Benefits Cost Calculator for Leaves of Absence

This form will allow you to determine the cost to you to maintain your benefits during a leave. Please select the benefits you currently have and would like to keep during your leave. Uncheck those you do not wish to keep.

Type of Leave:
Gross monthly salary:
$ (no commas)
Dependents:
Affiliation:
Normal
Employee 
Cost
Normal
Employer
Cost
Your Cost
During This
Leave
If you have Optional Life
and/or Spousal Life,
please enter:

Age
$amount
Spouse's Age
$amount
Check if a smoker
Check if spouse a smoker
Extended Health
Dental
EFAP
Basic Life Insurance
Optional Life**
Accidental Death**
Spousal Life **
Disability***
Pension Plan
  Your Monthly Total: 

**If you choose to maintain any or all of these items you must also make the monthly premium payment for your Basic Group Life Insurance. If you elect not to maintain any of these and then later wish to rejoin, you will need to re-apply for coverage, submitting a health questionnaire and a medical examination may be necessary at your own expense.

***If you elect not to maintain IRP, your coverage will be automatically reinstated the date you return to work from leave. After your return to work, IRP benefits will not be paid for any disability resulting directly or indirectly from an impairment before your coverage is reinstated (pre-existing condition). If you have not had continuous IRP coverage for 12 months prior to submitting a claim, the claim may be subject to an investigation by Sun Life regarding a pre-existing condition.