Healthcare Plan Designs and Costs

Review the available plans below. Need coverage for dependents? Use the plan tier dropdown to adjust your options. When you’re ready to get started, click the ‘Get Started’ button to begin!
View your available Medical plans below:
Medical Plans: Guaranteed Issue
Carrier: Amalgamated Local 426 Health and Welfare Fund
Plan Tier: Primary Only
Select a different plan tier:

Now Available! Auto Accident Rider for Core Choice Medical Enrollees. Review Core Choice Accident Rider product page for more details.

Local 426 Health Benefit Fund Base Plan

Primary Only

Your Monthly Premium:

$706.00

Individual Deductible
$3,000
Individual Out-of-Pocket Max
$5,350
Family Deductible
$6,000
Family Out-of-Pocket Max
$10,700
Office Visit
Deductible and 50% coinsurance
Specialist Visit
Deductible and 50% coinsurance

Local 426 Health Benefit Fund Blue Liberty 1500 Plan

Primary Only

Your Monthly Premium:

$950.00

Individual Deductible
$1,500
Individual Out-of-Pocket Max
$5,350
Family Deductible
$3,000
Family Out-of-Pocket Max
$10,700
Office Visit
Deductible then $30 copay
Specialist Visit
Deductible then $50 copay

Local 426 Health Benefit Fund Liberty Plan

Primary Only

Your Monthly Premium:

$1,049.00

Individual Deductible
$0
Individual Out-of-Pocket Max
$5,350
Family Deductible
$0
Family Out-of-Pocket Max
$10,700
Office Visit
$30 copay
Specialist Visit
$50 copay

Local 426 Health Benefit Fund ASO Plan

Primary Only

Your Monthly Premium:

$1,201.00

Individual Deductible
$0
Individual Out-of-Pocket Max
N/A
Family Deductible
$0
Family Out-of-Pocket Max
N/A
Office Visit
$25 copay
Specialist Visit
$25 copay

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Who is the carrier for the medical plans? What kind of network of coverage?

The plan sponsor is the Amalgamated Local 426 Health and Welfare fund, and the plan utilizes the nationwide Anthem BlueCard PPO network. The plan is governed by Federal ERISA law and not subject to state insurance law.

Can members over the age of 65 enroll in the Medical plans?

Yes, but these medical plans must be primary and not enrolled in Medicare.

Who can enroll in this Medical plan? Group/Individuals?

These medical plans can be written down to the sole proprietor level but also offered in a traditional group/employer sponsored setup.

When offering these medical plans on a true group setting who is eligible to enroll?

W-2 and 1099 contractors can enroll in the medical plans that are offered at a group level.

Would just need the sponsoring employers FEIN for setup.

Are there any Employer Contribution Rules for premiums or any minimum employee participation rules?

NO

When do these plans renew?

medical plans operate on a calendar year deductible and OOPM framework. Meaning Deductibles and Out of Pocket max will reset every January 1.

When can I enroll?

We allow monthly enrollments throughout the year at the first of every month, however you must enroll by the 15th of the month prior to your desired effective date.

Ex: 6/1/24 enrollments must be completed by 5/15/24

Click a Supplemental category below to see your available options:
Supplemental Plans: Accident
Carrier: Empire BCBS
Plan Tier: Primary Only
Select a different plan tier:

Accident

Primary Only

Your Monthly Premium:

$4.02

Hospital Admission
$500 - Once/accident within 90 days
Daily hospital confinement
$100 - Up to 365 days/lifetime (total daily and ICU)
Emergency Room
$100 - Once/accident within 90 Days
Urgent Care
$100 - Once/accident within 90 Days

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Can members over the age of 65 enroll in the Medical plans?

Yes, but these Union medical plans must be primary and not enrolled in Medicare

Who can enroll in this Medical plan? Group/Individuals?

These medical plans can be written down to the sole proprietor level but also offered in a traditional group/employer sponsored setup

What are the requirements for these plans?

Must have a ownership in a valid business entity with a Federal Employer Identification Number (FEIN)

Can I enroll in the Union ancillary/supplemental plans?

