WoodmenLife Associates at the Gym

Health Insurance Costs

Quick Stats

Provider

Blue Cross and Blue Shield of Nebraska
Group #101498
Pharmacy Network: Network C
Drug List: PDL 10 (Formerly "BCBSNE Standard Formulary")

Tools

BCBSNE Tools and Resources

  • Find a Doctor
  • Rx Benefits
  • Cost Estimator
  • Telehealth

Go Mobile

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Determine your Health Insurance Premium

Select your income level and wellness status to display your premium amounts below.

Pre-tax premiums are based on 24 pay periods.

Step 1 - Select Your Income Level


Step 2 - Select Your Wellness Status



Step 3 - View 2020 Premium Amounts


Under $35,000 New Hire

Associate Only $12.38
Associate + Child(ren) $91.98
Associate + Spouse $108.57
Associate + Family $162.01

$35,001.00 to $65,000 New Hire

Associate Only $26.56
Associate + Child(ren) $109.48
Associate + Spouse $127.30
Associate + Family $186.52

$65,001.00 to $95,000 New Hire

Associate Only $40.93
Associate + Child(ren) $126.73
Associate + Spouse $146.26
Associate + Family $210.99

$95,001.00 to $125,000 New Hire

Associate Only $51.99
Associate + Child(ren) $144.02
Associate + Spouse $165.03
Associate + Family $235.45

$125,000 and Up New Hire

Associate Only $65.92
Associate + Child(ren) $161.51
Associate + Spouse $183.75
Associate + Family $259.92

Under $35,000 Standard

Associate Only $92.73
Associate + Child(ren) $172.33
Associate + Spouse $188.92
Associate + Family $242.36

$35,001.00 to $65,000 Standard

Associate Only $106.91
Associate + Child(ren) $189.82
Associate + Spouse $207.65
Associate + Family $266.87

$65,001.00 to $95,000 Standard

Associate Only $121.28
Associate + Child(ren) $207.08
Associate + Spouse $226.61
Associate + Family $291.34

$95,001.00 to $125,000 Standard

Associate Only $132.34
Associate + Child(ren) $224.37
Associate + Spouse $245.38
Associate + Family $315.80

$125,001.00 and Up Standard

Associate Only $146.27
Associate + Child(ren) $241.86
Associate + Spouse $264.10
Associate + Family $340.27

Under $35,000 Preferred

Associate Only $12.38
Associate + Child(ren) $91.98
Associate + Spouse $108.57
Associate + Family $162.01

$35,001.00 to $65,000 Preferred

Associate Only $26.56
Associate + Child(ren) $109.48
Associate + Spouse $127.30
Associate + Family $186.52

$65,001.00 to $95,000 Preferred

Associate Only $40.93
Associate + Child(ren) $126.73
Associate + Spouse $146.26
Associate + Family $210.99

$95,001.00 to $125,000 Preferred

Associate Only $51.99
Associate + Child(ren) $144.02
Associate + Spouse $165.03
Associate + Family $235.45

$125,001.00 and Up Preferred

Associate Only $65.92
Associate + Child(ren) $161.51
Associate + Spouse $183.75
Associate + Family $259.92

View 2019 Premium Rates

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The information on this page is a partial description of benefits, limitations, exclusions, and other provisions of the group benefits provided by Woodmen of the World Life Insurance Society (WoodmenLife). If there is a difference between the information in this summary and the plan document for each plan, the plan documents govern. Eligibility requirements apply to each of the benefits offered, criteria may include employment status and/or individual qualifications. For more detailed information, refer to the Summary Plan Description of each plan. WoodmenLife may amend these plans at any time. The description of the plan is not a guarantee of benefits and should not be construed as such.

This is the Life is a registered service mark of Woodmen of the World Life Insurance Society.