SiteImpact • 2023-2024 Benefits Guide
DISABILITY INSURANCE MUTUAL OF OMAHA
You have the opportunity to purchase Short-Term and/or Long-Term Disability. These plans give you income protection in the event you are ill or injured in a non-work related injury, and can’t come to work. If you don’t enroll in Disability coverage when it’s first available, you may be required to complete and an Evidence of Insurability (EOI) form.
Short-term disability benefits
Long-term disability benefits
Elimination period
14 days
Elimination period
90 days
Weekly benefit
60% of weekly earnings
Monthly benefit
60% of monthly earnings
Maximum weekly benefit
$1,500
Maximum monthly benefit $6000
SSNRA (Social Security Normal Retirement Age)
Maximum benefit period
11 weeks
Maximum benefit period
Short Term Disability Monthly rates
Under age 25
$0.19
50-54
$0.24
25-29
$0.29
55-59
$0.25
30-34
$0.25
60-64
$0.35
35-39
$0.19
65-69
$0.28
40-44
$0.24
70+
$0.17
45-49
$0.24
Voluntary Short-Term Disability Monthly Premium Calculation Use the rates in the Age/Premium Factor Table to calculate your premium for voluntary short-term disability coverage in the worksheet below, using the example as a guide.
Example: 42-year-old employee earning $40,000 a year
$769.23
x
0.24
=
$18.46
List your weekly earnings (Maximum is $2,500)
Multiply by the premium factor
Monthly premium
15
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