Page 7 - MOMS NEW ALLSTATE GROUP VOLUNTARY BENEFITS

Group Voluntary Disability Income (Virginia)
Product Illustration

Benefit Period: 6 Months Accident Elimination Period: 14 days
Portability: Yes Sickness Elimination Period: 14 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
Least This Much (based on Maximum Monthly
If Your Annual Salary Is At 40 hours/week) Benefit Amount 18‐49 50‐59 60‐64 65‐69 70 +
Least This Much

$8,000.00 $3.85 $400.00 $6.34 $8.10 $9.92 $10.60 $11.56
$10,000.00 $4.81 $500.00 $7.74 $9.94 $12.22 $13.06 $14.26
$12,000.00 $5.77 $600.00 $9.14 $11.80 $14.52 $15.54 $16.98
$14,000.00 $6.73 $700.00 $10.54 $13.64 $16.82 $18.02 $19.70
$16,000.00 $7.69 $800.00 $11.96 $15.50 $19.12 $20.48 $22.40
$18,000.00 $8.65 $900.00 $13.36 $17.34 $21.42 $22.96 $25.12
$20,000.00 $9.62 $1,000.00 $14.78 $19.20 $23.72 $25.44 $27.84
$22,000.00 $10.58 $1,100.00 $16.18 $21.04 $26.02 $27.90 $30.54
$24,000.00 $11.54 $1,200.00 $17.58 $22.90 $28.34 $30.38 $33.26
$26,000.00 $12.50 $1,300.00 $19.00 $24.74 $30.64 $32.86 $35.98
$28,000.00 $13.46 $1,400.00 $20.40 $26.60 $32.94 $35.32 $38.68
$30,000.00 $14.42 $1,500.00 $21.82 $28.44 $35.24 $37.80 $41.40
$32,000.00 $15.38 $1,600.00 $23.22 $30.30 $37.54 $40.28 $44.12
$34,000.00 $16.35 $1,700.00 $24.62 $32.14 $39.84 $42.76 $46.84
$36,000.00 $17.31 $1,800.00 $26.02 $34.00 $42.14 $45.22 $49.54
$38,000.00 $18.27 $1,900.00 $27.44 $35.84 $44.44 $47.70 $52.26
$40,000.00 $19.23 $2,000.00 $28.84 $37.70 $46.76 $50.16 $54.96
$42,000.00 $20.19 $2,100.00 $30.26 $39.54 $49.06 $52.64 $57.68
$44,000.00 $21.15 $2,200.00 $31.66 $41.38 $51.36 $55.12 $60.40
$46,000.00 $22.12 $2,300.00 $33.06 $43.24 $53.66 $57.58 $63.10
$48,000.00 $23.08 $2,400.00 $34.48 $45.10 $55.96 $60.06 $65.82
$50,000.00 $24.04 $2,500.00 $35.88 $46.94 $58.26 $62.54 $68.54
$52,000.00 $25.00 $2,600.00 $37.30 $48.78 $60.58 $65.02 $71.26
$54,000.00 $25.96 $2,700.00 $38.70 $50.64 $62.88 $67.48 $73.96
$56,000.00 $26.92 $2,800.00 $40.10 $52.48 $65.18 $69.96 $76.68
$58,000.00 $27.88 $2,900.00 $41.52 $54.34 $67.48 $72.44 $79.40
$60,000.00 $28.85 $3,000.00 $42.92 $56.18 $69.78 $74.90 $82.10
$62,000.00 $29.81 $3,100.00 $44.32 $58.04 $72.08 $77.38 $84.82
$64,000.00 $30.77 $3,200.00 $45.74 $59.88 $74.38 $79.84 $87.52
$66,000.00 $31.73 $3,300.00 $47.14 $61.74 $76.68 $82.32 $90.24
$68,000.00 $32.69 $3,400.00 $48.54 $63.58 $79.00 $84.80 $92.96
$70,000.00 $33.65 $3,500.00 $49.96 $65.44 $81.30 $87.28 $95.68
$72,000.00 $34.62 $3,600.00 $51.36 $67.28 $83.60 $89.74 $98.38
$74,000.00 $35.58 $3,700.00 $52.78 $69.14 $85.90 $92.22 $101.10
$76,000.00 $36.54 $3,800.00 $54.18 $70.98 $88.20 $94.70 $103.82
$78,000.00 $37.50 $3,900.00 $55.58 $72.84 $90.50 $97.16 $106.52
$80,000.00 $38.46 $4,000.00 $57.00 $74.68 $92.80 $99.64 $109.24
$82,000.00 $39.42 $4,100.00 $58.40 $76.54 $95.12 $102.12 $111.96
$84,000.00 $40.38 $4,200.00 $59.80 $78.38 $97.42 $104.58 $114.66
$86,000.00 $41.35 $4,300.00 $61.22 $80.24 $99.72 $107.06 $117.38
$88,000.00 $42.31 $4,400.00 $62.62 $82.08 $102.02 $109.54 $120.10
$90,000.00 $43.27 $4,500.00 $64.02 $83.94 $104.32 $112.00 $122.80
$92,000.00 $44.23 $4,600.00 $65.44 $85.78 $106.62 $114.48 $125.52
$94,000.00 $45.19 $4,700.00 $66.84 $87.64 $108.92 $116.96 $128.24
$96,000.00 $46.15 $4,800.00 $68.26 $89.48 $111.22 $119.42 $130.94
$98,000.00 $47.12 $4,900.00 $69.66 $91.34 $113.54 $121.90 $133.66
$100,000.00 $48.08 $5,000.00 $71.06 $93.18 $115.84 $124.38 $136.38