Simplified Issue Long Term
Disability Insurance
Help protect your most valuable asset—your income.
Atlanta Bar Association
Rate savings for Members
Residual Benefits included in base rates
Monthly Benefit up to $5,000 per month
Various Elimination Periods
5 year or Through Age 65, Maximum Benefit Durations Available
Members may obtain more information online
at www.isi1959.com/si_ltd
Your Occupation Definition of Disability included
Quarterly Rates for Attorneys
Your quarterly rates are based on your attained age. Rates will
change as you enter a higher age category, or may change if
Plan experience requires a change for your class of insureds.
Age
Under 30
30-34
35-39
40-44
45-49
Monthly Benefit Amount
$1,000
$2,500
$5,000
Quarterly Premium Amount
$12.50
$31.25
$62.50
$14.50
$36.25
$72.50
$19.00
$47.50
$95.00
$30.00
$35.50
$75.00
$88.75
$150.00
$177.50
*Chart reflects a 90 day Elimination Period and 5 year benefit duration
Don’t let this valuable Member Benefit pass you by –
Call 1-888-ISI-1959 today
Plan Administrator
Scan Here For Complete Brochure And Application
This Long Term Disability Coverage is issued by The Prudential Insurance
Company of America, 751 Broad Street, Newark, NJ 07102. The BookletCertificate contains all details, including any policy exclusions, limitations, and restrictions which may apply. Contract Series 83500.
This policy provides disability income insurance only. It does NOT provide basic hospital, basic medical or major medical insurance as defined by the New York Department of
Financial Services. North Carolina Residents: THIS IS NOT A MEDICARE SUPPLEMENT PLAN. If you are eligible for Medicare, review the Guide to Health Insurance for People with
Medicare, which is available from the company.
0258305
0258305-00003-00