ISABILITY
FILE INFORMATION
FILENAME(S): ISABILITY
FILE TYPE(S): SEQ
FILE SIZE: 2.7K
FIRST SEEN: 2025-10-19 22:48:49
APPEARS ON: 1 disk(s)
FILE HASH
c0fe6ea54bd9ffc8a13039f21449d7cb4fea01d8ea78831c0e1c1dedde1433c9
FOUND ON DISKS (1 DISKS)
| DISK TITLE | FILENAME | FILE TYPE | COLLECTION | TRACK | SECTOR | ACTIONS |
|---|---|---|---|---|---|---|
| TIMEWRK C | ISABILITY | SEQ | Radd Maxx | 27 | 8 | DOWNLOAD FILE |
FILE CONTENT & ANALYSIS
00000000: 2A 20 0D 2A 20 20 20 20 20 20 20 20 20 20 20 20 |* .* | 00000010: 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 | | 00000020: 20 20 C4 C9 D3 C1 C2 C9 CC C9 D4 D9 20 C9 CE C3 | .......... ...| 00000030: CF CD C5 0D 2A 20 0D 2A 20 0D 2A 28 31 29 20 CD |....* .* .*(1) .| 00000040: CF CE D4 C8 CC D9 20 C1 D6 C5 D2 C1 C7 C5 20 CF |...... ....... .| 00000050: C6 20 D4 CF D4 C1 CC 20 CC C9 D6 C9 CE C7 20 C5 |. ..... ...... .| 00000060: D8 D0 C5 CE D3 C5 D3 20 D7 C8 C9 CC C5 20 C4 C9 |....... ..... ..| 00000070: D3 C1 C2 CC C5 C4 0D 2A 20 20 20 20 28 D0 C5 D2 |.......* (...| 00000080: 20 C9 CE C3 CF CD C5 20 C1 CE C4 20 C5 D8 D0 C5 | ...... ... ....| 00000090: CE D3 C5 20 D3 D4 C1 D4 C5 CD C5 CE D4 29 20 20 |... .........) | 000000A0: 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 | | 000000B0: 20 20 20 20 20 20 20 20 20 20 20 24 20 2D 2D 2D | $ ---| 000000C0: 2D 2D 2D 2D 2D 2D 2D 0D 2A 20 20 20 20 D4 48 49 |-------.* .HI| 000000D0: 53 20 41 4D 4F 55 4E 54 20 53 48 4F 55 4C 44 20 |S AMOUNT SHOULD | 000000E0: 42 45 20 41 44 4A 55 53 54 45 44 20 41 53 20 46 |BE ADJUSTED AS F| 000000F0: 4F 4C 4C 4F 57 53 BE 0D 2A 20 20 20 20 28 41 29 |OLLOWS..* (A)| 00000100: 20 C9 4E 43 52 45 41 53 45 44 20 42 45 43 41 55 | .NCREASED BECAU| 00000110: 53 45 20 4F 46 20 52 45 4C 41 54 45 44 20 55 4E |SE OF RELATED UN| 00000120: 52 45 49 4D 42 55 52 53 45 44 20 48 45 41 4C 54 |REIMBURSED HEALT| 00000130: 48 20 43 41 52 45 0D 2A 20 20 20 20 20 20 20 20 |H CARE.* | 00000140: 45 58 50 45 4E 53 45 53 20 20 20 20 20 20 20 20 |EXPENSES | 00000150: 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 | | 00000160: 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 | | 00000170: 20 20 20 20 20 20 20 20 20 20 20 20 20 2D 2D 2D | ---| 00000180: 2D 2D 2D 2D 2D 2D 2D 0D 2A 20 20 20 20 28 42 29 |-------.* (B)| 00000190: 20 D2 45 44 55 43 45 44 20 42 45 43 41 55 53 45 | .EDUCED BECAUSE| 000001A0: 20 4F 46 20 57 41 49 56 45 52 53 20 4F 46 20 50 | OF WAIVERS OF P| 000001B0: 52 45 4D 49 55 4D 20 43 4C 41 55 53 45 53 20 4F |REMIUM CLAUSES O| 000001C0: 4E 20 48 45 41 4C 54 48 20 41 4E 44 0D 2A 20 20 |N HEALTH AND.* | 000001D0: 20 20 20 20 20 20 4C 49 46 45 20 49 4E 53 55 52 | LIFE INSUR| 000001E0: 41 4E 43 45 20 44 55 52 49 4E 47 20 50 45 52 49 |ANCE DURING PERI| 000001F0: 4F 44 20 4F 46 20 44 49 53 41 42 4C 45 4D 45 4E |OD OF DISABLEMEN| 00000200: 54 20 28 43 48 45 43 4B 20 50 4F 4C 49 43 49 45 |T (CHECK POLICIE| 00000210: 53 29 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 0D 2A 20 |S) ----------.