What is occupational disability insurance

Basic Ability Insurance: Your financial safeguard against the loss of fundamental skills

18 Apr 2025

11

Minutes

Katrin Straub

CEO at nextsure

The loss of a basic ability can change life overnight and lead to significant financial losses. A basic ability insurance provides important financial support in these cases. Learn how this insurance works and who it is particularly beneficial for.

The topic in brief and concise terms

The basic disability insurance provides a monthly pension in the event of the loss of defined essential abilities, regardless of professional occupation.

It is an important insurance option, especially for those who are physically active, self-employed, or have pre-existing conditions.

Pay attention to clear definitions of skills, an adequate pension amount (around 80% of net income), and a guarantee of subsequent insurance.

Understanding Essential Ability Insurance: Focus on Basic Coverage

The basic skills insurance (GFV) provides an agreed monthly pension. This happens if you lose one or more defined basic skills.

These skills are often divided into categories. The loss of just one skill from the most important category usually results in a payout.

Causes can include accidents, illnesses, or a general decline in strength. The ability to work does not affect the entitlement. Many policies already pay out if the impairment is expected to last six months.

The basic skills insurance as coverage has been available on the German market since the year 2000.

This coverage is particularly worth considering for people in physically demanding professions. Learn more about income protection through insurance.

Expanding the range of services: Which skills are specifically insured?

Insurers define insured fundamental abilities in so-called ability catalogues. These are often divided into up to three categories.

Typical basic abilities in the first category include seeing, speaking, and the use of hands.

Other catalogues include abilities such as walking, climbing stairs, hearing, sitting, kneeling, and bending or driving a car.

Pay attention to the precise definition: for instance, does one need to be able to walk a distance of 400 metres without stopping, or is it only 200 metres?

Some policies also cover the loss of balance or cognitive abilities. This includes orientation and memory.

Mental illnesses such as severe depression or schizophrenia are only included in a few high-performance policies.

The exact conditions under which an ability is considered lost vary greatly. A comparison of the fundamental abilities insurance vs. occupational disability insurance is therefore advisable.

Here is an exemplary list of frequently insured fundamental abilities:

  • Seeing (e.g., residual vision under five percent in both eyes)

  • Speaking (e.g., inability to articulate understandable words)

  • Hearing (e.g., deafness or severely limited hearing ability)

  • Use of hands (e.g., inability to open a bottle)

  • Walking (e.g., unable to cover 400 metres without aids and pause)

  • Climbing stairs (e.g., inability to climb twelve steps without holding on)

  • Kneeling or bending

  • Driving (often as an additional component)

The precise configuration of these ability catalogues is crucial for the subsequent claim entitlement.

Case studies illuminate: When and how does the basic abilities insurance provide coverage?

A craftsman with severe osteoarthritis in his hands can no longer perform his precise tasks. He loses the ability to grip.

The fundamental skills insurance pays the agreed pension. This is because "gripping" is an insured skill. This applies even if he could theoretically still work as a consultant.

A photographer suffers a vision loss to below five percent. She can no longer practice her profession.

Here too, the fundamental skills insurance provides benefits due to the loss of the basic skill "seeing". The benefit case occurs regardless of whether the insured person can still work or not.

An IT consultant can no longer stand pain-free or climb stairs after a herniated disc. Two insured basic skills are affected.

The insurance pays as long as the restriction exists. This is valid until the agreed contract end at most. For self-employed individuals, the fundamental skills insurance can be an important protection.

Calculate costs: What contributions should you expect?

The cost of a basic abilities insurance policy varies significantly. It depends on several factors.

These include age at entry, health status, occupation, desired pension amount, and contract duration.

A thirty-year-old office clerk pays approximately 48 to 55 euros for a monthly pension of 1,500 euros with basic coverage. For premium tariffs, it may be 100 to 180 euros.

Young, healthy individuals in low-risk jobs can find tariffs starting at about 25 euros monthly.

A self-employed roofer (40 years old) can expect to pay between 100 and 200 euros monthly for a pension of 2,650 euros.

The recommended pension amount is about 75 percent of net income. A thorough comparison of basic abilities insurance is essential.

