30 - Day Waiting Period
Biweekly Premiums

Monthly Benefit Age 16-25 Age 26-39 Age 40-49 Age 50-59 Age 60-69* $500 2 3 4 6 7 $800   4 6 10 12 $1,000 3 5 8 12 15 $1,200 4 6 10 15 18 $1,400 5 7 11 17 21 $1,600 6 8 13 20 24 $1,800 7 9 14 22 27 $2,000     16 24 30 $2,200 8 10 18 27 32 $2,400   11 19 29 35 $2,600 9 12 21 32 38 $2,800   13 22 34 41 $3,000 10 14 24 37 44 $3,200 11 15 26 39 47 $3,400   16 27 42 50 $3,600 12 17 29 44 53 $3,800 13 18 30 46 56 $4,000 14 19 32 49 59 $4,200   20 34 51 62 $4,400 15 21 35 54 65 $4,600 16 22 37 56 68 $4,800   23 38 59 71 $5,000 17 24 40 61 74 $5,200   25 42 63 77 $5,400 18 26 43 66 80 $5,600 19 27 45 68 83 $5,800   28 46 71 86 $6,000 20 29 48 73 89 $6,200 21 30 50 76 92 $6,400   31 51 78 95 $6,600 22 32 53 81 98 $6,800 23 33 54 83 101 $7,000   34 56 85 104 $7,200 24 35 58 88 107 $7,400     59 90 110 $7,500 26 36 60 92 111

60 - Day Waiting Period
Biweekly Premiums

Monthly Benefit Age 16-25 Age 26-39 Age 40-49 Age 50-59 Age 60-69* $500  2   3  4 6 7 $800     6 9 11 $1,000   3   4 7 11 14 $1,200    5 9 13 16 $1,400  4  6 10 15 19 $1,600  5   7  12 18 22 $1,800  6   8  13 20 25 $2,000     15 22 27 $2,200   9 16 24 29 $2,400  7 10  17 26 32 $2,600 8 11 19 28 35 $2,800     21 30 37 $3,000  9 12 23 33 40 $3,200    13  24 35 43 $3,400   14 25 37 46 $3,600    15  26 39 48 $3,800  10   16  27 41 51 $4,000 11 17 29 44 54 $4,200     31 46 56 $4,400    18 32 48 59 $4,600 13  19 34 50 62 $4,800  14    20  35 52 64 $5,000 15  21 36 54 67 $5,200     22  37 56 69 $5,400  17  23 39 58 71 $5,600     40 60 74 $5,800  18  24  42 63 77 $6,000  19 25 43 65 79 $6,200    26  45 67 82 $6,400     46 69 84 $6,600  21  27  48 71 87 $6,800    28  49 73 90 $7,000 22 29 50 76 92 $7,200 23   30  52 78 95 $7,400   31 53 80 98 $7,500 24 32 54 81 99

 

 

90 - Day Waiting Period
Biweekly Premiums

	Monthly Benefit Age 16-25 Age 26-39 Age 40-49 Age 50-59 Age 60-69* $500   2 3 5 6 $800     5 8 10 $1,000 2 3 6 9 12 $1,200   4 8 11 14 $1,400 3 5 9 13 17 $1,600  4  6 10 15 19 $1,800     12 17 22 $2,000   7 13 19 24 $2,200 5 8 14 21 26 $2,400     15 23 29 $2,600 6 9 17 24 31 $2,800     18 26 33 $3,000 7 10 19 28 36 $3,200   11 21 30 38 $3,400  8 12 22 32 41 $3,600     23 34 43 $3,800   13 24 36 45 $4,000 9 14 26 38 48 $4,200     27 40 50 $4,400 10 15 28 42 53 $4,600   16 30 43 55 $4,800  11 17 31 45 57 $5,000 12 18 32 47 60 $5,200     33 49 62 $5,400   19 35 51 65 $5,600 13 20 36 53 67 $5,800   21 37 55 70 $6,000     38 56 72 $6,200   22 40 58 74 $6,400 15 23 41 60 77 $6,600     42 62 79 $6,800 16 24 44 64 82 $7,000   25 45 66 84 $7,200 17 26 46 68 86 $7,400     47 70 89 $7,500 18 27 48 71 90

180 - Day Waiting Period
Biweekly Premiums

	Monthly Benefit Age 16-25 Age 26-39 Age 40-49 Age 50-59 Age 60-69* $500     2 4 5 $800     4 6 7 $1,000   2 5 8 9 $1,200     6 10 11 $1,400 2 3 7 11 12 $1,600     8 13 14 $1,800     9 15 16 $2,000 3  4 10 16 17 $2,200   5  11 18 19 $2,400     12 19 21 $2,600 4 6 13 21 22 $2,800     14 23 24 $3,000   7 15 24 26 $3,200     16 26 28 $3,400 5  8 17 27 29 $3,600     18 29 31 $3,800     19 31 33 $4,000 6 9 20 32 34 $4,200     21 34 36 $4,400     22 35 38 $4,600  7 10 23 37 40 $4,800     24 39 41 $5,000 8 11 25 40 43 $5,200     26 42 45 $5,400     27 43 46 $5,600   12 28 45 48 $5,800     29 46 50 $6,000   13 30 48 52 $6,200     31 50 53 $6,400 10 14 32 51 55 $6,600     33 53 57 $6,800     34 54 58 $7,000 11 15 35 56 60 $7,200     36 58 62 $7,400   16 37 59 64 $7,500 12 17 38 60 65

365 - Day Waiting Period
Biweekly Premiums

	Monthly Benefit Age 16-25 Age 26-39 Age 40-49 Age 50-59 Age 60-69* $500     2 4 5 $800     4 6 7 $1,000       7 8 $1,200    2 5 9 10 $1,400     6 10 11 $1,600     7 11 12 $1,800     8 13 14 $2,000  2 3 9 14 15 $2,200     10 16 17 $2,400     11 17 18 $2,600 3 4 12 19 20 $2,800       20 21 $3,000   5 13 21 23 $3,200     14 23 24 $3,400 4  6 15 24 26 $3,600     16 26 27 $3,800     17 27 29 $4,000 5 7 18 29 30 $4,200     19 30 32 $4,400     20 31 33 $4,600 6 8 21 33 35 $4,800       34 36 $5,000 7 9 22 36 38 $5,200     23 37 40 $5,400     24 39 41 $5,600     25 40 43 $5,800       42 44 $6,000     26 43 46 $6,200   11 27 45 47 $6,400     28 46 49 $6,600     29 48 50 $6,800   12 30 49 52 $7,000     31 50 53 $7,200     32 52 55 $7,400       53 56 $7,500 11 14 33 54 57