Rate Sheet Long Term Disability Annual Earnings $3,600
Plan A Monthly Earnings $300
Accident/Sickness Elimination period in days Monthly Benefit $200
$5,400 $7,200 $9,000 $10,800 $12,600 $14,400
$450 $600 $750 $900 $1,050 $1,200
$300 $400 $500 $600 $700 $800
$16,200 $18,000 $19,800 $21,600 $23,400 $25,200
$1,350 $1,500 $1,650 $1,800 $1,950 $2,100
$900 $1,000 $1,100 $1,200 $1,300 $1,400
Annual Earnings $3,600 $5,400
Plan B Monthly Earnings $300 $450
Monthly Benefit $200 $300
$7,200 $9,000
$600 $750
$400 $500
$10,800 $12,600
$900 $1,050
$600 $700
$14,400 $16,200 $18,000 $19,800 $21,600 $23,400 $25,200
$1,200 $1,350 $1,500 $1,650 $1,800 $1,950 $2,100
$800 $900 $1,000 $1,100 $1,200 $1,300 $1,400
0/7
14/14
30/30
60/60
90/90
180/180
$6.06 $9.09 $12.12 $15.15 $18.18 $21.21 $24.24 $27.27 $30.30 $33.33 $36.36 $39.39 $42.42
$4.84 $7.26 $9.68 $12.10 $14.52 $16.94 $19.36 $21.78 $24.20 $26.62 $29.04 $31.46 $33.88
$4.00 $6.00 $8.00 $10.00 $12.00 $14.00 $16.00 $18.00 $20.00 $22.00 $24.00 $26.00 $28.00
$2.74 $4.11 $5.48 $6.85 $8.22 $9.59 $10.96 $12.33 $13.70 $15.07 $16.44 $17.81 $19.18
$2.36 $3.54 $4.72 $5.90 $7.08 $8.26 $9.44 $10.62 $11.80 $12.98 $14.16 $15.34 $16.52
$1.82 $2.73 $3.64 $4.55 $5.46 $6.37 $7.28 $8.19 $9.10 $10.01 $10.92 $11.83 $12.74
Accident/Sickness Elimination period in days 0/7
14/14
30/30
60/60
90/90
180/180
$4.66 $6.99 $9.32 $11.65 $13.98 $16.31 $18.64 $20.97 $23.30 $25.63 $27.96 $30.29 $32.62
$3.58 $5.37 $7.16 $8.95 $10.74 $12.53 $14.32 $16.11 $17.90 $19.69 $21.48 $23.27 $25.06
$2.66 $3.99 $5.32 $6.65 $7.98 $9.31 $10.64 $11.97 $13.30 $14.63 $15.96 $17.29 $18.62
$1.54 $2.31 $3.08 $3.85 $4.62 $5.39 $6.16 $6.93 $7.70 $8.47 $9.24 $10.01 $10.78
$1.20 $1.80 $2.40 $3.00 $3.60 $4.20 $4.80 $5.40 $6.00 $6.60 $7.20 $7.80 $8.40
$0.84 $1.26 $1.68 $2.10 $2.52 $2.94 $3.36 $3.78 $4.20 $4.62 $5.04 $5.46 $5.88
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