Page 5 - MOMS NEW ALLSTATE GROUP VOLUNTARY BENEFITS

Group Voluntary Disability Income (Virginia)
Product Illustration

Benefit Period: 3 Months Accident Elimination Period: 7 days
Portability: Yes Sickness Elimination Period: 7 days
Premium Mode: Bi‐Weekly
Mental and Nervous Disorders Covered: Yes
Rate Class: Preferred Platinum
Additional Riders:
On‐the‐Job Accident Disability Rider, FMLA (25% of Monthly benefit) & Doula Services Rider ($250)
Issue Ages

Or Your Hourly Wage Is At Then This Is Your
If Your Annual Salary Is At Least This Much (based on Maximum Monthly 18‐49 50‐59 60‐64 65‐69 70 +
Least This Much
40 hours/week) Benefit Amount
$8,000.00 $3.85 $400.00 $6.84 $7.94 $9.42 $10.20 $10.70
$10,000.00 $4.81 $500.00 $8.38 $9.76 $11.60 $12.58 $13.20
$12,000.00 $5.77 $600.00 $9.90 $11.56 $13.78 $14.96 $15.70
$14,000.00 $6.73 $700.00 $11.44 $13.38 $15.94 $17.34 $18.18
$16,000.00 $7.69 $800.00 $12.98 $15.18 $18.12 $19.72 $20.68
$18,000.00 $8.65 $900.00 $14.50 $17.00 $20.30 $22.08 $23.18
$20,000.00 $9.62 $1,000.00 $16.04 $18.82 $22.48 $24.46 $25.68
$22,000.00 $10.58 $1,100.00 $17.58 $20.62 $24.66 $26.84 $28.18
$24,000.00 $11.54 $1,200.00 $19.10 $22.44 $26.84 $29.22 $30.68
$26,000.00 $12.50 $1,300.00 $20.64 $24.24 $29.02 $31.60 $33.18
$28,000.00 $13.46 $1,400.00 $22.18 $26.06 $31.20 $33.96 $35.68
$30,000.00 $14.42 $1,500.00 $23.70 $27.86 $33.38 $36.34 $38.18
$32,000.00 $15.38 $1,600.00 $25.24 $29.68 $35.56 $38.72 $40.68
$34,000.00 $16.35 $1,700.00 $26.78 $31.48 $37.74 $41.10 $43.18
$36,000.00 $17.31 $1,800.00 $28.30 $33.30 $39.92 $43.48 $45.68
$38,000.00 $18.27 $1,900.00 $29.84 $35.12 $42.10 $45.84 $48.16
$40,000.00 $19.23 $2,000.00 $31.38 $36.92 $44.26 $48.22 $50.68
$42,000.00 $20.19 $2,100.00 $32.92 $38.74 $46.44 $50.60 $53.16
$44,000.00 $21.15 $2,200.00 $34.44 $40.54 $48.62 $52.98 $55.66
$46,000.00 $22.12 $2,300.00 $35.98 $42.36 $50.80 $55.36 $58.16
$48,000.00 $23.08 $2,400.00 $37.52 $44.16 $52.98 $57.72 $60.66
$50,000.00 $24.04 $2,500.00 $39.04 $45.98 $55.16 $60.10 $63.16
$52,000.00 $25.00 $2,600.00 $40.58 $47.80 $57.34 $62.48 $65.66
$54,000.00 $25.96 $2,700.00 $42.12 $49.60 $59.52 $64.86 $68.16
$56,000.00 $26.92 $2,800.00 $43.64 $51.42 $61.70 $67.24 $70.66
$58,000.00 $27.88 $2,900.00 $45.18 $53.22 $63.88 $69.60 $73.16
$60,000.00 $28.85 $3,000.00 $46.72 $55.04 $66.06 $71.98 $75.66
$62,000.00 $29.81 $3,100.00 $48.24 $56.84 $68.24 $74.36 $78.16
$64,000.00 $30.77 $3,200.00 $49.78 $58.66 $70.42 $76.74 $80.66
$66,000.00 $31.73 $3,300.00 $51.32 $60.46 $72.58 $79.12 $83.14
$68,000.00 $32.69 $3,400.00 $52.84 $62.28 $74.76 $81.48 $85.64
$70,000.00 $33.65 $3,500.00 $54.38 $64.10 $76.94 $83.86 $88.14
$72,000.00 $34.62 $3,600.00 $55.92 $65.90 $79.12 $86.24 $90.64
$74,000.00 $35.58 $3,700.00 $57.46 $67.72 $81.30 $88.62 $93.14
$76,000.00 $36.54 $3,800.00 $58.98 $69.52 $83.48 $91.00 $95.64
$78,000.00 $37.50 $3,900.00 $60.52 $71.34 $85.66 $93.36 $98.14
$80,000.00 $38.46 $4,000.00 $62.06 $73.14 $87.84 $95.74 $100.64
$82,000.00 $39.42 $4,100.00 $63.58 $74.96 $90.02 $98.12 $103.14
$84,000.00 $40.38 $4,200.00 $65.12 $76.76 $92.20 $100.50 $105.64
$86,000.00 $41.35 $4,300.00 $66.66 $78.58 $94.38 $102.88 $108.14
$88,000.00 $42.31 $4,400.00 $68.20 $80.38 $96.56 $105.26 $110.64
$90,000.00 $43.27 $4,500.00 $69.72 $82.20 $98.74 $107.62 $113.14
$92,000.00 $44.23 $4,600.00 $71.26 $84.02 $100.90 $110.00 $115.62
$94,000.00 $45.19 $4,700.00 $72.80 $85.82 $103.08 $112.38 $118.12
$96,000.00 $46.15 $4,800.00 $74.32 $87.64 $105.26 $114.76 $120.62
$98,000.00 $47.12 $4,900.00 $75.86 $89.44 $107.44 $117.14 $123.12
$100,000.00 $48.08 $5,000.00 $77.40 $91.26 $109.62 $119.50 $125.62