| 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 |
Premiums listed below are for the January 1 – December 31, 2020, plan year unless otherwise indicated.
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Medical (January 1 - December 31, 2021)
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Medical (January 1 - December 31, 2020)
ENROLLMENT TIER LOW PLAN HIGH PLAN Full-Time Premiums (Pre-Tax) Monthly Biweekly Monthly Biweekly Employee Only $100 $46 $200 $92 Employee and Spouse $313 $144 $536 $247 Employee and Child $205 $95 $350 $162 Employee and Children $273 $126 $467 $216 Family $396 $183 $677 $312 Part-Time Premiums (Pre-Tax) Monthly Biweekly Monthly Biweekly Employee Only $555.48 $256.37 $638.97 $294.91 Employee and Spouse $1,277.60 $589.66 $1,469.63 $678.29 Employee and Child $833.22 $384.56 $958.45 $442.36 Employee and Children $1,110.96 $512.75 $1,277.94 $589.82 Family $1,610.89 $743.49 $1,853.01 $855.24 Reynolda House: Full-Time Premiums (Pre-Tax) Monthly Biweekly Monthly Biweekly Reynolda House: Employee Only $100 $46 $200 $92 Reynolda House: Employee and Spouse $313 $144 $536 $247 Reynolda House: Employee and Child $205 $95 $350 $162 Reynolda House: Employee and Children $273 $126 $467 $216 Reynolda House: Family $396 $183 $677 $312 The Employee Only Low Plan meets minimum value and affordability according to the Affordable Care Act (ACA) standards. ACA-eligible individuals have access to medical plan coverage at full-time premiums at Wake Forest University and Reynolda House.
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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 -
Dental (January 1 - December 21, 2020)
ENROLLMENT TIER LOW PLAN HIGH PLAN Full-Time Premiums (Pre-Tax) Monthly Biweekly Monthly Biweekly Employee Only $17 $8 $31 $14 Employee and Spouse $35 $16 $64 $30 Employee and Child $29 $13 $51 $24 Employee and Children $38 $18 $66 $30 Family $55 $25 $99 $46 Part-Time Premiums (Pre-Tax) Monthly Biweekly Monthly Biweekly Employee Only $24.19 $11.17 $44.40 $20.49 Employee and Spouse $51.05 $23.56 $92.43 $42.66 Employee and Child $41.12 $18.98 $73.79 $34.06 Employee and Children $54.91 $25.34 $95.69 $44.16 Family $78.62 $36.29 $141.68 $65.39 -
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 & 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
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Retiree Medical
ENROLLMENT TIER LOW PLAN HIGH PLAN Retirees (under 65) & Dependents on BCBS Medical Retiree Only $468.48 $551.97 Surviving Spouse Only $555.48 $638.97 Retiree and Spouse $1,190.60 $1,382.63 Retiree on BCBS, Spouse on OneExchange $468.48 $551.97 Retiree on OneExchange, Spouse on BCBS $555.48 $638.97 Retiree on OneExchange, Spouse & Child on BCBS $833.22 $958.45 Retiree on OneExchange, Spouse & Children on BCBS $1,110.96 $1,277.94 Retiree on OneExchange, Child on BCBS $277.74 $319.48 Retiree on OneExchange, Children on BCBS $555.48 $638.97 -
Retiree Dental
ENROLLMENT TIER LOW PLAN HIGH PLAN Retiree or Spouse Only $24.19 $44.40 Retiree and Spouse $51.05 $92.43 Retiree and Child $41.12 $73.79 Retiree and Children $54.91 $95.69 Family $78.62 $141.68 -
Retiree Vision
ENROLLMENT TIER Premium Retiree or Spouse Only $6.18 Retiree and Spouse $11.96 Family $17.58
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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 Medical (January 1 - December 31, 2020)
ENROLLMENT TIER LOW PLAN HIGH PLAN Employee Only $566.59 $651.75 Employee and Spouse $1,303.15 $1,499.02 Employee and Child $849.88 $977.62 Employee and Children $1,133.18 $1,303.50 Family $1,643.10 $1,890.07 -
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 Dental (January 1 - December 31, 2020)
ENROLLMENT TIER LOW PLAN HIGH PLAN Employee Only $24.68 $45.29 Employee and Spouse $52.07 $94.28 Employee and Child $41.94 $75.26 Employee and Children $56.01 $97.60 Family $80.19 $144.51 -
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
Se habla español.
