Physicians practising in British Columbia benefit from having access to the government-funded Physicians’ Disability Insurance (PDI) Plan. However, many physicians also have a second policy of disability insurance that they pay for, such as the BCMA Disability Income Insurance Plan (DIIP) or another individual plan. We are frequently asked how the PDI Plan is coordinated with these other policies. We hope the following explanation will help clarify this.
The PDI policy states that your monthly PDI benefit may be reduced at the time of claim if your total disability benefits from all sources exceed 60% of your net predisability income. This means that if you become disabled and your claim is approved, the insurer (Sun Life) will first calculate your predisability net income (income remaining after the deduction of expenses but before deduction of income taxes). If you are incorporated, this calculation will include any salary paid to you by your corporation. Next, the insurer will determine your disability benefits from all sources, which consist of benefits from PDI, any private disability policies you own, and government sources. If your benefits total more than 60% of your predisability net income, your PDI benefit will be reduced. An example of this calculation is as follows:
Predisability net monthly income from all sources $12500
BCMA DIIP monthly benefit $6500
PDI monthly benefit (based on earnings from MSP) $4015
Benefits from all sources $10515
60% of predisability net income ($12500 X 0.60) = $7500
In this example, according to the PDI contract, $7500 is the most that can be collected in benefit payments from all sources. As the physician in this example is insured for $10 515, the PDI benefit will be reduced as follows:
PDI monthly benefit $4015
Total benefits from all sources ($10 515) less maximum available ($7500) = $3015
Adjusted PDI monthly benefit $1000
Although your PDI benefit may be subject to reduction at the time of claim if you have other disability insurance, this example demonstrates that by having both coverages you will enjoy a higher combined benefit ($7500) than by having either one on its own.
If you can estimate your net monthly income, you can use the above formula to calculate the adjusted benefit you could qualify for under the PDI Plan combined with your other disability insurance. You should discuss this calculation with your financial advisor when you meet to review your insurance plan and your needs.
If you have any questions regarding integration of your PDI benefit with other disability plans, please contact a BCMA insurance administrator.
—Sandie Braid, CEBS, BCMA Insurance
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org