Factors influencing the premium amount:

  1. Age at entry: Younger policyholders usually pay lower premiums.

  2. Health status: Pre-existing conditions may lead to risk surcharges.

  3. Occupation: Physically demanding jobs often have higher premiums.

  4. Insured pension amount: A higher pension means higher premiums.

  5. Contract duration: Longer durations can affect the premiums.

  6. Scope of insured abilities: More insured abilities or more generous definitions increase the cost.

  7. Additional components: Options like a disability clause or mental health components cost extra.

A careful analysis of individual needs helps to find suitable and affordable protection.

Harness expert knowledge: Keep an eye on recent judgments and clauses

A ruling by the Federal Court of Justice (BGH) on the eleventh of December 2024 (Case No. IV ZR 498/21) sparked discussions.

The BGH stated that § 177 VVG might not be applicable to disability insurance.

Theoretically, this could mean that insurers could terminate or limit benefits in an orderly manner. However, no insurer has yet attempted to apply this in practice.

Many experts and insurers continue to classify disability insurance as a type of life insurance. This would preclude such termination.

It is important to thoroughly examine the disadvantages and clauses of disability insurance. Pay attention to any potential disability clause (AU clause). This can provide benefits after just six months of sick leave.

Optimising Tax Aspects: Deduct Contributions to Basic Disability Insurance

Contributions to the basic ability insurance can be claimed as pension expenses in the tax return under certain conditions.

They are considered special expenses according to § 10 EStG.

The maximum amount for other pension expenses is 1,900 euros for employees. For self-employed individuals, it is 2,800 euros per year.

This maximum amount is often already exhausted by contributions to health and long-term care insurance.

Pensions paid out from the basic ability insurance are generally tax-free.

A thorough examination of your basic ability insurance in the tax return is recommended. For details, it's best to consult a tax advisor.

Preparing for Completion: Important Tips for Your Basic Skills Insurance

Before finalising a basic capabilities insurance, you should verify thoroughly. Which abilities are essential for your profession and everyday life?

Define an adequately high pension amount. Ideally, it should be eighty per cent of your net income.

Ensure customer-friendly definitions of capabilities. A short prognosis period (e.g., six months) is advantageous.

An additional insurance guarantee allows for later adjustments without a repeat health check.

Always answer health questions truthfully. This is crucial to not jeopardise your insurance cover.

Carefully compare the conditions of various providers. There are no unified standards.

Consider whether additional modules are wise. Examples include mental illnesses or a disability benefit.

Also clarify what options are available for cancelling the basic capabilities insurance.

Checklist before signing the contract:

  • Which specific capabilities are essential for me?

  • How high should my monthly pension be (at least eighty per cent of net income)?

  • Is cover guaranteed until the standard retirement age (e.g., 67 years)?

  • Are the definitions of benefits triggers clear and understandable?

  • Is there an additional insurance guarantee for future adjustments?

  • What benefit exclusions exist (e.g., for certain pre-existing conditions or engaging in specific extreme sports)?

  • Is there a dynamic adjustment for inflation included?

  • Is there an option to switch later to an occupational disability insurance, if relevant (e.g., for young people or children)?

Comprehensive advice can help to clarify these points and find the optimal protection.

Target Audience in Focus: Who is the Basic Ability Insurance Particularly Suitable For?


Request a risk analysis: Your path to tailored protection


FAQ

What exactly is meant by a basic ability insurance?

A basic skills insurance is a risk insurance that pays a monthly pension if you lose one or more of the basic physical or mental abilities defined in the contract (e.g., seeing, walking, speaking) due to illness, accident, or deterioration for a specific period (usually at least six months).

What should the pension be for a basic ability insurance?

Experts recommend a pension level of around seventy-five to eighty percent of your current net income to cover ongoing expenses and ideally also contributions to retirement savings.

Are mental illnesses covered in the basic capabilities insurance?

Mental illnesses such as depression or burnout are usually not covered or only very limitedly so (e.g., in severe cases like schizophrenia) in basic tariffs. However, some providers offer additional modules for mental ailments.

What happens if I lose an insured fundamental ability, but can still work?

The basic ability insurance pays the agreed pension even if you can continue to pursue your profession despite the loss of an insured ability. The benefit is not linked to occupational disability.

Is there a medical examination when taking out basic ability insurance?

Yes, before taking out a basic abilities insurance, health questions need to be answered. These are often less strict than those for an occupational disability insurance, but truthful information is crucial for future entitlement to benefits.

Can I also take out a basic disability insurance for my child?

Yes, many insurers also offer basic ability insurance for children, sometimes from the age of six months or five years. These can often be converted into occupational disability insurance later without a new health check.

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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.