Calculate Your Disability Insurance Needs

Living Expenses	Your Information
	Annual Annual Living Expenses If desired, enter an annual amount for your living expense to automatically calculate your monthly expense. Round up to the nearest dollar and do not enter a decimal, comma or dollar sign.	Monthly Monthly Living Expenses Enter a monthly amount for your living expense. If an Annual field is available, you can enter an annual amount for the expense instead and the monthly expense will be calculated for you. You may also override the calculation and enter an amount manually. Round up to the nearest dollar and do not enter a decimal, comma or dollar sign.
Groceries		$
Mortgage/Rent		$
Property Taxes	$	$
Utilities (Gas, water, electric)		$
Services (Home phone, cell phone, cable, internet, home security system)		$
Debt Repayments (Credit cards, line of credit, personal loans)		$
Auto Loan or Lease Payment		$
Transportation Expenses (Gas, tolls, vehicle maintenance, transit, etc.)		$
Insurance Premiums (Home, auto, life and other)	$	$
Health Expenses (Medical, dental and drug expenses)	$	$
Clothing	$	$
Gifts (Birthday, seasonal, other)	$	$
Entertainment (Hobbies, movies, golf, dining out, club dues, children's activities, vacation, etc.)	$	$
Savings Contributions (Retirement, education and other savings contributions that you make)	$	$
Other Expenses (Weekly allowance, home maintenance/improvement costs, seasonal expenses, etc.)	$	$
Total Monthly Expenses		$ 0

Estimated Average Tax Rate while Disabled Estimated Average Tax Rate while Disabled This field defaults to 25%; however, you may enter a different percentage rate if you know what your average tax rate would be while you are disabled.		%

Expected Monthly Income while Disabled
	Taxable Taxable Expected Monthly Income Enter your taxable income amount (your pre-tax, gross income) to automatically calculate your after-tax income based on the average tax rate you indicated. Round up to the nearest dollar and do not enter a decimal, comma or dollar sign.	After-Tax After-Tax Expected Monthly Income If you enter a taxable income amount, this field will be calculated automatically based on the average tax rate you indicated. You may also override the calculation and enter an amount manually. Round up to the nearest dollar and do not enter a decimal, comma or dollar sign.
Group Long-Term Disability Benefits (Income replacement benefits you would receive from an employer-sponsored or other disability plan)	$	$
Individual Disability Benefits (Income replacement benefits you would receive from a personal disability plan you have)	$	$
Investment Income (Income you earn from investments such as stocks or mutual funds)	$	$
Unearned Income (Rents, royalties and other income you would continue to receive during disability)	$	$
Business Income (Any business-related income you would continue to receive during disability)	$	$
Other Long-Term Disability Income Sources	$	$
Your Spouse's Income	$	$
Total After-Tax Income While Disabled		$ 0
Totals
Total After-Tax Income While Disabled	$ 0
Total Monthly Needs	$ 0
Monthly Disability Insurance Required	$ 0

Calculate Your Disability Insurance Needs

Annual Living Expenses

Monthly Living Expenses

Estimated Average Tax Rate while Disabled

Taxable Expected Monthly Income

After-Tax Expected Monthly Income