Disability Plans
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Member Services: (877) 367-7781
| PLAN DOCUMENTS | |||
| Short-Term Disability | Long-Term Disability | Long-Term Disability Buy Up | |
| Benefit Summary | download (CA Eng) download (Non-CA Eng) download (CA Sp) download (Non-CA Sp) |
download (CA Eng) download (Non-CA Eng) download (CA Sp) download (Non-CA Sp) |
download (Eng) download (Sp) |
| Rate Sheet | download (CA Eng) download (Non-CA Eng) download (CA Sp) download (Non-CA Sp) |
download (Eng) download (Sp) |
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| Contract | download (CA) download (Non-CA) |
download (All Employees) | |
| PLAN COSTS | |||
| Employee only | See Below | company paid | See Below |
| VOLUNTARY SHORT TERM DISABILITY PLAN COSTS | SUPPLEMENTAL LONG TERM DISABILITY BUY UP PLAN COSTS | ||
| Age | CA Monthly cost Per $10 Benefit | Non-CA Monthly cost Per $10 Benefit | Monthly cost Per $100 Benefit |
| Age 0-24 | $1.050 | $0.760 | $0.034 |
| Age 25-29 | $1.115 | $0.760 | $0.053 |
| Age 30-34 | $0.900 | $0.620 | $0.092 |
| Age 35-39 | $0.800 | $0.550 | $0.167 |
| Age 40-44 | $0.900 | $0.550 | $0.290 |
| Age 45-49 | $1.050 | $0.620 | $0.449 |
| Age 50-54 | $1.150 | $0.590 | $0.751 |
| Age 55-59 | $1.650 | $0.730 | $1.185 |
| Age 60-64 | $2.100 | $0.910 | $0.884 |
| Age 65-69 | $3.100 | $1.350 | $0.402 |
| Age 70-74 | $3.100 | $1.790 | $0.261 |
| Age 75+ | $3.100 | $1.709 | $0.258 |
Carrier Forms and Flyers
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Benefits Service Center
If you have questions or need additional information feel free to contact the Benefit Service Center. Click below to get in touch.
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