Fillable Printable Di And Pfl Weekly Benefit Amounts (De 2588)
Fillable Printable Di And Pfl Weekly Benefit Amounts (De 2588)
Di And Pfl Weekly Benefit Amounts (De 2588)
DE 2588 Rev. 12 (12-16) (INTERNET) - Versión en español en el dorso - CU
Disability Insurance (DI) and Paid Family Leave (PFL)
Weekly Benefit Amounts
(This chart reflects maximum weekly benefit amounts for claims beginning on
or after January 1, 2017.)
This chart shows what your weekly benefit might be based on your highest quarter of earnings in your base period.
If your claim begins in: Your base period is the 12 months ending last
January, February, or March .................................................................................................... September 30
April, May, or June .................................................................................................................... December 31
July, August, or September .............................................................................................................. March 31
October, November, or December ..................................................................................................... June 30
You should carefully decide the date you want your claim to begin. If you want your cla im to begin later than the
beginning date of your disability or family leave so that you will have a different base period, do not submit your claim
before calling the appropriate office. Disability Insurance at 1-800-480-3287 or Paid Family Leave at 1-877-238-4373
Wages in the
High Quarter:
0B
Weekly
Benefit
Amount:
Wages in the
High Quarter:
1B
Weekly
Benefit
Amount:
Wages in the
High Quarter:
2B
Weekly
Benefit
3B
Amount:
$75.00 - 1,374.99 ............. $50 – 59
1,375.00 - 1,624.99 ............... 60 – 69
1,625.00 - 1,867.27 ............... 70 – 79
1,867.28 - 2,103.63 ............... 80 – 89
2,103.64 - 2,340.00 ............... 90 – 99
2,340.01 - 2,576.36 ........... 100 – 109
2,576.37 - 2,812.72 ........... 110 – 119
2,812.73 - 3,049.09 ........... 120 – 129
3,049.10 - 3,285.45 ........... 130 – 139
3,285.46 - 3,521.82 ........... 140 – 149
3,521.83 - 3,758.18 ........... 150 – 159
3,758.19 - 3,994.54 ........... 160 – 169
3,994.55 - 4,230.91 ........... 170 – 179
4,230.92 - 4,467.27 ........... 180 – 189
4,467.28 - 4,703.63 ........... 190 – 199
4,703.64 - 4,940.00 ........... 200 – 209
4,940.01 - 5,176.36 ........... 210 – 219
5,176.37 - 5,412.72 ........... 220 – 229
5,412.73 - 5,649.09 ........... 230 – 239
5,649.10 - 5,885.45 ........... 240 – 249
5,885.46 - 6,121.82 ........... 250 – 259
6,121.83 - 6,358.18 ........... 260 – 269
6,358.19 - 6,594.54 ........... 270 – 279
6,594.55 - 6,830.91 ........... 280 – 289
6,830.92 - 7,067.27 ........... 290 – 299
7,067.28 - 7,303.63 ........... 300 – 309
7,303.64 - 7,540.00 ........... 310 – 319
7,540.01 - 7,776.36 ........... 320 – 329
7,776.37 - 8,
012.72 ........... 330 – 339
8,012.73 - 8,249.09 ........... 340 – 349
8,249.10 - 8,485.45 ........... 350 – 359
8,485.46 - 8,721.82 ........... 360 – 369
8,721.83 - 8,958.18 ........... 370 – 379
8,958.19 - 9,194.54 ........... 380 – 389
9,194.55 - 9,430.91 ........... 390 – 399
9,430.92 - 9,667.27 ........... 400 – 409
9,667.28 - 9,903.63 ........... 410 – 419
9,903.64 - 10,140.00 ......... 420 – 429
