Enriched DBL Coverage 10-49 Employees (New York)

The D.B.L. Center Ltd. and The Hartford have come together offering more choices to its brokers.

To learn more, download the full brochure, or fill out the form to request a quote and a representative will contact you.

Download New York Enriched DBL Products from the Hartford (PDF)

Enriched DBL Coverage¹

26-Week Enriched Benefits

26-Week Benefit	Monthly Rate per $100 of Covered Monthly Payroll2
	50% Plan		60% Plan
Max. Weekly Benefit	Males	Females	Males	Females
$200–$349	$0.229	$0.398	$0.275	$0.478
$350–$749	$0.282	$0.457	$0.338	$0.548

52-Week Enriched Benefits

52-Week Benefit	Monthly Rate per $100 of Covered Monthly Payroll2
	50% Plan		60% Plan
Max. Weekly Benefit	Males	Females	Males	Females
$170	$0.277	$0.562	$0.333	$0.674
$200–$349	$0.359	$0.671	$0.431	$0.805
$350–$749	$0.433	$0.754	$0.520	$0.905

¹The minimum premium is $45 for any policy year.
²Covered Monthly Payroll is based upon the first $X of weekly earnings, where X=$benefit/benefit percent..

Enriched DBL Coverage 10-49 Employees:

All Fields Required Otherwise State N/A

Broker Name
Email
Name of Insured
Doing Business As
Location Address
Mailing Address
City
State
Zip
All Fields Required Otherwise State N/A Please select a 26 or 52 Week Benefit
Weekly Benefit Duration 26-Week Benefit 52-Week Benefit
Weekly Benefit	Enter dollar amount                 ($170 min. – $749 max.)
Monthly Rate per $100 of Covered Monthly Payroll: Please select a monthly rate
50% Plan 60% Plan
Total # of Males	Total # of Females
Please enter the total number of males Please enter the total number of females
W2 Service or ER FICA Match: Yes No This field is required
Enhanced Disability coverage is based on an employee's estimated annual wage. By clicking submit, your information will be directed to both The Hartford and their partnering General Agency. A member of our staff will contact you directly to go over the details of your proposal."

The Hartford® is The Hartford Financial Services Group, Inc. and its subsidiaries, including issuing companies Hartford Life Insurance Company and Hartford Life and Accident Insurance Company. Policies sold in New York are underwritten by Hartford Life Insurance Company. Home Office of both companies is Simsbury, CT. This is a summary only; providing general information on the services described. It is not a contract. All benefits are subject to the terms and conditions of the policy as issued. Exclusions, limitations, reduction of benefits, and terms of coverage apply as pursuant to NY Disability Benefits Law. Rates are set by the New York Workers' Compensation Board and are subject to change.

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