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Voluntary STD / LTD Benefits Long-Term Disability Short-Term Disability Benefits Benefits th st Benefits Start 8 Day Accident / Illness Benefits Start 91 Day of Disability Benefit Duration Up to 13 Weeks Benefit Duration Up to SSNRA Percentage of Income Percentage of Income 60% 60% Replacement Replacement Benefit Maximum $1,500 Per Week Benefit Maximum $5,000 Per Month * Please note if you have previously waived participation in the * Please note the STD benefit is offered on an annual LTD benefits and would like to enroll during open enrollment, you enrollment basis, so you can elect this benefit will need to submit evidence of insurability to Mutual of Omaha even if you have previously waived participation

Open Enrollment Template | with audio recording - Page 23 Open Enrollment Template | with audio recording Page 22 Page 24

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