Incapacity
Unable to work (or meet earnings) as defined by the policy — close cousin to disability .
Ladder step 4: What the policy pays on — Which policy test applies at your claim stage?
This is
- Common label in SA group income protection policies
- Often tied to Date of Absence and waiting period
This is not
- Any day you feel too ill to attend
- Automatic because HR accepted a sick note
ClaimBuddy resources
Cross-links to Clinical Atlas, glossary, traps, and policy terms — hover for a quick summary.
How do you know?
Practical signs that this term applies to your situation — not legal advice.
- You cannot perform material duties of your occupation — not merely feeling unwell.
- Absence or earnings drop is consistent with that inability, not convenience.
- Medical support links health to work incapacity (not only 'patient is sick').
- The day core duties became impossible is usually your Date of Absence.
What triggers it?
Events or thresholds that typically activate this concept in a claim.
- Stopping work or dropping below policy earnings threshold because of health.
- Doctor certifying inability to perform your occupation — exact wording matters.
- Employer recording formal absence from material duties.
- Waiting period clock starting from DOA or first continuous day of incapacity.
- Insurer claim form asking for 'date incapacity commenced'.
Check yourself
Highlighted words link to language-map explainers.
- Can I still do the core tasks that define my role — or only attend in name?
- Is my absence continuous, or did a return to light duties reset the waiting period ?
- Does my certificate say unfit for my occupation — or only generic sick leave ?
- Is my DOA the first symptom day, first sick note , or when duties actually stopped?
Date ladder
These dates are rarely the same day — capture each one separately in ClaimBuddy.
- Symptom onset When you first felt unwell — usually not your DOA
- Stopped performing duties When core tasks became impossible — often your DOA
- First sick note May be days after DOA; insurers may argue earlier or later
- First notice to employer/insurer Separate date insurers track for notice clauses
- Waiting period satisfied Continuous incapacity from DOA through deferred period
How this links to other terms
HR sick leave ≠ policy incapacity — employers and insurers use different tests.
Illness describes health; incapacity is when health stops you working under policy rules.
Duty-impact evidence bridges medical facts to incapacity.
DOA usually marks when incapacity began for benefit purposes.
Sustained incapacity through the policy test period supports a disability finding.
Continuous incapacity must run across the full waiting period.
Incapacity means inability to perform these — not your job title.
Evidence
Policy definition, chronology, employer statement, medical records
Often mixed with
Confusion drill-downs
Side-by-side guides for pairs people mix up with Incapacity.
Incapacity for policy purposes may start when you cannot perform material duties , not first mild symptoms .