Premiums - Human Resources

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Premiums listed below

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

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

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

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

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

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

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

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

ENROLLMENT TIER	LOW PLAN	HIGH PLAN
Retirees (under 65) & Dependents on Aetna Medical
Retiree Only	$516.64	$607.37
Surviving Spouse Only	$603.64	$694.37
Retiree and Spouse	$1,301.38	$1,510.05
Retiree on Aetna, Spouse on OneExchange	$516.64	$607.37
Retiree on OneExchange, Spouse on Aetna	$603.64	$694.37
Retiree on OneExchange, Spouse & Child on Aetna	$905.46	$1,041.56
Retiree on OneExchange, Spouse & Children on Aetna	$1,207.28	$1,388.74
Retiree on OneExchange, Child on Aetna	$301.82	$347.19
Retiree on OneExchange, Children on Aetna	$603.64	$694.37

ENROLLMENT TIER	LOW PLAN	HIGH PLAN
Retiree or Surviving Spouse Only	$26.72	$48.35
Retiree and Spouse	$56.35	$100.65
Retiree and Child	$45.39	$80.33
Retiree and Children	$60.71	$104.18
Family	$86.79	$154.24

COBRA Premiums

Medical

ENROLLMENT TIER	LOW PLAN	HIGH PLAN
Employee Only	$615.71	$708.26
Employee and Spouse	$1,416.15	$1,628.99
Employee and Child	$923.57	$1,062.39
Employee and Children	$1,231.43	$1,416.51
Family	$1,785.57	$2,053.94

Wake Forest University Human Resources

P.O. Box 7424, Winston-Salem, NC 27109
askHR@wfu.edu | P 336.758.4700 | F 336.758.6127

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