What is occupational disability insurance?

Occupational disability insurance: what it is and how you can secure your livelihood

20.04.25

11

Minutes

Katrin Straub

Managing Director at nextsure

One in four employees will become unable to work in their chosen profession during their lifetime. Occupational disability insurance (BU) then provides you with financial support. Find out here what this important protection can do for you.

The topic in brief and concise terms

Occupational disability insurance (BU) pays a pension if you are no longer able to carry out your profession by at least fifty per cent.

Causes such as depression or herniated discs often lead to occupational disability.

Taking out a policy earlier often secures lower premiums, as entry age and health matter.

Quick overview: understanding the key facts about occupational disability insurance

A disability income insurance policy (BU) provides an agreed monthly pension if you can no longer carry out your most recently held occupation by at least fifty per cent. This impairment must be expected to last six months or must already have lasted six months. Protecting your ability to earn a living is fundamental, because your income forms the basis of your existence and future planning. Statutory reduced earning capacity pension alone often offers only basic cover, which is usually significantly below your last net income; as a result, gaps in cover of more than forty per cent often arise. A BU is therefore one of the most important types of insurance for almost anyone in employment, whether an employee, self-employed person, student or trainee, in order to secure their standard of living. You may be wondering, do you really need income protection insurance? For most people, the answer is a clear yes. The BU closes the financial gap that arises when the ability to work is lost for a longer period or permanently.

Practical relevance: benefit scenarios and cost calculation for BU

Occupational disability insurance pays out in the event of occupational disability resulting from illness, bodily injury or a decline in physical strength that goes beyond what is age-appropriate. Common causes include mental health conditions such as depression, disorders of the musculoskeletal system, for example a slipped disc, as well as cancer and the последствия of serious accidents. The amount of your BU pension should ideally cover seventy to eighty per cent of your current net income so that you can continue to meet ongoing costs and savings contributions. An employee with a net income of €2,500 therefore needs around €1,750 to €2,000 in BU pension. The cost of a BU depends on several factors: your age when you take it out, your occupation (risk group one to four), your state of health when you apply, the desired level of pension and the agreed term – ideally up to the statutory retirement age of 67. A 30-year-old office clerk, for example, pays from around €50 per month for a pension of €1,500. Feel free to use a BU insurance calculator for an initial estimate. A standalone occupational disability insurance policy (SBU) is taken out as an independent contract, while the occupational disability supplementary insurance (BUZ) is linked to a main policy such as life insurance or a pension policy. The SBU often offers greater flexibility and is more transparent.

Here are typical situations in which BU insurance pays out:

  • A software developer suffers burnout and can no longer carry out complex work for over nine months.

  • After years of strenuous physical work, a nurse develops a chronic disc injury and can only work less than four hours a day.

  • An architect loses eighty per cent of his eyesight due to a progressive eye disease and can no longer produce plans.

  • A teacher develops severe depression, which is expected to render him unfit for work for over twelve months.

These examples show how diverse the reasons for occupational disability can be and how important cover is.

Expert perspective: Mastering legal foundations and key contractual clauses

The statutory basis for private occupational disability insurance is section 172 of the Insurance Contract Act (VVG). It defines: „A person is occupationally disabled if, as a result of illness, injury or physical decline beyond that appropriate to their age, they can no longer carry out their last occupation, as it was carried out without any health impairment, either wholly or in part, and this is expected to be permanent.“ Good policies clarify „expected to be permanent“ in a customer-friendly way by setting a prognosis period of six months. Look out for the waiver of abstract referral. This means the insurer cannot refer you to another, theoretically possible occupation as long as you are at least fifty per cent occupationally disabled in your last occupation. The guaranteed insurability option allows you to increase your benefit in certain events (e.g. marriage, a ten per cent salary increase) without renewed medical underwriting. A contribution escalation feature ensures an annual inflation adjustment of your benefit, usually by three to five per cent. The infection clause is particularly important for medical professions and pays out when a ban on activities is imposed due to an infection, even if there is not yet occupational disability in the classic sense. Our expert tip: answer all health questions on the application absolutely correctly and in full. Even a forgotten doctor’s appointment from the last five years can jeopardise your cover. Also find out about the difference between occupational disability and incapacity for gainful employment, in order to fully understand the need for private BU.

