Premiums

Premiums listed below

For the January 1 – December 31, 2023, plan year unless otherwise indicated.

  • Medical
    ENROLLMENT TIERLOW PLANHIGH PLAN
    Full-Time Premiums (Pre-Tax)MonthlyBiweeklyMonthlyBiweekly
    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)MonthlyBiweeklyMonthlyBiweekly
    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 TIERLOW PLANHIGH PLAN
    Full-Time Premiums (Pre-Tax)MonthlyBiweeklyMonthlyBiweekly
    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)MonthlyBiweeklyMonthlyBiweekly
    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 TierMonthlyBiweekly
    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 TierMonthlyBiweekly
    Ultimate Advisor$18.25$8.42
    Ultimate Advisor Plus$22.00$10.15
  • Voluntary Life Insurance
    Rates per $1,000
    AgeMonthlyBiweekly
    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
    OptionBenefitMonthly PremiumBiweekly 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 TierFull & 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 TierFull & 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 TierFull & 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 TIERLOW PLANHIGH 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 TIERLOW PLANHIGH 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 TIERPremium
    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 TIERLOW PLANHIGH 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 TIERLOW PLANHIGH 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 TIERPremium
    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