Health Benefit Summary

The information listed below is effective for the plan period beginning January 1, 2023.

Preferred Deductible Health Plans 

• $500 Deductible Plan
• $1,000 Deductible Plan
• $1,000 Copay Plan
• $2,000 Deductible Plan
• $4,000 Deductible Plan
• High Deductible Health Plan

Benefit Booklets

• PremierBlue $500 Deductible Summary Plan
• ​PremierBlue $1,000 Deductible Summary Plan
  
• PremierBlue $1,000 Copay Summary Plan
  
• PremierBlue $2,000 Deductible Summary Plan 
  
• ​PremierBlue $4,000 Deductible Summary Plan 
  
• ​High Deductible Summary Plan ($3,000 employee/$6,000 family aggregate)

Blue Cross Blue Shield Provider Directory
HIPPA Health Authorization Form

Medicare Part D Notices
Medicare Part D Creditable Coverage Notice​​​

---

For More Information Contact:
Karen Coufal, Vice President, NBA Benefit Plans
Jennifer Muehlhausen, Assistant Vice President-Active Enrollment, NBA Benefit Plans
James Strickland, Billing/Accounting Coordinator, NBA Benefit Plans​
Scott Yank, Executive Vice President & CFO, NBISCO

​NBA Benefit Plans
233 South 13th Street, Suite 700
Lincoln, NE 68508
Phone: 888-419-8322 or 402-475-8322
Fax: 402-474-4376