* | 00000220: 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 | | 00000230: 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 | | 00000240: 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 | | 00000250: 20 20 20 20 20 20 20 20 20 20 20 20 D4 CF D4 C1 | ....| 00000260: CC 20 24 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 0D 2A |. $ ----------.*| 00000270: 20 0D 2A 28 32 29 20 CD CF CE D4 C8 CC D9 20 C1 | .*(2) ....... .| 00000280: D6 C5 D2 C1 C7 C5 20 CF C6 20 D3 D5 C2 D3 D4 C9 |...... .. ......| 00000290: D4 D5 D4 C5 20 20 20 20 20 20 20 20 20 20 20 20 |.... | 000002A0: 20 20 20 20 20 20 CD CF CE D4 C8 CC D9 20 C2 C5 | ....... ..| 000002B0: CE C5 C6 C9 D4 D3 0D 2A C9 CE C3 CF CD C5 20 D7 |.......*...... .| 000002C0: C8 C9 CC C5 20 C4 C9 D3 C1 C2 CC C5 C4 20 D4 C8 |.... ........ ..| 000002D0: D2 CF D5 C7 C8 20 20 20 20 20 20 3D 3D 3D 3D 3D |..... =====| 000002E0: 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D |================| 000002F0: 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D 3D |================| 00000300: 3D 3D 3D 3D 3D 3D 3D 0D 2A C9 CC CC CE C5 D3 D3 |=======.*.......| 00000310: 20 CF D2 20 C9 CE CA D5 D2 D9 20 20 20 20 20 20 | .. ...... | 00000320: 20 20 20 20 20 20 20 20 20 20 20 20 20 20 C9 4D | .M| 00000330: 4D 45 44 49 41 54 45 2A 20 20 20 C1 46 54 45 52 |MEDIATE* .FTER| 00000340: 20 36 20 CD 4F 4E 54 48 53 20 C1 46 54 45 52 20 | 6 .ONTHS .FTER | 00000350: 32 20 D9 45 41 52 53 23 0D 2A 2D 2D 2D 2D 2D 2D |2 .EARS#.*------| 00000360: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D |----------------| 00000370: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 2D 2D 2D |----------- ---| 00000380: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 2D 2D 2D 2D |----------- ----| 00000390: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 2D 2D 2D 2D 2D |---------- -----| 000003A0: 2D 2D 2D 2D 2D 2D 2D 2D 2D 0D 2A C7 52 4F 55 50 |---------.*.ROUP| 000003B0: 20 C4 49 53 41 42 49 4C 49 54 59 20 C9 4E 53 55 | .ISABILITY .NSU| 000003C0: 52 41 4E 43 45 20 28 D4 41 58 2D 0D 2A 20 46 52 |RANCE (.AX-.* FR| 000003D0: 45 45 20 49 46 20 59 4F 55 20 48 41 56 45 20 50 |EE IF YOU HAVE P| 000003E0: 41 49 44 20 50 52 45 4D 49 55 4D 53 BB 0D 2A 20 |AID PREMIUMS..* | 000003F0: 54 41 58 41 42 4C 45 20 57 49 54 48 20 41 4E 20 |TAXABLE WITH AN | 00000400: 41 4E 4E 55 41 4C 20 45 58 45 4D 50 54 49 4F 4E |ANNUAL EXEMPTION| 00000410: 0D 2A 20 4F 46 20 24 35 FF 32 30 30 20 49 46 20 |.