Medical
BCBS PPO National Network
- Coinsurance
- 80 / 20
- Out-of-pocket max
- $3,800
- Primary care copay
- $25
- Specialist copay
- $50
- Medications
- Generic 10% · Brand 35%
- Wellness & Teledoc
- No charge
In-network only. See the Health Plan Outline for details.
2027Renewal of 18%, after six straight renewals at 3% or less. From 2028, Benefitra projects about 8% a year over three renewals and 7.5% a year over five.
Taft-Hartley trust law pools underwriting risk across thousands of members, so your per-employee rate doesn't track your team's age, claims, or headcount changes. Health, dental, vision, life, and accident on the BCBS PPO network.
Standard plans optimize for the carrier's risk pool. The Taft-Hartley plan optimizes for the member.
A real person walks every claim. Fewer denials, faster approvals, less back-and-forth with your provider's billing office.
ERISA-protected trust structure means underwriting gains stay with the plan instead of becoming carrier profit. Predictable renewals year-over-year.
Plan reports show every dollar: claims paid, admin, reserves, network discounts. Six consecutive renewals of 3% or less, then 18% for 2027, driven by what care costs in high-cost states rather than member claims. Admin fees did not go up.
A path out of the fully-insured small-group market with its 8–12% annual renewal increases. Taft-Hartley pricing scales with the trust's experience, not just your group.
Six years of compounding rate increases on the Small Group market, the segment most small-business owners actually live in. The Trust pooled with Benefitra has held members under one-fifth of that, and just 2% in 2026. The 2027 renewal is 18%; from 2028, Benefitra projects about 7.5–8% a year.
Six consecutive years averaging ~2.5%. Cumulative six-year increase under 19%. 2027 renewal: 18%.
2026 approved & requested small-group renewals across 16 reporting states.
Compound increase 2021→2026 across the same state set.
Sources: KFF · CMS · state DOI filings. * MA = merged Ind./SG market. "Req." = filing requested but not yet approved.
Disclosure. Based on publicly available insurer filings, state insurance department releases, and independent research (e.g., KFF, CMS). Figures reflect either approved or requested rate filings as noted. Six-year averages and totals are calculated using compound growth and may include estimates where historical data is incomplete. While we strive for accuracy, actual rates may differ by carrier, state, or plan, and all information is subject to change. This content is for informational purposes only and should not be relied upon as legal, tax, or financial advice.
Printed rates cover Health & Welfare (medical), plan admin, and union dues. Dental, vision, life, and accident are still required on every plan. They're custom quoted for your group, so they aren't printed here. No hidden riders.
The largest increase in the plan's history, after six straight renewals at 3% or less. It comes from the unit cost of care in high-cost states like California, New York, and New Jersey, not from member claims. Admin fees did not go up.
Benefitra's projected average renewal over the three renewals after 2027, based on our modeling of this plan's renewal history. An estimate, not a guarantee.
Benefitra's projected five-year average after 2027. Union dues rose to $30 in August and are set for the next five years.
Per enrolled employee, per month. Required dental, vision, life, and accident are added at your group's custom-quoted rates.
| Coverage tier | H&W | Admin | Union dues | Medical total / mo | Dental · Vision · Life · Accident |
|---|---|---|---|---|---|
| Employee onlyH&W $880 + admin $100 + dues $30 | $880 | $100 | $30 | $1,010 | Required · custom quoted |
| Employee + spouseH&W $1,805 + admin $200 + dues $30 | $1,805 | $200 | $30 | $2,035 | Required · custom quoted |
| Employee + child(ren)H&W $1,380 + admin $200 + dues $30 | $1,380 | $200 | $30 | $1,610 | Required · custom quoted |
| Employee + familyH&W $1,970 + admin $200 + dues $30 | $1,970 | $200 | $30 | $2,200 | Required · custom quoted |
| Waived employeesUnion dues only | $0 | $0 | $30 | $30 | Life: custom quoted |
Dental, vision, life & accident are required on every tier and custom quoted for your group.
5+ employees enrolled. Minimum 50% participation required to qualify for group coverage.
Full-time, actively working employees. No part-time, no 1099 (unless qualifying as sole proprietor).
Documentation required: Marriage licenses and birth certificates for dependent coverage.
In-network only (except for emergency care). See SBC for full details.
1-year minimum contract. Plan stability — no monthly opt-out.
No BCBS member portal. EOBs mailed directly to your address.
Waived-employee path for spouses on a separate plan — must submit proof of other coverage.