10,140.01 - 10,376.36 ......... 430 – 439
10,376.37 - 10,612.72 ......... 440 – 449
10,612.73 - 10,849.09 ....... 450 – 459
10,849.10 - 11,085.45 ....... 460 – 469
11,085.46 - 11,321.82 ....... 470 – 479
11,321.83 - 11,558.18 ....... 480 – 489
11,558.19 - 11,794.54 ....... 490 – 499
11,794.55 - 12,030.91 ....... 500 – 509
12,030.92 - 12,267.27 ....... 510 – 519
12,267.28 - 12,503.63 ....... 520 – 529
12,503.64 - 12,740.00 ....... 530 – 539
12,740.01 - 12,976.36 ....... 540 – 549
12,976.37 - 13,212.72 ....... 550 – 559
13,212.73 - 13,449.09 ....... 560 – 569
13,449.10 - 13,685.45 ....... 570 – 579
13,685.46 - 13,921.82 ....... 580 – 589
13,921.83 - 14,158.18 ....... 590 – 599
14,158.19 - 14,394.54 ....... 600 – 609
14,394.55 - 14,630.91 ....... 610 – 619
14,630.92 - 14,867.27 ....... 620 – 629
14,867.28 - 15,103.63 ....... 630 – 639
15,103.64 - 15,340.00 ....... 640 – 649
15,340.01 - 15,576.36 ....... 650 – 659
15,576.37 - 15,812.72 ....... 660 – 669
15,812.73 - 16,049.09 ....... 670 – 679
16,049.10 - 16,285.45 ....... 680 – 689
16,285.46 - 16,521.82 ....... 690 – 699
16,521.83 - 16,758.18 ....... 700 – 709
16,758.19 - 16,994.54 ....... 710 – 719
16,994.55 - 17,230.91 ....... 720 – 729
17,230.92 - 1
7,467.27 ....... 730 – 739
17,467.28 - 17,703.63 ....... 740 – 749
17,703.64 - 17,940.00 ....... 750 – 759
17,940.01 - 18,176.36 ....... 760 – 769
18,176.37 - 18,412.72 ....... 770 – 779
18,412.73 - 18,649.09 ....... 780 – 789
18,649.10 - 18,885.45 ....... 790 – 799
18,885.46 - 19,121.82 ....... 800 – 809
19,121.83 - 19,358.18 ....... 810 – 819
19,358.19 - 19,594.54 ....... 820 – 829
19,594.55 - 19,830.91 ....... 830 – 839
19,830.92 - 20,067.27 ....... 840 – 849
20,067.28 - 20,303.63 ....... 850 – 859
20,303.64 - 20,540.00 ....... 860 – 869
20,540.01 - 20,776.36 ....... 870 – 879
20,776.37 - 21,012.72 ....... 880 – 889
21,012.73 - 21,249.09 ....... 890 – 899
21,249.10 - 21,485.45 ....... 900 – 909
21,485.46 - 21,721.82 ....... 910 – 919
21,721.83 - 21,958.18 ....... 920 – 929
21,958.19 - 22,194.54 ....... 930 – 939
22,194.55 - 22,430.91 ....... 940 – 949
22,430.92 - 22,667.27 ....... 950 – 959
22,667.28 - 22,903.63 ....... 960 – 969
22,903.64 - 23,140.00 ....... 970 – 979
23,140.01 - 23,376.36 ....... 980 – 989
23,376.37 - 23,612.72 ........ 990 – 999
23,612.73 - 23,849.09 ... 1000 – 1009
23,849.10 - 24,085.45 ... 1010 – 1019
24,085.46 - 24,321.82 ... 1020 – 1029
24,321.83 - 24,558.18 ... 1030 – 1039
24,558.19 - 24,794.54 .. 1040 – 1049
24,794.55 - 25,030.91 ... 1050 – 1059
25,030.92 - 25,267.27 ... 1060 – 1069
25,267.28 - 25,503.63 ... 1070 – 1079
25,503.64 - 25,740.00 ... 1080 – 1089
25,740.01 - 25,976.36 ... 1090 – 1099
25,976.37 - 26,212.73 ... 1100 – 1109
26,212.74 - 26,449.09 ... 1110 – 1119
26,449.10 - 26,685.45 ... 1120 – 1129
26,685.46 - 26,921.82 ... 1130 – 1139
26,921.83 - 27,158.18 ... 1140 – 1149
27,
158.19 - 27,394.55 ... 1150 – 1159
27,394.56 - 27,630.91 ... 1160 – 1169
27.630.92 - 27,701.82 ... 1170 – 1172
27,701.83 and above ................. 1173
DE 2588 Rev. 12 (12-16) (INTERNET) - English version on other side - MIC 38/CU
Beneficios Semanales para el S eguro de Incapacidad (DI) y el
Permiso Familiar Pagado (PFL)
(Esta tabla refleja las sumas máximas de beneficios semanales, para solicitudes que
comiencen el o después del 1ro. de enero de 2017.)
