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LTD Insurance Worksheet
Monthly expenses you should consider
(For illustrative purposes only. This worksheet may help you decide how much coverage you need.)

Mortgage/rent$
Transportation (gas, car, payments, repairs)$
Utilities (electric, water, cable, internet)$
Insurance (health, life, car, home)$
Food & clothing (groceries, restaurants)$
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LTD Premium Calculator
1. Enter your age:
2. Enter Annual Salary:
50% Plan 40% Plan 25% Plan
Rate:
Your Monthly LTD benefit:
Your Bi-Weekly LTD cost:

Calculated premium is for illustration purposes only and is based on the age and choices selected. Eligibility for, entitlement to, and amount of actual benefits will be determined according to the terms of the policy.