To help determine your need for disability income protection, complete the form below. Fill in amounts for your monthly expenses and income and compare the two. If you depend on your regular paycheck to pay your bills, what would happen if you became sick and unable to work? Are you prepared for the unexpected? Disability insurance from Standard Insurance Company may be part of the solution.

Monthly Expenses
Food
Mortgage/rent
Childcare/education
Utilities
(electricity, phone, etc.)
Clothing
Debts
Insurance
Taxes
Other
Total monthly expenses
Monthly Income
Take home pay
Spouse income
Other income
Total monthly income

You've calculated how much coverage you may need. To see how much it will cost to purchase Short Term Disability insurance, use the Premium Calculator.