, Surrey RH4 1QA Incorporated company limited by shares and registered in England number 782698 www.friendsprovident.com Telephone 0845 602 9189