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Elk River Municipal Utilities
<br /> Long Term Disability Insurance Summary
<br /> January 1,2016
<br /> itf -mss a a ,' :,e $. ` .. .t► ° z ;- SUrdt�t,, � ,. I�t�itt
<br /> vs 5 66.67%
<br /> ," � s 66.67/ 66.67% .;
<br /> °` $5,000 $5,000 $5,000 $5,000
<br /> .tI $100 $100 $100 $100
<br /> ,. 60 days 60 days 60 days 60 days
<br /> SSNRA SSNRA SSNRA SSNRA
<br /> 'r r ', k1 t4-`,` 3 years 3 years 3 years 3 years
<br /> K� <
<br /> G B¢rb : d
<br /> Or earnings loss only
<br /> Or under Drs care Or
<br /> 9 Included Included Included Included
<br /> a :.'I p• 20%earnings loss 20%earnings loss 20%earnings loss
<br /> �, 7.5% lesser of CPI or 10/
<br /> T 4K�1� None None None None
<br /> ,,< 24 months 24 months 24 months 24 months
<br /> i*` -ii;1 : 24 months 24 months 24 months None
<br /> F° F Yes Yes Yes Yes
<br /> 3 months 3 months 3 months 3 months
<br /> r a 3 months 6 months N/A N/A
<br /> s x ,"� 12 months 12 months 12 months 12 months
<br /> -',. 3 months 3 months 3 months 3 months
<br /> ,; Included Included;$1,000 Not Included Included
<br /> Full Family Full Family KII Full Family Full Famil Y�. s
<br /> 0%-Gross Up 0%-Gross Up 0%-Gross Up 0% Gross Up
<br /> ; Not Taxable Not Taxable Not Taxable Not Taxable
<br /> ;_ u 100% 100% 100% 100%
<br /> Current Renewal 1/1/16
<br /> " $226,993 $226,993 $226,993
<br /> Y $226,993
<br /> ^>fi s $0.75 $0.79 $0.65 $0.767 $0.84
<br /> $1,702.45 $1,793.24 $1,475.45 $1,741.04 $1,906.74
<br /> �, �, i, ° t $20,429.37 $21,518.94 $17,705.45 $20,892.44 $22,880.89
<br /> N/A $1,089.57 $2,723.92 $463.07 $2,451.52
<br /> N/A 5.33% -13.33%
<br /> 2.27% 12.00%
<br /> �:
<br /> If the dental moved the Principal LTD rate would increase to$0.81 as the multi-line discount would no longer apply. 6%i disc if bundled wi life+dent-.721
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<br /> 4?�" ` � ,,, ,, s ,r Sfi `kz v. x'' "w,il4 77,i 5 v , .;.r.f 3 rc � °„ y K a
<br /> ' '' ,. aM''''''154'' €.tea ,3.....: ,.,, a. .',:..'.:w.s. �.x � : . .dz..;
<br /> Privileged and confidential.Information provided by Ahmann-Martin ,
<br /> AHMANN-MAR TIN
<br /> Elk River renewal and opts 1-1-16
<br /> 9/3/2015
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