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Request for Quotes

ABC with XYZ Acquisition

Page

12

of

14

Long Term Disability – Employer Paid

Elimination Period: 90 Days

Benefit: 60% up to $10,000/month

Benefit Duration: SSNRA

Own Occ: 2 years.

After 24 months, being able to work at any reasonable job. A "reasonable job" is any job for pay or profit

which you are, or may reasonably become, qualified for by education, training, or experience.

Executive LTD – Employer Paid

Eligibility – Full Time Executive employee

Elimination Period: 90 Days

Benefit: 60% up to $

15,000

/month

Benefit Duration: SSNRA

Own Occ: 2 years.

After 24 months, being able to work at any reasonable job. A "reasonable job" is any job for pay or profit

which you are, or may reasonably become, qualified for by education, training, or experience.

Short Term Disability – Employer Paid

Elimination period: 5 days disease/5 days injury – benefits start on the 6

th

day

Benefit:

100% of your Predisability Earnings for the first 56 days.

Benefit:

75% of your Predisability Earnings for the remaining 34 days.

Maximum Benefit Period 90 days