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Disability Income Benefits ABC Company provides full-time employees the opportunity to purchase short-term and long-term disability income benefits. Without disability coverage, you and your family may struggle to get by if you miss work due to an injury or illness. In the event that you become disabled from a non-work-related injury or sickness, disability income benefits will provide a partial replacement of lost income. Please note that you are not eligible to receive short-term disability benefits if you are receiving worker’s compensation benefits. Short-term disability coverage will not be subject to evidence of insurability (EOI) during the annual open enrollment. Please log into Paycom to determine your STD cost. Long-term disability coverage is subject to EOI. Your HR representative will be able to provide you with the EOI questionnaire upon request to purchase supplemental LTD coverage. Please log into Paycom to determine your LTD Cost. Plan Information Short-term Disability Long-term Disability th st Benefits Begin The 8 day of your injury or illness The 91 day from your disability Percentage of Income Up to 60% of your salary Up to 60% of your salary Replaces Maximum Benefit $1,500 per week – up to 13 weeks $5,000 per month 17

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