Yes, but you must enroll in one of the 6 Union Medical plans to be eligible to enroll in the 4 supplemental plans (Voluntary Life, Accident, Critical Illness, Hospital Indemnity)

When offering these Union Medical plans on a true Group setting who is eligible to enroll?

W-2 and 1099 contractors can enroll in the medical plans that are offered at a group level

Would just need the sponsoring employers FEIN for setup

Are there any Employer Contribution Rules for premiums or any minimum employee participation rules?

NO

When do these plans renew?

Union Medical plans operate on a calendar year deductible and OOPM framework. Meaning Deductibles and Out of Pocket max will reset every January 1

When can I enroll?

We allow monthly enrollments throughout the year at the first of every month, however you must enroll by the first of the month prior to your desired effective date

Ex: 6/1/22 enrollments must be completed by 5/1/22

Who is the carrier for the Union medical plans? What kind of network of coverage?

The plan sponsor is the Local 426 union. It is governed by Federal ERISA law and not subject to state insurance law. Anthem BCBS is the carrier, and we utilize their nationwide BlueCard PPO network.

Supplemental Plans: Critical Illness
Carrier: Empire BCBS
Plan Tier: N/A
Select a different plan tier:

Specified Disease - Monthly Cost

AgePrimary OnlyPrimary + SpousePrimary + Child(ren)Family
18-24$1.72$2.98$3.27$4.79
25-29$2.27$3.86$3.83$5.66
30-34$2.74$4.57$4.29$6.37
35-39$3.57$5.83$5.12$7.64
40-44$5.00$8.00$6.55$9.80
45-49$7.55$11.83$9.10$13.64
50-54$10.61$16.38$12.16$18.18
55-59$14.60$22.29$16.15$24.10
60-64$20.19$30.62$21.75$32.42
65-69$27.39$41.33$28.95$43.13
70-74$37.24$55.94$38.79$57.75
75-79$49.11$73.70$50.67$75.51
80-84$56.18$84.23$57.73$86.04

Interested in these rates?
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Can members over the age of 65 enroll in the Medical plans?

Yes, but these Union medical plans must be primary and not enrolled in Medicare

Who can enroll in this Medical plan? Group/Individuals?

These medical plans can be written down to the sole proprietor level but also offered in a traditional group/employer sponsored setup

What are the requirements for these plans?

Must have a ownership in a valid business entity with a Federal Employer Identification Number (FEIN)

Can I enroll in the Union ancillary/supplemental plans?

Yes, but you must enroll in one of the 6 Union Medical plans to be eligible to enroll in the 4 supplemental plans (Voluntary Life, Accident, Critical Illness, Hospital Indemnity)

When offering these Union Medical plans on a true Group setting who is eligible to enroll?

W-2 and 1099 contractors can enroll in the medical plans that are offered at a group level

Would just need the sponsoring employers FEIN for setup

Are there any Employer Contribution Rules for premiums or any minimum employee participation rules?

NO

When do these plans renew?

Union Medical plans operate on a calendar year deductible and OOPM framework. Meaning Deductibles and Out of Pocket max will reset every January 1

When can I enroll?

We allow monthly enrollments throughout the year at the first of every month, however you must enroll by the first of the month prior to your desired effective date

Ex: 6/1/22 enrollments must be completed by 5/1/22

Who is the carrier for the Union medical plans? What kind of network of coverage?

The plan sponsor is the Local 426 union. It is governed by Federal ERISA law and not subject to state insurance law. Anthem BCBS is the carrier, and we utilize their nationwide BlueCard PPO network.

Supplemental Plans: Hospital Indemnity
Carrier: Empire BCBS
Plan Tier: Primary Only
Select a different plan tier:

Hospital Indemnity Plan

Primary Only

Your Monthly Premium:

$7.13

Hospital confinement - first-day benefit
$165 - 5 days
Daily hospital confinement
$165 - 90 days
Intensive care unit confinement — first day benefit
$165 - 5 days
Daily intensive care unit confinement
$165 - 90 days

Interested in these rates?
Click below to get started!

