Hartford Voluntary Short Term Disability (16 States)

Group or Direct Billed

60% Wage Replacement after 7 or 14 Days Elimination Period
3 Month/12 Month Pre- Existing Conditions- Any Claims within the first 12 months of coverage will have a 3 month prior to coverage look back.

	Option 1	Option 2
Benefit Amount	60%
Max Weekly Benefit	$2,308.00
Elimination Period- Accident or Sickness	14 days	7 days
Benefit Duratio	26 Weeks
Rate Per $10 Covered Benefit
0-25	0.901	0.877
25-29	0.775	1.152
30-34	0.907	0.984
35-39	0.834	0.784
40-44	0.551	0.557
45-49	0.717	0.482
50-54	0.930	0.675
55-59	0.993	0.841
60-65	1.234	0.908
65+	1.514	1.075

45 Year Old - $50K Example - Monthly Cost	$41.37	$ 27.81

Benefit Summary

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