Short Term And Long Term Disability Insurance Premium Calculations Rate Calculator Short Term Disability To calculate your expected monthly premium, use the following table: Monthly Wage not to exceed $36,166.67 $ Annual Salary divided by 12 Multiply by Premium Rate X Monthly Premium $ Will be deducted one-half on the 7th and one-half on 22nd of each month Long Term Disability To calculate your monthly LTD insurance premium, choose the box below that corresponds with the University-funded retirement plan in which you are enrolled1. If you are a practicing physician, use the box at the bottom. Contact the Benefits Department at (801) 581-7447 if you are unsure which box applied to you. Long Term Disability - 401(a) Defined Contribution Retirement Plan and Utah Retirement Systems Tier II Plans (Participation began 7/1/2011 or after) To calculate your expected monthly premium, use the following table: Monthly Wage not to exceed $41,666.67 $ Annual Salary divided by 12 Multiply by Premium Rate X Subtotal $ Subtract University Contribution $8 (75% FTE or greater) $4 (50% to 74% FTE) Monthly Premium $ will be deducted one-half on 7th and one-half on 22nd of each month Long Term Disability To calculate your monthly LTD insurance premium, choose the box below that corresponds with the University-funded retirement plan in which you are enrolled1. If you are a practicing physician, use the box at the bottom. Contact the Benefits Department at (801) 581-7447 if you are unsure which box applied to you. Long Term Disability – Utah Retirement Systems Tier I (Participation with URS began prior to 7/1/2011) To calculate your expected monthly premium, use the following table: Monthly Wage not to exceed $41,666.67 $ Annual Salary divided by 12 Multiply by Premium Rate X Subtotal $ Subtract University Contribution $8 (75% FTE or greater) $4 (50% to 74% FTE) Monthly Premium $ will be deducted one-half on 7th and one-half on 22nd of each month Long Term Disability Long Term Disability – Utah Retirement Systems Tier I (Participation with URS began prior to 7/1/2011) To calculate your expected monthly premium, use the following table: Monthly Wage not to exceed $41,666.67 $ Annual Salary divided by 12 Multiply by Premium Rate X Approximate Monthly Premium $ will be deducted one-half on 7th and one-half on 22nd of each month(Actual premium will be calculated on compensation received each pay period) If you are human, leave this field blank. Start Over Δ If you are not eligible for University-funded retirement, use the URS Tier I calculation and rate.