* OF $5.200 IF | 00000420: 59 4F 55 20 48 41 56 45 4E 27 54 2E 29 20 20 20 |YOU HAVEN'T.) | 00000430: 20 20 20 20 20 24 20 2D 2D 2D 2D 2D 2D 2D 2D 2D | $ ---------| 00000440: 2D 2D 20 20 24 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D |-- $ ----------| 00000450: 2D 20 20 24 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D |- $ -----------| 00000460: 0D 2A D3 4F 43 49 41 4C 20 D3 45 43 55 52 49 54 |.*.OCIAL .ECURIT| 00000470: 59 20 28 C2 45 4E 45 46 49 54 53 20 42 45 47 49 |Y (.ENEFITS BEGI| 00000480: 4E 0D 2A 20 57 49 54 48 20 54 48 45 20 53 49 58 |N.* WITH THE SIX| 00000490: 54 48 20 4D 4F 4E 54 48 2E 20 20 C4 45 50 45 4E |TH MONTH. .EPEN| 000004A0: 44 41 4E 54 53 0D 2A 20 41 4C 53 4F 20 51 55 41 |DANTS.* ALSO QUA| 000004B0: 4C 49 46 59 20 46 4F 52 20 43 45 52 54 41 49 4E |LIFY FOR CERTAIN| 000004C0: 20 42 45 4E 45 46 49 54 53 2E 0D 2A 20 C3 4F 4E | BENEFITS..* .ON| 000004D0: 53 55 4C 54 20 D3 4F 43 49 41 4C 20 D3 45 43 55 |SULT .OCIAL .ECU| 000004E0: 52 49 54 59 20 CF 46 46 49 43 45 2E 29 20 20 20 |RITY .FFICE.) | 000004F0: 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 | ----------- | 00000500: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D |----------- -| 00000510: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 0D 2A D3 54 41 54 |----------.*.TAT| 00000520: 45 20 C4 49 53 41 42 49 4C 49 54 59 20 D0 4C 41 |E .ISABILITY .LA| 00000530: 4E 53 20 20 20 20 20 20 20 20 20 20 20 20 20 20 |NS | 00000540: 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 | ----------- | 00000550: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D |----------- -| 00000560: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 0D 2A D7 4F 52 4B |----------.*.ORK| 00000570: 45 52 53 27 20 C3 4F 4D 50 45 4E 53 41 54 49 4F |ERS' .OMPENSATIO| 00000580: 4E 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 |N | 00000590: 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 | ----------- | 000005A0: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D |----------- -| 000005B0: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 0D 2A D6 45 54 45 |----------.*.ETE| 000005C0: 52 41 4E 53 20 C1 44 4D 49 4E 49 53 54 52 41 54 |RANS .DMINISTRAT| 000005D0: 49 4F 4E 20 20 20 20 20 20 20 20 20 20 20 20 20 |ION | 000005E0: 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 | ----------- | 000005F0: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D |----------- -| 00000600: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 0D 2A D0 45 52 53 |----------.*.ERS| 00000610: 4F 4E 41 4C 20 C4 49 53 41 42 49 4C 49 54 59 20 |ONAL .ISABILITY | 00000620: C9 4E 53 55 52 41 4E 43 45 0D 2A 20 28 D4 41 58 |.NSURANCE.* (.AX| 00000630: 2D C6 52 45 45 29 20 20 20 20 20 20 20 20 20 20 |-.REE) | 00000640: 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 | | 00000650: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D |----------- -| 00000660: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D 2D |---------- --| 00000670: 2D 2D 2D 2D 2D 2D 2D 2D 2D 0D 2A D3 50 4F 55 53 |---------.