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Occupational disability insurance

Protect income when work is no longer possible.

The diagnosis alone is not decisive; what matters is how illness or accident affects the occupation actually performed most recently.

Benefit basis

Actual occupational capacity is central.

Insured pension, waiting period, prognosis period and referral clauses must fit together clearly.

Pension

Monthly income

The agreed pension should cover fixed costs and the desired standard of living.

Occupational profile

Actual working day

The real duties before impairment matter, not merely the job title.

Benefit threshold

Policy definition

Many policies require a specified degree of disability and prognosis period.

Referral

Other occupations

Abstract or concrete referral may substantially affect entitlement.

Future increases

Life changes

Income growth, marriage, children or property purchase should be accommodated where possible without new health evidence.

Health assessment

Complete information

Previous illnesses, treatment and symptoms must be carefully prepared.

Needs analysis

Pension amount and term must reflect income needs.

01

Pension amount

Consider fixed costs, family, loans and existing benefits.

02

Expiry age

Align cover as far as possible with the planned retirement age.

03

Indexation

Use policy and benefit escalation to cushion inflation and income growth.

04

Terms

Compare referral, prognosis periods, reporting duties and reassessment.

Benefit assessment

Medical and occupational evidence must be documented together.

A medical report alone rarely explains which specific occupational duties can no longer be performed.

Duty description

Map the working day

Document time shares, physical and mental requirements and responsibility.

Medical evidence

Function rather than diagnosis

Describe limitations, capacity, prognosis and treatment clearly.

Entitlement

Referral and reassessment

Review comparison occupations and later health improvement carefully.

Our role: We combine needs analysis, policy comparison and careful preparation of health questions.
Austrian Supreme Court decisions

Occupational profile, fixed benefits and referral in Supreme Court case law.

These summaries highlight typical disputes and do not replace review of the individual policy.

View all decisions
OGH 7 Ob 21/18s

Purpose of occupational disability insurance

Occupational disability insurance is intended to prevent social decline when occupational capacity is lost prematurely. The occupation actually performed most recently is decisive.

Official RIS decision →
OGH 7 Ob 68/20f

Benefit without proof of a specific financial loss

Occupational disability cover is a fixed-benefit insurance. Once the contractual insured event occurs, the agreed benefit does not depend on proof of a specific income loss.

Official RIS decision →
OGH 7 Ob 54/22z

Referral to another occupation

Referral requires an occupation sufficiently comparable in training, experience, social status and income. A broad job title alone is not enough.

Official RIS decision →
Frequently asked questions

Key occupational-disability questions.

All questions
Is a diagnosis alone sufficient?

No. The decisive issue is the expected impact on the actual occupation.

How high should the pension be?

It should realistically cover fixed costs and the income gap within the insurer’s acceptance limits.

What does referral mean?

Depending on the terms, the insurer may refer the insured to another sufficiently comparable occupation.

Why is the duty description important?

It is the basis for assessing which occupational tasks remain possible.

Personal advice

Earning capacity is often the largest asset.

We determine pension needs, term and suitable policy quality, with particular attention to health questions.

Herbert Helm MBA
Herbert Helm MBA
Insurance broker · adviser in insurance matters · licensed financial adviser
+43 7474 23456
helm@sichermithelm.at