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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 Insurance Worksheet
Monthly expenses you should consider
(For illustrative purposes only. This worksheet may help you decide how much coverage you need.)
Education (tuition, books, supplies)
$
Loans/credit card debt
$
Child care/elder care
$
Savings contributions (retirement)
$
Medical costs (doctor copays, medications)
$
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> Next >
LTD Insurance Worksheet
Monthly expenses you should consider
(For illustrative purposes only. This worksheet may help you decide how much coverage you need.)
Total monthly expenses
$0.00
Current monthly income (after taxes)
$
Total monthly income if disabled
$
Less total monthly expenses (from above)
-
$0.00
Monthly surplus or shortfall
$0.00
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LTD Insurance Calculator
Premium Calculator
Income Level:
90 Days
180 Days
Under $50,000
$13 / pay period
N/A
$50,000-$64,999
$27 / pay period
$23 / pay period
$65,000-$94,999
$33 / pay period
$29 / pay period
$95,000 & Above
$37 / pay period
$32 / pay period
Enter Gross Annual Salary:
$
Choose an Elimination Period:
90 Days
180 Days
Your Monthly LTD Benefit (50% Integrated):
Your LTD Cost Per Pay Period:
* Requires Evidence of Insurability
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.
