SHORT-TERM DISABILITY PREMIUMS Sample rates only. Multiple choices and options available and rates may vary. On/Off-Job Accident and On/Off-Job Sickness with Mental or Nervous Benefit Monthly Benefit Amount
Elimination Period
Pay Premium
First 3 Months
Next 9 Months
Units
$400.00 $600.00 $800.00 $1,000.00 $1,500.00 $2,000.00 $2,500.00 $3,000.00 $3,500.00 $3,900.00
$200.00 $300.00 $400.00 $500.00 $750.00 $1,000.00 $1,250.00 $1,500.00 $1,750.00 $1,950.00
4 6 8 10 15 20 25 30 35 39
12-Pay Premium 12-Pay Premium 12-Pay Premium 12-Pay Premium 12-Pay Premium 12-Pay Premium 12-Pay Premium 12-Pay Premium 12-Pay Premium 12-Pay Premium
0/7
0/14
14/14
$22.70 $29.10 $35.50 $41.90 $57.90 $73.90 $89.90 $105.90 $121.90 $134.70
$19.50 $24.30 $29.10 $33.90 $45.90 $57.90 $69.90 $81.90 $93.90 $103.50
$18.70 $23.10 $27.50 $31.90 $42.90 $53.90 $64.90 $75.90 $86.90 $95.70
Monthly Disability Benefit
To Provide 60% Monthly Disability Benefit
Percent of Income Coverage
$400.00 $600.00 $800.00 $1,000.00 $1,200.00 $1,500.00 $2,000.00 $2,500.00 $3,000.00 $3,500.00 $4,000.00 $4,500.00 $5,000.00
$8,000 - $9,999.99 $12,000 - $13,999.99 $16,000 - $17,999.99 $20,000 - $21,999.99 $24,000 - $25,999.99 $30,000 - $31,999.99 $40,000 - $41,999.99 $50,000 - $51,999.99 $60,000 - $61,999.99 $78,000 - $82,799.99 $102,000 - $106,799.99 $126,000 - $130,799.99 $150,000 and above
60% 60% 60% 60% 60% 60% 60% 60% 60% 53.85% 47.06% 42.86% 40%
Sample rates only. Multiple choices and options available and rates may vary.
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