SHORT TERM DISABILITY
The plan provides for short-term income continuation if you become disabled due to non-occupational injury or sickness. Benefits commence the 15 th day after the onset of an illness or injury. Your benefit will be 50% of your basic weekly salary to a max of $800. The maximum duration is 11 weeks. Short Term Disability is paid for 100% by Mezrah Consulting.
LONG TERM DISABILITY
The plan provides for long-term income continuation if you become disabled and cannot perform some of the material duties of your regular occupation on a full-time basis subject to certain conditions and limitations. Please refer to the plan document for further details. Benefits commence after three months after the onset of the disability. The benefit is 60% of your basic monthly earnings to a monthly maximum of $6,000. If elected, the employee pays 100% of the Long-Term Disability premium.
VOLUNTARY LONG-TERM DISABILITY
Age
Rate
<20
$ .08
PREMIUM CALCULATION
25-29
$ .10
30-34
$ .15
Monthly Pay
$__________
35-39
$ .21
/ 100.00
40-44
$ .43
= $________
45-49
$ .56
Rate per $100 (Insert your rate based off table to the left) x __
50-54
$ .81
___
55-59
$ .80
X 12______
60-64
$ .76
/ 24 ___
65-69
$ .88
Per Pay Premium =$___________
70+
$ .88
8
Made with FlippingBook - Online catalogs