Let's move on from our definitions of disability to the principal cause of denied claims -- pre-existing conditions. In most disability income insurance policies, a pre-existing condition is defined as a sickness or physical condition for which:
medical advice or treatment was recommended by or received from a physician, or
symptoms existed which would cause a prudent person to seek diagnosis or treatment
in the two-year period preceding the effective date of the policy.
Disability income insurance policies generally do not pay benefits for disabilities resulting from pre-existing conditions during the first two years that the policy is in force unless two conditions are met:
The pre-existing condition was disclosed in the application for the policy and
The insurance company did not specifically exclude the pre-existing condition.
Of course, after the policy has been in force for 2 years, undisclosed, pre-existing conditions are covered just like any other condition.