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Occupational Class

Occupational class is the category assigned to an individual based on the type of work they perform and the level of risk associated with their job. Insurers use occupational classes to help determine eligibility, premium rates, and benefit levels for life, disability, and accident insurance. The classification reflects how likely a person is to experience injury, illness, or death related to their occupation.

Jobs that involve physical labor, hazardous environments, or high travel demands are usually placed in higher-risk occupational classes and therefore have higher premiums. In contrast, office-based or administrative jobs are considered lower risk and receive more favorable rates. The classification system allows insurers to maintain fairness by matching premiums to the actual exposure of risk in different professions.

Example:

An office administrator may be classified as a low-risk occupation and pay a lower disability insurance premium, while a construction worker, who faces a greater risk of injury, would fall into a higher-risk class with higher premiums for the same amount of coverage.

What to Watch For:

Be accurate when describing your job duties on an insurance application. Misrepresenting or oversimplifying your role can lead to incorrect classification and potential claim issues. If your occupation changes after you purchase coverage, notify your insurer, as your classification may affect eligibility for future claims or renewals.

Related Terms

Optional Benefit / Rider / Add-On

An optional benefit, also called a rider or add-on, is an additional feature that can be purchased to enhance your existing health, dental, life, or disability insurance plan. Optional benefits allow you to customize coverage by adding protection that suits your personal needs, rather than relying only on the base plan design.

Oral Surgery

Oral surgery refers to surgical procedures performed in or around the mouth and jaw by a licensed dentist, oral surgeon, or maxillofacial specialist. It includes both minor procedures, such as tooth extractions, and more complex surgeries involving the jawbone, soft tissue, or dental implants.

Orthodontics

Orthodontics covers the cost of correcting tooth alignment and jaw positioning using braces or aligners. In individual and group dental plans, orthodontic benefits are usually separate from preventive and restorative coverage. Most plans apply a lifetime maximum and a waiting period before orthodontic treatment is eligible.

Orthopedic Shoes / Custom Orthotics

Orthopedic shoes and custom orthotics are specialized footwear and inserts designed to support proper alignment, relieve pain, and improve mobility for individuals with foot, leg, or posture-related conditions. These items are often prescribed to correct biomechanical issues, provide additional cushioning, or accommodate deformities caused by medical conditions such as arthritis, diabetes, or plantar fasciitis.

Overall Plan Maximum

An overall plan maximum is the total amount your health and dental plan will pay for all combined benefits within a single policy year. Once the limit is reached, you must pay any additional expenses out of pocket until the next renewal period.

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