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Calculate Your Monthly Premium Costs and Potential Benefits
Supplemental Disability & Supplemental Life Insurance Plans

Supplemental Disability Insurance

  • Premium: Based on regular Full-time equivalent covered compensation (regardless of part-time status). Does not include overtime pay, Health Sciences Compensation (HSC), etc.
  • Benefits: Temporary Component (first 12 months) Generally, this plan will provide a 70% disability income benefit ($10,000/month maximum) or will supplement other disability income to 70%.  Benefit is based on actual earnings during the month prior to becoming disabled.
  • Benefits: Long-term Component (begins with 13th month) 50% benefit ($10,000/month maximum) continues to supplement other income to 70%.
  • Eligible Family Members: Employee only.

Supplemental Life Insurance

  • Premium: Based upon Full-time annual salary rate (rounded to next highest 1,000).
  • Proceeds: Based upon Full-time annual salary rate (regardless of part-time status).
  • Eligible Family Members: Employee only.

Basic Dependent Life

  • Provides coverage for all eligible family members: Spouse/Domestic Partner, Eligible Child(ren).
  • Eligibility is determined upon a family member's death.
  • See Your Group Insurance Plans booklet to confirm family member eligibility.

Expanded Dependent Life

  • Coverage for Spouse/Domestic Partner (only) or coverage for Eligible Child(ren) (only) or coverage for Family (includes both Spouse/Domestic Partner and Eligible Child(ren).
  • Eligibility is determined upon a family member's death.
  • See Your Group Insurance Plans booklet to confirm family member eligibility.

Related Resources

Your Group Insurance Plans booklet

Supplemental Disability Summary Plan Description

Supplemental Life Summary Plan Description

Statement of Health Application Instructions


Name (Optional)
Age
(18 years or older)
Fulltime Monthly Covered Salary
Percent of Your Appointment
(between 50 and 100)