Esta tabla le muestra sus posibles beneficios semanales, en base al trimestre de
mayores ingresos durante su período reglamentario.
Si su solicitud de beneficios empieza en: Su período reglamentario es de 12 meses, terminando el:
enero, febrero o marzo ........................................................................................... 30 de septiembre pasado
abril, mayo o junio .................................................................................................... 31 de diciembre pasado
julio, agosto o septiembre .............................................................................................. 31 de marzo pasado
octubre, noviembre o diciembre ........................................................................................ 30 de junio pasado
Usted debe considerar cuidadosamente cuándo comenzar su solicitud de beneficios. Si usted desea que su
solicitud comience después de la fecha de su incapacidad o de su permiso familiar para tener un período reglamentario
diferente, no presente su solicitud antes de llamar a la oficina apropiada. Seguro de Incapacidad al 1-866-658-8846 o
Permiso Familiar Pagado al 1-877-379-3819
Salarios/Sueldo
s del trimestre
de mayores
ingresos:
Cantidad
semanal de
beneficios:
Salarios/ Sueldos
del trimestre de
mayores
ingresos:
Cantidad
semanal de
beneficios:
Salarios/ Sueldos
del trimestre de
mayores
ingresos:
4BCantidad
semanal de
beneficios:
$75.00 - 1,374.99 ............. $50 – 59
1,375.00 - 1,624.99 ............... 60 – 69
1,625.00 - 1,867.27 ............... 70 – 79
1,867.28 - 2,103.63 ............... 80 – 89
2,103.64 - 2,340.00 ............... 90 – 99
2,340.01 - 2,576.36 ........... 100 – 109
2,576.37 - 2,812.72 ........... 110 – 119
2,812.73 - 3,049.09 ........... 120 – 129
3,049.10 - 3,285.45 ........... 130 – 139
3,285.46 - 3,521.82 ........... 140 – 149
3,521.83 - 3,758.18 ........... 150 – 159
3,758.19 - 3,994.54 ........... 160 – 169
3,994.55 - 4,230.91 ........... 170 – 179
4,230.92 - 4,467.27 ........... 180 – 189
4,467.28 - 4,703.63 ........... 190 – 199
4,703.64 - 4,940.00 ........... 200 – 209
4,940.01 - 5,176.36 ........... 210 – 219
5,176.37 - 5,412.72 ........... 220 – 229
5,412.73 - 5,649.09 ........... 230 – 239
5,649.10 - 5,885.45 ........... 240 – 249
5,885.46 - 6,121.82 ........... 250 – 259
6,121.83 - 6,358.18 ........... 260 – 269
6,358.19 - 6,594.54 ........... 270 – 279
6,594.55 - 6,830.91 ........... 280 – 289
6,830.92 - 7,067.27 ........... 290 – 299
7,067.28 - 7,303.63 ........... 300 – 309
7,303.64 - 7,540.00 ........... 310 – 319
7,540.01 - 7,776.36 ........... 320 – 329
7,776.37 - 8,
012.72 ........... 330 – 339
8,012.73 - 8,249.09 ........... 340 – 349
8,249.10 - 8,485.45 ........... 350 – 359
8,485.46 - 8,721.82 ........... 360 – 369
8,721.83 - 8,958.18 ........... 370 – 379
8,958.19 - 9,194.54 ........... 380 – 389
9,194.55 - 9,430.91 ........... 390 – 399
9,430.92 - 9,667.27 ........... 400 – 409
9,667.28 - 9,903.63 ........... 410 – 419
9,903.64 - 10,140.00 ......... 420 – 429
