Indiana University

Group Long Term Disability Insurance
Premium Estimator

Long Term Disability Insurance enrollment form

The information you enter in this calculator is not saved or submitted to any system. If you wish, you may print a PDF of this information. (About PDFs)

The monthly premium of the LTD insurance selected will vary based on age, salary, and the coverage option selected. The premiums will automatically be deducted from payroll. Employees can estimate how much the monthly premium will be by using the table below.

HOW TO CALCULATE MONTHLY PREMIUMS:
       1. Choose the option you want.
       2. Locate your age.
       3. Find the corresponding rate in the column of the option you selected.

Option A: 180-day Benefit Waiting Period
Option B: 90-day Benefit Waiting Period
Option C: 180-day Benefit Waiting Period with the Annuity Premium Benefit (retirement protection)
Option D: 90-day Benefit Waiting Period with the Annuity Premium Benefit (retirement protection)

Age Range

A

B

C

D

Under Age 40

.00058

.00068

.00073

.00088

40-44

.00142

.00184

.00169

.00219

45-49

.00238

.00306

.00274

.00353

50-54

.00383

.00493

.00441

.00568

55-69

.00469

.00609

.00543

.00704

70 and over

.00701

.00904

.00812

.01047

Your premium will automatically change based on your age and salary.

PREMIUM ESTIMATOR:

Enter your annual salary:
Do not use dollar sign or commas.

Enter the rate from the table

Estimated monthly premium: $


Long Term Disability Premiums Effective March 1, 2007
University Human Resource Services
February 2007