www.reliancematrix.com Plan Highlights The Life is Good Company The benefit amount is equal to 60% of your weekly covered earnings, to a maximum benefit of $1,200 per week. To calculate your weekly payroll deduction, use the formula indicated below: 1. Enter your Weekly Earnings, not to exceed $2,000. 1. $ Rate per $10 benefit $0.46 2. Multiply the amount on Line 1 by 0.60. 2. $ 3. Multiply the amount on Line 2 by $0.46. 3. $ 4. Divide the amount on Line 3 by 10 and enter the amount on Line 4 to get your monthly payroll deduction. 4. $ 5. Multiply the amount on Line 4 by 12, then Divide by 52 to get your weekly payroll deduction. 5. $ Example Calculation: 1. Enter your Weekly Earnings, not to exceed $2,000. 1. $ 400 2. Multiply the amount on Line 1 by 0.60. 2. $ 240 (maximum weekly benefit) 3. Multiply the amount on Line 2 by $0.46. 3. $ 110.40 4. Divide the amount on Line 3 by 10 and enter the amount on Line 4 to get your monthly payroll deduction. 4. $ 11.04 (monthly payroll deduction) 5. Multiply the amount on Line 4 by 12, then Divide by 52 to get your weekly payroll deduction. 5. $ 2.55 (weekly payroll deduction) Group Short Term Disability Insurance
Group Short Term Disability Insurance Plan Highlights Page 1 