Get Started

Can members over the age of 65 enroll in the Medical plans?

Yes, but these Union medical plans must be primary and not enrolled in Medicare

Who can enroll in this Medical plan? Group/Individuals?

These medical plans can be written down to the sole proprietor level but also offered in a traditional group/employer sponsored setup

What are the requirements for these plans?

Must have a ownership in a valid business entity with a Federal Employer Identification Number (FEIN)

Can I enroll in the Union ancillary/supplemental plans?

Yes, but you must enroll in one of the 6 Union Medical plans to be eligible to enroll in the 4 supplemental plans (Voluntary Life, Accident, Critical Illness, Hospital Indemnity)

When offering these Union Medical plans on a true Group setting who is eligible to enroll?

W-2 and 1099 contractors can enroll in the medical plans that are offered at a group level

Would just need the sponsoring employers FEIN for setup

Are there any Employer Contribution Rules for premiums or any minimum employee participation rules?

NO

When do these plans renew?

Union Medical plans operate on a calendar year deductible and OOPM framework. Meaning Deductibles and Out of Pocket max will reset every January 1

When can I enroll?

We allow monthly enrollments throughout the year at the first of every month, however you must enroll by the first of the month prior to your desired effective date

Ex: 6/1/22 enrollments must be completed by 5/1/22

Who is the carrier for the Union medical plans? What kind of network of coverage?

The plan sponsor is the Local 426 union. It is governed by Federal ERISA law and not subject to state insurance law. Anthem BCBS is the carrier, and we utilize their nationwide BlueCard PPO network.

Supplemental Plans: Life
Carrier: Anthem BCBS
Plan Tier: N/A
Select a different plan tier:

Employee Amounts of Insurance - Monthly Premiums

Age as of Purchase$10,000$20,000$30,000$40,000$50,000$60,000$70,000$80,000$90,000$100,000
< 25$0.60$1.20$1.80$2.40$3.00$3.60$4.20$4.80$5.40$6.00
25 - 29$0.70$1.40$2.10$2.80$3.50$4.20$4.90$5.60$6.30$7.00
30 - 34$0.80$1.60$2.40$3.20$4.00$4.80$5.60$6.40$7.20$8.00
35 - 39$1.28$2.56$3.84$5.12$6.40$7.68$8.96$10.24$11.52$12.80
40 - 44$2.05$4.10$6.15$8.20$10.25$12.30$14.35$16.40$18.45$20.50
45 - 49$3.10$6.20$9.30$12.40$15.50$18.60$21.70$24.80$27.90$31.00
50 - 54$4.88$9.76$14.64$19.52$24.40$29.28$34.16$39.04$43.92$48.80
55 - 59$7.80$15.60$23.40$31.20$39.00$46.80$54.60$62.40$70.20$78.00
60 - 64$11.26$22.52$33.78$45.04$56.30$67.56$78.82$90.08$101.34$112.60
65 - 69$19.30$38.60$57.90$77.20$96.50$115.80$135.10$154.40$173.70$193.00
70 - 74$43.23$86.46$129.69$172.92$216.15$259.38$302.61$345.84$389.07$432.30
75 - 79$92.49$184.98$277.47$369.96$462.45$554.94$647.43$739.92$832.41$924.90
80+$92.49$184.98$277.47$369.96$462.45$554.94$647.43$739.92$832.41$924.90
*Benefit elections are reduced for individuals age 65 and higher (35% reduction at age 65; 50% reduction at age 70). Create an account for more detailed information.

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View your available Accident Rider plans below:
Accident Rider Plans: Accident Rider
Carrier: Assoc. of United Members
Plan Tier: Primary Only
Select a different plan tier:

Additional coverage for auto and other accidents.
Available only to Core Choice Medical Plan Enrollees. See Accident Definitions, provided in link below, for more details.

Accident Rider

Primary Only

Your Monthly Premium:

$32.00

Extended Family Coverage
Additional Accident Medical Expenses
Supplemental Accidental Death & Dismemberment

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