Premiums

Premiums listed below are for the January 1 – December 31, 2021, plan year unless otherwise indicated.

  • Medical (January 1 - December 31, 2021)
    ENROLLMENT TIER LOW PLAN HIGH PLAN
    Full-Time Premiums (Pre-Tax) Monthly Biweekly Monthly Biweekly
    Employee Only $104 $48 $210 $97
    Employee and Spouse $329 $152 $563 $260
    Employee and Child $215 $99 $368 $170
    Employee and Children $287 $132 $490 $226
    Family $416 $192 $711 $328
    Part-Time Premiums (Pre-Tax) Monthly Biweekly Monthly Biweekly
    Employee Only $560.14 $258.53 $644.33 $297.39
    Employee and Spouse $1,288.33 $594.61 $1,481.97 $683.99
    Employee and Child $840.22 $387.79 $966.50 $446.08
    Employee and Children $1,120.29 $517.06 $1,288.67 $594.77
    Family $1,624.42 $749.73 $1,868.57 $862.42
  • Dental (January 1 - December 31, 2021)
    ENROLLMENT TIER LOW PLAN HIGH PLAN
    Full-Time Premiums (Pre-Tax) Monthly Biweekly Monthly Biweekly
    Employee Only $17 $8 $32 $15
    Employee and Spouse $36 $17 $65 $30
    Employee and Child $30 $14 $52 $24
    Employee and Children $39 $18 $67 $31
    Family $56 $26 $101 $47
    Part-Time Premiums (Pre-Tax) Monthly Biweekly Monthly Biweekly
    Employee Only $25.32 $11.69 $45.83 $21.15
    Employee and Spouse $53.41 $24.65 $95.40 $44.03
    Employee and Child $43.03 $19.86 $76.15 $35.15
    Employee and Children $57.55 $26.56 $98.75 $45.58
    Family $82.26 $37.97 $146.21 $67.48
  • Vision
    Enrollment Tier Monthly Biweekly
    Employee Only $6.18 $2.85
    Employee and One Dependent $11.96 $5.52
    Family $17.58 $8.12
  • Flexible Spending
    MAXIMUM CONTRIBUTION LEVELS
    Health Care FSA $2,750/ per employee
    Dependent Care FSA $5,000/ per employee
  • Legal
    HIGH PLAN LOW PLAN
    Monthly $22 $18.25
    Biweekly $10.15 $8.42
  • Voluntary Life Insurance
    Rates per $1,000
    Age Monthly Biweekly
    Less than 25 $0.06 $0.03
    25-29 $0.07 $0.03
    30-34 $0.09 $0.04
    35-39 $0.10 $0.05
    40-44 $0.11 $0.05
    45-49 $0.17 $0.08
    50-54 $0.25 $0.12
    55-59 $0.47 $0.22
    60-64 $0.73 $0.34
    65-69 $1.40 $0.65
    70-74 $2.27 $1.05
    75 and older $3.40 $1.57
  • Voluntary Dependent Life Insurance
    Option Benefit Monthly Premium Biweekly Premium
    Option 1 – Spouse and Children $25,000/$10,000 $5.25 $2.42
    Option 2 – Spouse and Children $10,000/$5,000 $2.25 $1.04
    Option 3 – Spouse $25,000 $4.05 $1.87
    Option 4 – Children $10,000 $1.20 $0.55
    Option 5 – Spouse $10,000 $1.65 $0.76
    Option 6 – Children $5,000 $0.60 $0.28
  • Accident Plan
    Enrollment Tier Full- & Part-Time
    Monthly Faculty & Staff    		 Full- & Part-Time
    Biweekly Faculty & Staff
    Employee
    Age 18-75    		 $17.29 $7.98
    Employee and Spouse
    Age 18-75    		 $24.57 $11.34
    One-Parent Family
    Age 18-75    		 $29.25 $13.50
    Two-Parent Family
    Age 18-75    		 $38.22 $17.64
  • Specified Health Event Plan
    Enrollment Tier Full- & Part-Time
    Monthly Faculty & Staff    		 Full- & Part-Time
    Biweekly Faculty & Staff
    Employee
    Age 18-35    		 $11.70 $5.40
    Employee
    Age 36-45    		 $18.85 $8.70
    Employee
    Age 46-55    		 $25.35 $11.70
    Employee
    Age 56-64    		 $32.89 $15.18
    One-Parent Family
    Age 18-35    		 $12.87 $5.94
    One-Parent Family
    Age 36-45    		 $19.63 $9.06
    One-Parent Family
    Age 46-55    		 $26.13 $12.06
    One-Parent Family
    Age 56-64    		 $33.80 $15.60
    Two-Parent Family
    Age 18-35    		 $20.28 $9.36
    Two-Parent Family
    Age 36-45    		 $33.54 $15.48
    Two-Parent Family
    Age 46-55    		 $46.67 $21.54
    Two-Parent Family
    Age 56-64    		 $63.96 $29.52
    Employee and Spouse
    Age 18-35    		 $18.07 $8.34
    Employee and Spouse
    Age 36-45    		 $30.94 $14.28
    Employee and Spouse
    Age 46-55    		 $43.68 $20.16
    Employee and Spouse
    Age 56-64    		 $60.32 $27.84
  • Cancer Plan
    Enrollment Tier Full- & Part-Time
    Monthly Faculty & Staff    		 Full- & Part-Time
    Biweekly Faculty & Staff
    Employee
    Age 18-75    		 $38.48 $17.76
    Employee and Spouse
    Age 18-75    		 $68.64 $31.68
    One-Parent Family
    Age 18-75    		 $38.48 $17.76
    Two-Parent Family
    Age 18-75    		 $68.64 $31.68

