2020 Employee Benefits Guide 2020 Employee Benefits Guide | Page 37

APPENDIX B - 2020 Rates Short Term Disability

Option 3 : Your weekly Short Term Disability benefit will be 60 % of your weekly pre-disability earnings , up to a maximum of $ 1,250 , less deductible sources of income . No medical questions asked - if enrolling when first eligible .*
" How much does STD insurance cost ?"
Use the chart below to find the cost of STD insurance . If your salary is not noted , follow the steps below . Your maximum weekly benefit amount is up to $ 1,250 . All salaries of $ 108,333 and above have a bi-weekly cost of $ 22.50 .
Short Term Disability - Employee Bi-Weekly Cost per Coverage Amount
Annual Income
Weekly Benefit
STD Cost
Annual Income
Weekly Benefit
STD Cost
$ 12,000
$ 138.46
$ 2.49
$ 55,000
$ 634.62
$ 11.42
$ 13,000
$ 150.00
$ 2.70
$ 60,000
$ 692.31
$ 12.46
$ 14,000
$ 161.54
$ 2.91
$ 65,000
$ 750.00
$ 13.50
$ 15,000
$ 173.08
$ 3.12
$ 70,000
$ 807.69
$ 14.54
$ 20,000
$ 230.77
$ 4.15
$ 75,000
$ 865.38
$ 15.58
$ 25,000
$ 288.46
$ 5.19
$ 80,000
$ 923.08
$ 16.62
$ 30,000
$ 346.15
$ 6.23
$ 85,000
$ 980.77
$ 17.65
$ 35,000
$ 403.85
$ 7.27
$ 90,000
$ 1,038.46
$ 18.69
$ 40,000
$ 461.54
$ 8.31
$ 95,000
$ 1,096.15
$ 19.73
$ 45,000
$ 519.23
$ 9.35
$ 100,000
$ 1,153.85
$ 20.77
$ 50,000
$ 576.92
$ 10.38
$ 108,333
$ 1,250.00
$ 22.50
Rates may change if plan experience requires a change for all insureds .
How to Calculate Your Total STD Bi-Weekly Cost
Step 1 Indicate your weekly earnings . =$ Step 2 Multiply your weekly earnings by 60 %. = $
Step 3
Step 4
Step 5
If the amount in Step 2 is greater than $ 1,250 , indicate $ 1,250 . Otherwise , indicate the amount from Step 2 .
Multiply the amount in Step 3 by the rate of $ 0.039 to obtain your total STD monthly cost .
Multiply the amount in Step 4 by 12 and divide by 26 to obtain your total STD bi-weekly cost .
=$
=$
=$

Injury / Accident premiums

MODE EE EE + SP EE + CH F
Bi-Weekly Monthly
$ 5.50 $ 10.04 $ 10.88 $ 13.18 $ 11.92 $ 21.72 $ 23.55 $ 28.52
EE = Employee ; EE + SP = Employee + Spouse ; EE + CH = Employee + Child ( ren ); and F = Family Issue Ages : 18 and over if Actively at Work
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