Health Benefit Summary

The information listed below is effective for the plan period beginning January 1, 2018.

Preferred Deductible Health Plans - Brochure

• PremierBlue $500 Deductible Summary Plan Description  Booklet​
  • 2018 Schedule of Benefits Summary 

 ​

• PremierBlue $1,000 Deductible Summary Plan Description Booklet
  • 2018 Schedule of Benefits Summary

 

• PremierBlue $2,000 Deductible Summary Plan Description Booklet
  • 2018 Schedule of Benefits Summary

​

• PremierBlue $4,000 Deductible Summary Plan Description Booklet
  • 2018 Schedule of Benefits Summary
    

Copay Plan-Brochure 

• PremierBlue $1,000 Copay Summary Plan Description Booklet
  • 2018 Schedule of Benefits Summary 

                              
High Deductible Health Plan -Brochure  (HSA Eligible)

• High Deductible Summary Plan Description Booklet
  • 2018 Schedule of Benefits Summary

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

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, VEBA Program
Janelle Ekeler, Assistant Vice President, VEBA Program
Jennifer Nowotny, Enrollment Manager, VEBA Program
Scott Yank, Executive Vice President, NBISCO

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