Health Benefit Summary

The information listed below is effective for the plan period beginning January 1, 2022.

Benefit Summaries

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

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Blue Cross Blue Shield Provider Directory

HIPPA Health Authorization Form
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Medicare Part D Notices

• Medicare Part D Creditable Coverage Notice​​

Benefit Booklets

• PremierBlue $500 Deductible Summary Plan
• ​PremierBlue $1,000 Deductible Summary Plan 
• PremierBlue $2,000 Deductible Summary Plan 
• ​PremierBlue $4,000 Deductible Summary Plan 
• ​PremierBlue $1,000 Copay Summary Plan
• ​High Deductible Summary Plan

                      ($3,000 employee/$6,000 family aggregate)

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For More Information Contact:
Karen Coufal, Vice President, VEBA Program
Janelle Ekeler, Assistant Vice President, VEBA Program
Jennifer Muehlhausen, Assistant Vice President-Active Enrollment, VEBA Program
Scott Yank, Executive Vice President/CFO, NBISCO/NBA

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