Premiums listed below
For the January 1 – December 31, 2023, plan year unless otherwise indicated.
-
Medical
ENROLLMENT TIER LOW PLAN HIGH PLAN Full-Time Premiums (Pre-Tax) Monthly Biweekly Monthly Biweekly Employee Only $115 $53 $235 $108 Employee and Spouse $368 $170 $631 $291 Employee and Child $241 $111 $412 $190 Employee and Children $321 $148 $549 $253 Family $466 $215 $796 $367 Part-Time Premiums (Pre-Tax) Monthly Biweekly Monthly Biweekly Employee Only $603.64 $278.60 $694.37 $320.48 Employee and Spouse $1,388.38 $640.79 $1,597.05 $737.10 Employee and Child $905.46 $417.90 $1,041.56 $480.72 Employee and Children $1,207.28 $557.21 $1,388.74 $640.96 Family $1,750.56 $807.95 $2,013.67 $929.39 -
Dental
ENROLLMENT TIER LOW PLAN HIGH PLAN Full-Time Premiums (Pre-Tax) Monthly Biweekly Monthly Biweekly Employee Only $18 $8.25 $34 $16 Employee and Spouse $38 $18 $68 $31 Employee and Child $32 $15 $55 $25 Employee and Children $41 $19 $71 $33 Family $59 $27 $106 $49 Part-Time Premiums (Pre-Tax) Monthly Biweekly Monthly Biweekly Employee Only $26.72 $12.33 $48.35 $22.32 Employee and Spouse $56.35 $26.01 $100.65 $46.45 Employee and Child $45.39 $20.95 $80.33 $37.08 Employee and Children $60.71 $28.02 $104.18 $48.08 Family $86.79 $40.06 $154.24 $71.19 -
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 $2,850/ per employee Dependent Care FSA $5,000/ per employee -
Legal
Enrollment Tier Monthly Biweekly Ultimate Advisor $18.25 $8.42 Ultimate Advisor Plus $22.00 $10.15 -
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 & StaffFull & Part-Time
Biweekly Faculty & StaffEmployee
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 & StaffFull & Part-Time
Biweekly Faculty & StaffEmployee
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 & StaffFull & Part-Time
Biweekly Faculty & StaffEmployee
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 Surviving 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 Surviving 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
P.O. Box 7424, Winston-Salem, NC 27109
askHR@nullwfu.edu | P 336.758.4700 | F 336.758.6127