10,140.01 - 10,376.36 ......... 430 – 439
10,376.37 - 10,612.72 ......... 440 – 449
10,612.73 - 10,849.09 ....... 450 – 459
10,849.10 - 11,085.45 ....... 460 – 469
11,085.46 - 11,321.82 ....... 470 – 479
11,321.83 - 11,558.18 ....... 480 – 489
11,558.19 - 11,794.54 ....... 490 – 499
11,794.55 - 12,030.91 ....... 500 – 509
12,030.92 - 12,267.27 ....... 510 – 519
12,267.28 - 12,503.63 ....... 520 – 529
12,503.64 - 12,740.00 ....... 530 – 539
12,740.01 - 12,976.36 ....... 540 – 549
12,976.37 - 13,212.72 ....... 550 – 559
13,212.73 - 13,449.09 ....... 560 – 569
13,449.10 - 13,685.45 ....... 570 – 579
13,685.46 - 13,921.82 ....... 580 – 589
13,921.83 - 14,158.18 ....... 590 – 599
14,158.19 - 14,394.54 ....... 600 – 609
14,394.55 - 14,630.91 ....... 610 – 619
14,630.92 - 14,867.27 ....... 620 – 629
14,867.28 - 15,103.63 ....... 630 – 639
15,103.64 - 15,340.00 ....... 640 – 649
15,340.01 - 15,576.36 ....... 650 – 659
15,576.37 - 15,812.72 ....... 660 – 669
15,812.73 - 16,049.09 ....... 670 – 679
16,049.10 - 16,285.45 ....... 680 – 689
16,285.46 - 16,521.82 ....... 690 – 699
16,521.83 - 16,758.18 ....... 700 – 709
16,758.19 - 16,994.54 ....... 710 – 719
16,994.55 - 17,230.91 ....... 720 – 729
17,230.92 - 1
7,467.27 ....... 730 – 739
17,467.28 - 17,703.63 ....... 740 – 749
17,703.64 - 17,940.00 ....... 750 – 759
17,940.01 - 18,176.36 ....... 760 – 769
18,176.37 - 18,412.72 ....... 770 – 779
18,412.73 - 18,649.09 ....... 780 – 789
18,649.10 - 18,885.45 ....... 790 – 799
18,885.46 - 19,121.82 ....... 800 – 809
19,121.83 - 19,358.18 ....... 810 – 819
19,358.19 - 19,594.54 ....... 820 – 829
19,594.55 - 19,830.91 ....... 830 – 839
19,830.92 - 20,067.27 ....... 840 – 849
20,067.28 - 20,303.63 ....... 850 – 859
20,303.64 - 20,540.00 ....... 860 – 869
20,540.01 - 20,776.36 ....... 870 – 879
20,776.37 - 21,012.72 ....... 880 – 889
21,012.73 - 21,249.09 ....... 890 – 899
21,249.10 - 21,485.45 ....... 900 – 909
21,485.46 - 21,721.82 ....... 910 – 919
21,721.83 - 21,958.18 ....... 920 – 929
21,958.19 - 22,194.54 ....... 930 – 939
22,194.55 - 22,430.91 ....... 940 – 949
22,430.92 - 22,667.27 ....... 950 – 959
22,667.28 - 22,903.63 ....... 960 – 969
22,903.64 - 23,140.00 ....... 970 – 979
23,140.01 - 23,376.36 ....... 980 – 989
23,376.37 - 23,612.72 .......... 990 – 999
23,612.73 - 23,849.09 ... 1000 – 1009
23,849.10 - 24,085.45 ... 1010 – 1019
24,085.46 - 24,321.82 ... 1020 – 1029
24,321.83 - 24,558.18 ... 1030 – 1039
24,558.19 - 24,794.54 .. 1040 – 1049
24,794.55 - 25,030.91 ... 1050 – 1059
25,030.92 - 25,267.27 ... 1060 – 1069
25,267.28 - 25,503.63 ... 1070 – 1079
25,503.64 - 25,740.00 ... 1080 – 1089
25,740.01 - 25,976.36 ... 1090 – 1099
25,976.37 - 26,212.73 ... 1100 – 1109
26,212.74 - 26,449.09 ... 1110 – 1119
26,449.10 - 26,685.45 ... 1120 – 1129
26,685.46 - 2
6,921.82 ... 1130 – 1139
26,921.83 - 27,158.18 ... 1140 – 1149
27,
158.19 - 27,394.55 ... 1150 – 1159
27,394.56 - 27,630.91 ... 1160 – 1169
27.630.92 - 27,701.82 ... 1170 – 1172
27,701.83 and above ................. 1173