Important contract clauses at a glance:

  • Waiver of abstract referral: protection against referral to other occupations.

  • Shortened prognosis period: benefits often payable after an expected BU period of six months.

  • Guaranteed insurability: increase in benefit without renewed medical underwriting on certain occasions.

  • Contribution escalation: automatic inflation adjustment of the benefit and premiums.

  • Benefit escalation during claim: increase in the ongoing benefit.

  • Retroactive benefit: payment from the onset of occupational disability, even if reported later (up to three years).

  • Worldwide insurance cover: cover applies even if you move abroad.

  • Waiver of cancellation in the event of an innocent breach of the duty of disclosure after five or ten years.

The exact conditions, when a BU policy pays out, are crucial.

Optimise the tax treatment of your occupational disability insurance

Contributions to a standalone occupational disability insurance policy (SBU) can be claimed in your tax return as other retirement provision expenses. For employees, the maximum amount here is €1,900 per year, and for self-employed individuals €2,800. However, this allowance is often already used up by contributions to health and long-term care insurance. An exception is disability cover as part of a Rürup pension (basic pension); here, significantly higher deductions are possible, up to €29,344 for single people in 2025. The disability pension paid out is taxable, but only with the so-called taxable portion of the income. This is lower the later the pension starts. If your pension starts at age 55, for example, the taxable portion is around 26 per cent of this amount, which is then taxed at your personal tax rate. If your total taxable income, including the taxable portion of the disability pension, is below the basic tax-free allowance (€12,096 in 2025), no tax is due. Careful planning can reduce your tax burden when benefits are paid out.

Design your tailored cover with nextsure

Choosing the right occupational disability insurance is an important decision with long-term implications. At nextsure, we understand that everyone has individual needs and a unique life situation that must be taken into account. We help you find the occupational disability insurance that suits you best from the wide range of tariffs and terms available. Our experts analyse your situation and provide comprehensive advice on all aspects, from the optimal benefit level to the most important contractual clauses. This ensures that, if the worst comes to the worst, you are as well protected as possible and your financial future is secure. Good cover gives you the peace of mind you need for at least the next ten years.

Request an individual risk analysis now: Have your insurance situation checked free of charge and receive specific recommendations for optimisation.

FAQ

What is the difference between occupational disability and incapacity for work?

Occupational disability refers to the last occupation you held. Incapacity for work means that a person can no longer carry out any activity in the general labour market for at least three hours a day. The statutory reduced earning capacity pension is usually significantly lower than a private occupational disability pension.

What happens if I change my profession during the contract term?

As a rule, insurance cover remains in place. The last occupation carried out before the onset of incapacity for work is decisive. Notifying the insurer of a change of occupation is often useful in order to adjust contributions if necessary, should the new occupation fall into a more favourable risk group.

How long does occupational disability insurance pay out?

The occupational disability pension is paid for as long as the occupational disability continues, but no longer than until the contractually agreed retirement age (e.g. 67 years).

Can I take out disability insurance despite pre-existing conditions?

This depends on the type and severity of the pre-existing conditions. Possible outcomes are acceptance with a risk surcharge, exclusion of benefits for certain illnesses, or rejection. An anonymous pre-assessment enquiry via an adviser is recommended here.

What does abstract referral mean?

Abstract referral means that the insurer could refer you to another occupation that you could theoretically still carry out, even if you cannot find a job. Good occupational disability policies waive this clause.

Are contributions to occupational disability insurance tax-deductible?

Yes, the contributions can be claimed as other retirement provision expenses, although the maximum amount is often already used up by health and long-term care insurance contributions. The disability pension is taxed on the earnings component.

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nextsure – Your digital platform for health and protection insurance. Transparent comparisons, easy online sign-up, and personal expert support make it possible.

nextsure – Your digital platform for health and protection insurance. Transparent comparisons, easy online sign-up, and personal expert support make it possible.