Disability Reinsurance
Understanding invisible disabilities:
Beyond what meets the eye
Image of a sunflower the symbol of invisible disabilities
© mauritius images / Masterfile

Thoughts on the term “disability”

When most people hear the word disability, they often picture a wheelchair, a cane, or a designated handicap parking space. These visible markers have long shaped public perception of what it means to be disabled. But what if the challenges someone faces aren’t immediately apparent?

Invisible disabilities encompass a broad and diverse range of conditions that affect millions of people, often without any outward signs. These include, but are not limited to:

  •  Autism spectrum disorders, bipolar disorders, and other mental health conditions 
  •  Crohn’s disease and other gastrointestinal disorders
  •  Diabetes
  •  Lupus 
  •  Sleep disorders
  •  Chronic fatigue syndrome, chronic pain, and fibromyalgia

These conditions impact daily functioning, energy levels, cognitive clarity, and emotional well-being, yet they frequently go unnoticed or are misunderstood. 

Legal recognition: The ADA of 1990

Invisible disabilities are not just real; they’re legally recognized. The Americans with Disabilities Act (ADA) of 1990 protects individuals with hidden disabilities from discrimination in employment, public accommodations, and other areas of life. This means that someone with a condition such as epilepsy or post-traumatic stress disorder (PTSD) is entitled to reasonable accommodation, even if their disability isn’t visible.
Graphic image showing the difference between visible and invisible disabilities.

Invisible disabilities and insurability

Does having an invisible disability mean an individual cannot work or qualify for Disability Insurance? Not necessarily. In Disability Insurance underwriting, we see some of these conditions quite often (e.g., obstructive sleep apnea, psychiatric conditions, gastrointestinal diseases); however, having an invisible disability does not disqualify these applicants from insurance. 

Many individuals, especially those with early intervention/therapy, are stable and their conditions are well-managed on one or more medications or with the use of medical devices, allowing them to lead productive, balanced lives. Thus, carriers may want to consider whether modifications such as exclusions, extra premiums, and/or reduced benefit periods are needed to reduce risk but also offer these individuals the valuable coverage they need.

A symbol of recognition: The sunflower

To help bridge the gap between visibility and understanding, the Hidden Disabilities Sunflower was introduced in London’s Gatwick Airport in 2016 and has since gained international recognition. Wearing a sunflower lanyard or button signals that a person may need extra time, patience, or support. It’s a simple yet powerful way to foster empathy and inclusion, especially in workplaces, airports, and public venues.

Invisible disabilities in the workplace

Invisible disabilities often go unnoticed, and workplaces are no exception. Avoiding assumptions and judgments is essential. Building trust and understanding starts with taking the time to get to know each individual on a personal level and learning about the unique challenges they may face.

People living with invisible disabilities frequently bring valuable perspectives, skills, and experiences that enrich the workplace. By recognizing and celebrating these differences, organizations can foster an environment where everyone feels respected, empowered, and supported.

Final thoughts

Invisible disabilities remind us that not all differences are seen. By expanding our understanding of disability and embracing symbols like the sunflower, we can foster empathy and acceptance in every setting – at work, in public and beyond. Acknowledging invisible disabilities everywhere helps create a society where everyone feels seen, supported, and valued.

Contact the author

Jody Elmore
Jody Elmore
AVP Underwriting Risk Management
Munich Re Life US
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