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1 <br /> • • • • �w!SII s • <br /> Short Term Disability - Cigna ir Cigna <br /> What is Short Term Disability Insurance? <br /> Short Term Disability Insurance helps protect your income for a short duration. If you become disabled and <br /> are unable to work, disability insurance can help replace some of your lost income, help you pay bills and <br /> protect your long-term savings. <br /> Employees are eligible to receive short-term disability (STD) benefits for a qualified non-work illness or injury <br /> after being continuously disabled through your elected elimination period. This plan will pay 66.67% of your <br /> weekly salary but no more than$2,000(in$100 increments) per week. <br /> If you are not in active employment due to injury or sickness, or if you are on a covered layoff or leave of <br /> absence, any increased or additional coverage will begin on the date you return to active employment. <br /> Option 1: Benefit Waiting Period Maximum Benefit Period <br /> 0 Days for Accident 13 Weeks for Accident <br /> 7 day waiting period 7 Days for Sickness 12 Weeks for Sickness <br /> [Age 1 <24 25-29 30-34 35-39 40-44 45-49 50-54 <br /> [Semi-Monthly Rate Per$100 E $2 73 1,$2.94 $2.59 = $2.05 '.r $2.01 i $1.95 ! I <br /> $2.32 <br /> Ai g <br /> e 1 55-59 60-64 65-99 <br /> emi-Monthly Rate Per$100 $3.28 ' $3.99 ! $4.33 <br /> Option 2: Benefit Waiting Period Maximum Benefit Period <br /> 14 Days for Accident 11 Weeks for Accident <br /> 14 day waiting period 14 Days for Sickness 11 Weeks for Sickness <br /> Age 1 <24 25-29 30-34 35-39 40-44 45-49 50-54 <br /> r <br /> [Semi-Monthly Rate Per$100--II $2.49 $2.76 ,! $2.29 $1.84 � $.1.67 i $1.67 � $2.01 <br /> Age 1 55-59 60-64 65-99 <br /> (Semi-Monthly Rate Per-$100 i' $2.59 $3.14-1-- $3.58 1 <br /> Option 3: Benefit Waiting Period Maximum Benefit Period <br /> 30 Days for Accident 9 Weeks for Accident <br /> 30 day waiting period 30 Days for Sickness 9 Weeks for Sickness <br /> ;Age <24 25-29 30-34 35-39 40-44 45-49 50-54 <br /> i Per Pay Rate Per$100 r $1.64 ' $2.01 $1.64 ' $1.40 -1' $1.30 _F $1.40 $1.81 i <br /> Age 55-59 60-64 65-99 <br /> rSemi-Monthly Rate Per$100 $2.25 $2.59 $2.70 <br /> How to Calculate Your Semi-Monthly Cost: <br /> Step 1: Use the chart above to find your monthly rate based on age. Multiply this rate by your gross weekly <br /> benefit. <br /> Step 2: Divide the total by 100. The result is your semi-monthly cost. <br /> Calculate Your Cost <br /> x /no = <br /> Semi-Monthly Rate Gross Weekly Benefit Semi-Monthly Cost 59 <br /> 24 <br />