Solico,Wesgarde, HMI Benefit Guide 2017

SHORT AND LONG TERM DISABILITY INSURANCE

SHORT TERM DISABILITY The Company provides short term disability insurance to all active full time employees, at no cost to you! The chart below provides an overview of the plan.

Short Term Disability

Mutual Of Omaha

Benefit Percentage

66 ⅔ %

Maximum Weekly Benefit

$500

30 th day Accident 30 th day Sickness

Elimination Period

Duration of Benefit

22 weeks

VOLUNTARY LONG TERM DISABILITY The Company provides all active employees working 30 or more hours per week the option to purchase voluntary long term disability coverage through a group plan. The chart below provides an overview of the plan.

Long Term Disability

Mutual Of Omaha

Benefit % of Monthly Covered Payroll

60%

Monthly Maximum

$5,000

Elimination Period

180 days

Benefit Duration

Normal Social Security Retirement Age (to age 65)

VOLUNTARY LONG-TERM DISABILITY Rates per $100 of benefit

<25

$0.879

PREMIUM CALCULATION

25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69

$0.08 $0.10 $0.16 $0.29 $0.44 $0.61 $0.71 $0.75 $0.79 $0.79

Monthly Pay

$__________ / 100.00 = $________

Rate per $100.00 (See Chart)

x _________

X 12______ / 26 _______

Bi-Weekly Premium

$____________

70+

10

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