Benefit Policy Schedule Several benefit options are available to you. You may participate in the plan under any one of the benefit levels outlined below, provided the Monthly 2/3 Disability Benefit level selected does not exceed 66 % of your monthly compensation. Plan I Premiums Per Pay Period Monthly Monthly Salary Disability 26 Pay 24 Pay 22 Pay 21 Pay 20 Pay 19 Pay 18 Pay 17 Pay Monthly Benefit $300.00 - $449.99 $200.00 $1.30 $1.40 $1.53 $1.60 $1.68 $1.77 $1.87 $1.98 $2.80 $450.00 - $599.99 $300.00 $1.94 $2.10 $2.29 $2.40 $2.52 $2.66 $2.80 $2.96 $4.20 $600.00 - $749.99 $400.00 $2.58 $2.80 $3.06 $3.20 $3.36 $3.54 $3.74 $3.95 $5.60 $750.00 - $899.99 $500.00 $3.24 $3.50 $3.82 $4.00 $4.20 $4.42 $4.67 $4.94 $7.00 $900.00 - $1,049.99 $600.00 $3.88 $4.20 $4.58 $4.80 $5.04 $5.31 $5.60 $5.93 $8.40 $1,050.00 - $1,199.99 $700.00 $4.52 $4.90 $5.35 $5.60 $5.88 $6.19 $6.54 $6.92 $9.80 $1,200.00 - $1,349.99 $800.00 $5.18 $5.60 $6.11 $6.40 $6.72 $7.08 $7.47 $7.91 $11.20 $1,350.00 - $1,499.99 $900.00 $5.82 $6.30 $6.88 $7.20 $7.56 $7.96 $8.40 $8.89 $12.60 $1,500.00 - $1,649.99 $1,000.00 $6.46 $7.00 $7.64 $8.00 $8.40 $8.84 $9.34 $9.88 $14.00 $1,650.00 - $1,799.99 $1,100.00 $7.12 $7.70 $8.40 $8.80 $9.24 $9.73 $10.27 $10.87 $15.40 $1,800.00 - $1,949.99 $1,200.00 $7.76 $8.40 $9.17 $9.60 $10.08 $10.61 $11.20 $11.86 $16.80 $1,950.00 - $2,099.99 $1,300.00 $8.40 $9.10 $9.93 $10.40 $10.92 $11.50 $12.14 $12.85 $18.20 $2,100.00 - $2,249.99 $1,400.00 $9.06 $9.80 $10.69 $11.20 $11.76 $12.38 $13.07 $13.84 $19.60 $2,250.00 - $2,399.99 $1,500.00 $9.70 $10.50 $11.46 $12.00 $12.60 $13.27 $14.00 $14.82 $21.00 $2,400.00 - $2,549.99 $1,600.00 $10.34 $11.20 $12.22 $12.80 $13.44 $14.15 $14.94 $15.81 $22.40 $2,550.00 - $2,699.99 $1,700.00 $10.98 $11.90 $12.98 $13.60 $14.28 $15.03 $15.87 $16.80 $23.80 $2,700.00 - $2,849.99 $1,800.00 $11.64 $12.60 $13.75 $14.40 $15.12 $15.92 $16.80 $17.79 $25.20 $2,850.00 - $2,999.99 $1,900.00 $12.28 $13.30 $14.51 $15.20 $15.96 $16.80 $17.74 $18.78 $26.60 $3,000.00 - $3,149.99 $2,000.00 $12.92 $14.00 $15.28 $16.00 $16.80 $17.69 $18.67 $19.76 $28.00 $3,150.00 - $3,299.99 $2,100.00 $13.58 $14.70 $16.04 $16.80 $17.64 $18.57 $19.60 $20.75 $29.40 $3,300.00 - $3,449.99 $2,200.00 $14.22 $15.40 $16.80 $17.60 $18.48 $19.46 $20.54 $21.74 $30.80 $3,450.00 - $3,599.99 $2,300.00 $14.86 $16.10 $17.57 $18.40 $19.32 $20.34 $21.47 $22.73 $32.20 $3,600.00 - $3,749.99 $2,400.00 $15.52 $16.80 $18.33 $19.20 $20.16 $21.22 $22.40 $23.72 $33.60 $3,750.00 - $3,899.99 $2,500.00 $16.16 $17.50 $19.09 $20.00 $21.00 $22.11 $23.34 $24.71 $35.00 $3,900.00 - $4,049.99 $2,600.00 $16.80 $18.20 $19.86 $20.80 $21.84 $22.99 $24.27 $25.69 $36.40 $4,050.00 - $4,199.99 $2,700.00 $17.46 $18.90 $20.62 $21.60 $22.68 $23.88 $25.20 $26.68 $37.80 $4,200.00 - $4,349.99 $2,800.00 $18.10 $19.60 $21.38 $22.40 $23.52 $24.76 $26.14 $27.67 $39.20 $4,350.00 - $4,499.99 $2,900.00 $18.74 $20.30 $22.15 $23.20 $24.36 $25.64 $27.07 $28.66 $40.60 $4,500.00 - $4,649.99 $3,000.00 $19.38 $21.00 $22.91 $24.00 $25.20 $26.53 $28.00 $29.65 $42.00 $4,650.00 - $4,799.99 $3,100.00 $20.04 $21.70 $23.68 $24.80 $26.04 $27.41 $28.94 $30.64 $43.40 $4,800.00 - $4,949.99 $3,200.00 $20.68 $22.40 $24.44 $25.60 $26.88 $28.30 $29.87 $31.62 $44.80 $4,950.00 - $5,099.99 $3,300.00 $21.32 $23.10 $25.20 $26.40 $27.72 $29.18 $30.80 $32.61 $46.20 $5,100.00 - $5,249.99 $3,400.00 $21.98 $23.80 $25.97 $27.20 $28.56 $30.07 $31.74 $33.60 $47.60 $5,250.00 - $5,399.99 $3,500.00 $22.62 $24.50 $26.73 $28.00 $29.40 $30.95 $32.67 $34.59 $49.00 $5,400.00 - $5,549.99 $3,600.00 $23.26 $25.20 $27.49 $28.80 $30.24 $31.83 $33.60 $35.58 $50.40 $5,550.00 - $5,699.99 $3,700.00 $23.92 $25.90 $28.26 $29.60 $31.08 $32.72 $34.54 $36.56 $51.80 $5,700.00 - $5,849.99 $3,800.00 $24.56 $26.60 $29.02 $30.40 $31.92 $33.60 $35.47 $37.55 $53.20 $5,850.00 - $5,999.99 $3,900.00* $25.20 $27.30 $29.78 $31.20 $32.76 $34.49 $36.40 $38.54 $54.60 *Higher benefit amounts available, up to $7,500, based on your Monthly Salary.