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The cost of coverage depends on the amount of monthly benefit you elect and for which you are eligible. You can calculate your Maximum Monthly Benefit Amount by taking your annual salary multiplied by 60 percent; divided by 12 (months); then rounded down to the nearest $100. You may select any amount shown up to the lesser of your Maximum Monthly Benefit Amount or $5,000. You pay the full rate.
The Maximum Monthly Benefit Amount from All Sources is the most you could expect to receive from the combination of long-term disability benefits plus all other sources of deductible income, such as Social Security, employer's retirement plan, and workers' compensation.
| Maximum Monthly Benefit from All Sources | 2013 Rate per Pay Period |
|---|---|
| $ 300 | $ 1.17 |
| 350 | 1.37 |
| 400 | 1.56 |
| 450 | 1.76 |
| 500 | 1.95 |
| 550 | 2.15 |
| 600 | 2.34 |
| 650 | 2.54 |
| 700 | 2.73 |
| 750 | 2.93 |
| 800 | 3.12 |
| 850 | 3.32 |
| 900 | 3.51 |
| 950 | 3.71 |
| 1,000 | 3.90 |
| 1,100 | 4.29 |
| 1,200 | 4.68 |
| 1,300 | 5.07 |
| 1,400 | 5.46 |
| 1,500 | 5.85 |
| 1,600 | 6.24 |
| 1,700 | 6.63 |
| 1,800 | 7.02 |
| 1,900 | 7.41 |
| 2,000 | 7.80 |
| 2,100 | 8.19 |
| 2,200 | 8.58 |
| 2,300 | 8.97 |
| 2,400 | 9.36 |
| 2,500 | 9.75 |
| 2,600 | 10.14 |
| 2,700 | 10.53 |
| 2,800 | 10.92 |
| 2,900 | 11.31 |
| 3,000 | 11.70 |
| 3,100 | 12.09 |
| 3,200 | 12.48 |
| 3,300 | 12.87 |
| 3,400 | 13.26 |
| 3,500 | 13.65 |
| 3,600 | 14.04 |
| 3,700 | 14.43 |
| 3,800 | 14.82 |
| 3,900 | 15.21 |
| 4,000 | 15.60 |
| 4,100 | 15.99 |
| 4,200 | 16.38 |
| 4,300 | 16.77 |
| 4,400 | 17.16 |
| 4,500 | 17.55 |
| 4,600 | 17.94 |
| 4,700 | 18.33 |
| 4,800 | 18.72 |
| 4,900 | 19.11 |
| 5,000 | 19.50 |