*.POUS| 00000680: 45 27 53 20 C9 4E 43 4F 4D 45 20 20 20 20 20 20 |E'S .NCOME | 00000690: 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 | | 000006A0: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D |----------- -| 000006B0: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D 2D |---------- --| 000006C0: 2D 2D 2D 2D 2D 2D 2D 2D 2D 0D 2A D3 41 56 49 4E |---------.*.AVIN| 000006D0: 47 53 20 41 4E 44 20 C9 4E 56 45 53 54 4D 45 4E |GS AND .NVESTMEN| 000006E0: 54 20 C9 4E 43 4F 4D 45 0D 2A 20 28 49 4E 54 45 |T .NCOME.* (INTE| 000006F0: 52 45 53 54 FF 20 44 49 56 49 44 45 4E 44 53 FF |REST. DIVIDENDS.| 00000700: 20 52 45 4E 54 53 FF 20 45 54 43 2E 29 20 20 2D | RENTS. ETC.) -| 00000710: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D 2D |---------- --| 00000720: 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D 2D 2D |--------- ---| 00000730: 2D 2D 2D 2D 2D 2D 2D 2D 0D 2A CC 45 47 41 4C 20 |--------.*.EGAL | 00000740: D3 45 54 54 4C 45 4D 45 4E 54 53 20 C2 45 43 41 |.ETTLEMENTS .ECA| 00000750: 55 53 45 20 4F 46 0D 2A 20 C4 49 53 41 42 4C 49 |USE OF.* .ISABLI| 00000760: 4E 47 20 C1 43 43 49 44 45 4E 54 20 20 20 20 20 |NG .CCIDENT | 00000770: 20 20 20 20 20 20 20 20 20 20 20 20 20 2D 2D 2D | ---| 00000780: 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D 2D 2D 2D |-------- ----| 00000790: 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D 2D 2D 2D 2D |------- -----| 000007A0: 2D 2D 2D 2D 2D 2D 0D 2A C6 55 4E 44 53 20 D3 45 |------.*.UNDS .E| 000007B0: 54 20 C1 53 49 44 45 20 D4 4F 57 41 52 44 20 C6 |T .SIDE .OWARD .| 000007C0: 49 4E 41 4E 43 49 41 4C 0D 2A 20 C7 4F 41 4C 53 |INANCIAL.* .OALS| 000007D0: 20 28 50 45 52 20 4F 54 48 45 52 20 57 4F 52 4B | (PER OTHER WORK| 000007E0: 53 48 45 45 54 53 29 20 20 20 20 20 20 20 20 2D |SHEETS) -| 000007F0: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D 2D |---------- --| 00000800: 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 20 20 2D 2D 2D |--------- ---| 00000810: 2D 2D 2D 2D 2D 2D 2D 2D 0D 2A 20 0D 2A D4 CF D4 |--------.* .*...| 00000820: C1 CC 20 CD CF CE D4 C8 CC D9 20 D3 D5 C2 D3 D4 |.. ....... .....| 00000830: C9 D4 D5 D4 C5 20 C9 CE C3 CF CD C5 20 20 20 20 |..... ...... | 00000840: 24 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 24 |$ ----------- $| 00000850: 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 20 24 20 | ----------- $ | 00000860: 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 0D 2A 20 0D 2A |-----------.* .*| 00000870: 20 0D 2A 28 33 29 20 D3 C8 CF D2 D4 C1 C7 C5 20 | .*(3) ........ | 00000880: CF D2 20 CF D6 C5 D2 C1 C7 C5 20 28 C5 D8 D0 C5 |.. ....... (....| 00000890: CE D3 C5 D3 0D 2A 20 20 20 20 CC C5 D3 D3 20 C9 |.....* .... .