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Voluntary Short Term Disability

VOLUNTARY SHORT-TERM DISABILITY INSURANCE

Short-Term Disability (STD) coverage can protect your income in case

of a short-term injury or illness. This coverage is provided by Guardian.

Employees are responsible for the premium for this benefit.

Your STD benefit cannot exceed 60% of your basic weekly earnings not

to exceed a maximum of $1,000 per week. STD benefits start on the

fourteenth day of an injury or sickness and may continue for up to 11

weeks.

If you have been treated by a physician or taken medication for a

condition in the last 3 months

,

the plan will not provide coverage for

that condition for the first 12 months you are covered. (New Enrollees

Only)

Customer Service: (888)600-1600

Websites:

www.glic.com

Group Number: 0478539

Sample Premium Cost for Short-Term Disability

Annual Earnings Weekly Pay

STD Benefit

Rate/$10

Monthly

Weekly

Bi-Weekly

$20,000

$384.62

$230.77

$0.39

$9.00

$2.08

$4.15

$25,000

$480.77

$288.46

$0.39

$11.25

$2.60

$5.19

$30,000

$576.92

$346.15

$0.39

$13.50

$3.12

$6.23

$35,000

$673.08

$403.85

$0.39

$15.75

$3.63

$7.27

$40,000

$769.23

$461.54

$0.39

$18.00

$4.15

$8.31

$45,000

$865.38

$519.23

$0.39

$20.25

$4.67

$9.35

$50,000

$961.54

$576.92

$0.39

$22.50

$5.19

$10.38

$55,000

$1,057.69

$634.62

$0.39

$24.75

$5.71

$11.42

X

0.60

=

÷

$10

=

X

$0.39

=

Weekly

Pay

60%

Benefit

Weekly

Benefit

Rate Per

Number

of Units

Rate

Monthly Rate