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11

Age Band

Employee/Spouse

Rate per $1,000 of

Coverage

Under 30

$0.04

30-34

$0.05

35-39

$0.06

40-44

$0.10

45-49

$0.15

50-54

$0.24

55-59

$0.39

60-64

$0.56

65-69

$0.90

70+

$1.70

AD&D

$0.02

Child Life

$0.27

VOLUNTARY SHORT-TERM DISABILITY

Short-Term Disability is intended to protect your income for a short duration in case you become ill or injured. After a 7

day waiting period for an illness or injury, you are eligible to receive 60% of your weekly income to a maximum of $1,500

per week through Mutual of Omaha. The maximum benefit period is

25 weeks. (The weekly

income benefit is subject

to a 3/6 pre-existing

condition limitation.) The

rate for this benefit is

based on your age.

Rates will vary by age. Please refer to the charts below. Rates for spousal coverage are based on the employee’s age.

$50,000

Elected

Coverage

÷ 1,000 =

50

Units

X

$0.12 Rate

* See Note

=

$6.00

Monthly Cost

*The premium calculation is based upon the life rate for an employee

age 45 and incudes the AD&D rate of $0.02.

HOW TO CALCULATE

VOLUNTARY PREMIUM

Age Band

Employee

Rate per $10 of Weekly

Benefit

Under 45

$0.53

45-49

$0.55

50-54

$0.65

55-59

$0.87

60-64

$1.00

65+

$1.03

$700

Weekly

Earnings

X 60% =

$420

X

$0.53

Rate

=

$22.26

Monthly

Cost

/10

*The premium calculation is based upon an employee aged

40 with an annual salary of $36,400.

HOW TO CALCULATE

VOLUNTARY PREMIUM

The below services are offered through Mutual of

Omaha with both basic and voluntary life/AD&D

plans.

Will Preparation

Here’s how it works...

Log on to

willing.com/mutualofomaha

Answer simple multiple choice questions on your

computer or smartphone

Download and print any document instantly

Update your information with any major life

change, i.e., marriage, divorce, birth of a child

24 Hour Grief Counseling Assistance

For confidential assistance coping with grief and loss, you can reach a knowledgeable and understanding counselor,

24 hours a day, seven days a week at 1-800-238-1439.

Additional Services Offered by

Mutual of Omaha