| 000008A0: CE C3 CF CD C5 29 20 20 20 20 20 20 20 20 20 20 |.....) | 000008B0: 20 20 20 20 20 20 20 20 20 24 20 2D 2D 2D 2D 2D | $ -----| 000008C0: 2D 2D 2D 2D 2D 2D 20 20 24 20 2D 2D 2D 2D 2D 2D |------ $ ------| 000008D0: 2D 2D 2D 2D 2D 20 20 24 20 2D 2D 2D 2D 2D 2D 2D |----- $ -------| 000008E0: 2D 2D 2D 2D 0D 2A 20 0D 2A 20 0D 2A 28 34 29 20 |----.* .* .*(4) | 000008F0: C2 CF D2 D2 CF D7 C9 CE C7 20 D0 CF D7 C5 D2 0D |......... ......| 00000900: 2A 20 20 20 20 28 D5 53 49 4E 47 20 42 4F 52 52 |* (.SING BORR| 00000910: 4F 57 45 44 20 4F 52 20 57 49 54 48 44 52 41 57 |OWED OR WITHDRAW| 00000920: 4E 0D 2A 20 20 20 20 46 55 4E 44 53 20 46 52 4F |N.* FUNDS FRO| 00000930: 4D 20 4C 49 46 45 20 49 4E 53 55 52 41 4E 43 45 |M LIFE INSURANCE| 00000940: FF 0D 2A 20 20 20 20 45 4D 50 4C 4F 59 45 45 20 |..* EMPLOYEE | 00000950: 50 45 4E 53 49 4F 4E FF 20 53 41 56 49 4E 47 53 |PENSION. SAVINGS| 00000960: FF 0D 2A 20 20 20 20 45 54 43 2E 29 20 20 20 20 |..* ETC.) | 00000970: 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 | | 00000980: 20 20 20 20 20 20 24 20 2D 2D 2D 2D 2D 2D 2D 2D | $ --------| 00000990: 2D 2D 2D 20 20 24 20 2D 2D 2D 2D 2D 2D 2D 2D 2D |--- $ ---------| 000009A0: 2D 2D 20 20 24 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D |-- $ ----------| 000009B0: 2D 0D 2A 20 0D 2A 20 0D 2A 28 35 29 20 C1 C4 C4 |-.* .* .*(5) ...| 000009C0: C9 D4 C9 CF CE C1 CC 20 C4 C9 D3 C1 C2 C9 CC C9 |....... ........| 000009D0: D4 D9 20 C9 CE C3 CF CD C5 0D 2A 20 20 20 20 C3 |.. .......* .| 000009E0: CF D6 C5 D2 C1 C7 C5 20 CE C5 C5 C4 C5 C4 0D 2A |....... .......*| 000009F0: 20 20 20 20 28 C9 54 45 4D 20 33 20 4D 49 4E 55 | (.TEM 3 MINU| 00000A00: 53 20 C9 54 45 4D 20 34 29 20 20 20 20 20 20 20 |S .TEM 4) | 00000A10: 20 20 20 24 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D | $ -----------| 00000A20: 20 20 24 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 20 | $ ----------- | 00000A30: 20 24 20 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 0D 2A | $ -----------.*| 00000A40: 20 0D 2A 20 0D 2A 2A 20 D7 41 49 54 49 4E 47 20 | .* .** .AITING | 00000A50: 50 45 52 49 4F 44 20 4D 41 59 20 42 45 20 55 50 |PERIOD MAY BE UP| 00000A60: 20 54 4F 20 4F 52 20 4D 4F 52 45 20 54 48 41 4E | TO OR MORE THAN| 00000A70: 20 39 30 20 44 41 59 53 2E 0D 2A 20 0D 2A 23 20 | 90 DAYS..* .*# | 00000A80: D9 4F 55 20 4D 41 59 20 57 41 4E 54 20 54 4F 20 |.OU MAY WANT TO | 00000A90: 43 4F 4E 53 49 44 45 52 20 45 46 46 45 43 54 20 |CONSIDER EFFECT | 00000AA0: 4F 46 20 49 4E 46 4C 41 54 49 4F 4E 20 4F 4E 20 |OF INFLATION ON | 00000AB0: 59 4F 55 52 20 4E 45 45 44 53 2E 0D 2A 20 0D 2A |YOUR NEEDS..* .*| 00000AC0: 20 0D 2A 20 0D 2A 20 0D 2A 20 0D 2A 20 0D | .* .* .* .* . |
* .* DISABI
LITY INCOME.* .* .*(1) MONTHLY AVERAGE O
F TOTAL LIVING EXPENSES WHILE DISABLED.*
(PER INCOME AND EXPENSE STATEMENT)
$ ----------.