Retiree Premiums

  • Retiree Medical

    ENROLLMENT TIER LOW PLAN HIGH PLAN
    Retirees (under 65) &  Dependents on BCBS Medical
    Retiree Only $473.14 $557.33
    Surviving Spouse Only $560.14 $644.33
    Retiree and Spouse $1,288.33 $1,481.97
    Retiree on BCBS, Spouse on OneExchange $473.14 $557.33
    Retiree on OneExchange, Spouse on BCBS $560.14 $644.33
    Retiree on OneExchange, Spouse & Child on BCBS $840.22 $966.50
    Retiree on OneExchange, Spouse & Children on BCBS $1,120.29 $1,288.67
    Retiree on OneExchange, Child on BCBS $280.07 $322.17
    Retiree on OneExchange, Children on BCBS $560.14 $644.33
  • Retiree Dental
    ENROLLMENT TIER LOW PLAN HIGH PLAN
    Retiree or Spouse Only $25.32 $45.83
    Retiree and Spouse $53.41 $95.40
    Retiree and Child $43.03 $76.15
    Retiree and Children $57.55 $98.75
    Family $82.26 $146.21
  • Retiree Vision
    ENROLLMENT TIER Premium
    Retiree or Spouse Only $6.18
    Retiree and Spouse $11.96
    Family $17.58

COBRA Premiums

  • COBRA Medical (January 1 - December 31, 2021)

    Medical

    ENROLLMENT TIER LOW PLAN HIGH PLAN
    Employee Only $571.35 $657.22
    Employee and Spouse $1,314.10 $1,511.61
    Employee and Child $857.02 $985.83
    Employee and Children $1,142.69 $1,314.44
    Family $1,656.90 $1,905.94
  • COBRA Dental (January 1 - December 31, 2021)
    ENROLLMENT TIER LOW PLAN HIGH PLAN
    Employee Only $25.83 $46.75
    Employee and Spouse $54.48 $97.31
    Employee and Child $43.89 $77.67
    Employee and Children $58.70 $100.73
    Family $83.91 $149.13
  • COBRA Vision
    ENROLLMENT TIER Premium
    Employee Only $6.30
    Employee and One Dependent $12.20
    Family $17.93

Wake Forest University Human Resources
2598 Reynolda Rd, Winston-Salem, NC 27106  |  P.O. Box 7424
AskHR@wfu.edu   |  P (336) 758-4700 |  F (336) 758-6127

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