* THIS AMOUNT SHOULD BE ADJUSTED AS F
OLLOWS..* (A) INCREASED BECAUSE OF RE
LATED UNREIMBURSED HEALTH CARE.*
EXPENSES
----------.* (B)
REDUCED BECAUSE OF WAIVERS OF PREMIUM C
LAUSES ON HEALTH AND.* LIFE INSUR
ANCE DURING PERIOD OF DISABLEMENT (CHECK
POLICIES) ----------.*
TOTAL $ ----------.* .*(2) MONTHLY A
VERAGE OF SUBSTITUTE MO
NTHLY BENEFITS.*INCOME WHILE DISABLED TH
ROUGH =============================
===============.*ILLNESS OR INJURY
IMMEDIATE* AFTER 6 MONTH
S AFTER 2 YEARS#.*----------------------
----------- -------------- ------------
-- --------------.*GROUP DISABILITY INSU
RANCE (TAX-.* FREE IF YOU HAVE PAID PREM
IUMS..* TAXABLE WITH AN ANNUAL EXEMPTION
.* OF $5.200 IF YOU HAVEN'T.) $ -
---------- $ ----------- $ -----------
.*SOCIAL SECURITY (BENEFITS BEGIN.* WITH
THE SIXTH MONTH. DEPENDANTS.* ALSO QUA
LIFY FOR CERTAIN BENEFITS..* CONSULT SOC
IAL SECURITY OFFICE.) -----------
----------- -----------.*STATE DISABI
LITY PLANS -----------
----------- -----------.*WORKERS' COM
PENSATION -----------
----------- -----------.*VETERANS ADM
INISTRATION -----------
----------- -----------.*PERSONAL DIS
ABILITY INSURANCE.* (TAX-FREE)
----------- ---------
-- -----------.*SPOUSE'S INCOME
----------- ---------
-- -----------.*SAVINGS AND INVESTMEN
T INCOME.* (INTEREST. DIVIDENDS. RENTS.
ETC.) ----------- ----------- ---
--------.*LEGAL SETTLEMENTS BECAUSE OF.*
DISABLING ACCIDENT ---
-------- ----------- -----------.*
FUNDS SET ASIDE TOWARD FINANCIAL.* GOALS
(PER OTHER WORKSHEETS) ---------
-- ----------- -----------.* .*TOT
AL MONTHLY SUBSTITUTE INCOME $ ------
----- $ ----------- $ -----------.* .*
.*(3) SHORTAGE OR OVERAGE (EXPENSES.*
LESS INCOME) $ -----
------ $ ----------- $ -----------.* .
* .*(4) BORROWING POWER.* (USING BORR
OWED OR WITHDRAWN.* FUNDS FROM LIFE I
NSURANCE..* EMPLOYEE PENSION. SAVINGS
..* ETC.) $
----------- $ ----------- $ ----------
-.* .* .*(5) ADDITIONAL DISABILITY INCOM
E.* COVERAGE NEEDED.* (ITEM 3 MINU
S ITEM 4) $ ----------- $ ----
------- $ -----------.* .* .** WAITING
PERIOD MAY BE UP TO OR MORE THAN 90 DAYS
..* .*# YOU MAY WANT TO CONSIDER EFFECT
OF INFLATION ON YOUR NEEDS..* .* .* .* .
* .* .
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