Full disclosure documents available below — review before enrollment.
Counts by coverage tier. Math uses the 2027 H&W 125 schedule above: medical, admin, and union dues. Required dental, vision, life, and accident are custom quoted and added to your final quote. Same per-employee rate regardless of age or claims.
Required coverage, custom quoted. Dental, vision, life, and accident are required on every plan. They're priced for your group, so they're not in the estimate. Your binding quote adds them.
Renewal outlook. These are 2027 rates, which include the plan's 18% renewal. From 2028, Benefitra projects average renewals of about 8% a year over three years and 7.5% a year over five. That's an estimate, not a guarantee.
The headline numbers off the 2026 plan documents. The 2027 SBC is expected in mid-October, and the medical deductible stays $1,000. Dental, vision, life, and accident remain required, and your group's custom quote confirms the final ancillary plan design.
BCBS PPO National Network
In-network only. See the Health Plan Outline for details.
Principal PPO Dental Network
| Service | Deductible | Plan pays |
|---|---|---|
| Preventive | $0 | 100% |
| Basic | $50 | 80% |
| Major | $50 | 50% |
NewImplant coverage (see SBC for details)
In-network figures. Out-of-network coverage available: see a claim example.
VSP Vision · Basic Life
VSP network. See the Vision Plan Summary and Basic Life summary below for details.
All plan documents, provider lookups, and external tools in one place, direct from Benefitra, the carriers, and our 2026 filings.
Most Taft-Hartley plans are tied to unionized workforces — the multi-employer trust is established through the collective bargaining agreement (CBA), and contributing employers must be parties to the CBA. However, there are exceptions. Multiple employer welfare arrangements (MEWAs) operate similarly to Taft-Hartley for non-union groups, although they have weaker ERISA preemption protection and more state-level regulation. Some union-affiliated trusts admit non-union 'related employers' through specific eligibility rules — typically employers who are signatory to the union but employ a mix of union and non-union workers. If your workforce is fully non-union, Taft-Hartley itself is generally not available, but a MEWA or association-based plan may offer similar benefits at lower cost-volatility than a stand-alone group plan.
Taft-Hartley rates are set at the trust level by the trustee board and the trust's actuarial advisors. The board reviews trust-wide claims experience, projected medical trend, reserve adequacy, and benefit-design changes annually. Contribution rates are typically negotiated in the CBA on a multi-year basis, so individual-year contribution changes are constrained by the contract. Regular group plans are rated based on YOUR group's specific demographics, claims history, and risk profile — a bad claim year for your group can push your group plan rate up 30-50% at renewal. Taft-Hartley insulates you from your own group's experience by pooling with thousands of other contributing employers. The trade: you don't capture surplus when YOUR group has a great year; the surplus stays in the trust to subsidize employers who had bad years.
Mid-year exits are governed by the trust's withdrawal liability provisions and the underlying CBA terms. Generally, withdrawing from a Taft-Hartley trust requires giving notice per the CBA (often 30-90 days), satisfying any withdrawal-liability obligations (the trust may require an exit payment to cover your share of unfunded liabilities), and ensuring your eligible employees can transition to alternative coverage without a gap. Health-trust withdrawal liabilities are usually less material than pension-trust withdrawal liabilities — but they exist. Practically, most contributing employers exit at CBA expiration rather than mid-year, and the exit is coordinated with new coverage starting the same day. Mid-CBA exits often require renegotiating with the union, which is operationally complex.
Yes — Taft-Hartley participation is determined by union signatory status and CBA eligibility, not by employer size. Many small employers in unionized trades (5-10 employee electrical contractors, 12-15 employee plumbing shops, small construction outfits) participate in regional Taft-Hartley trusts. The contribution rate is per-hour worked or per-employee, so small employers contribute proportionally less in absolute dollars but receive the same per-employee benefit value. For small employers in unionized trades, Taft-Hartley is often the only path to comprehensive health benefits at affordable employer cost — the trust's scale produces benefit-value-per-contribution-dollar that small-group fully-insured plans simply can't match.
Both are multi-employer pooling arrangements, but they have different legal structures and regulatory exposure. Taft-Hartley plans are governed by the Labor Management Relations Act of 1947 + ERISA, established through collective bargaining agreements, jointly governed by labor and management trustees, and have strong federal-level ERISA preemption (state insurance regulators have limited jurisdiction). MEWAs are non-collectively-bargained multi-employer arrangements, typically organized through trade associations or industry groups, and have weaker ERISA preemption — most states regulate MEWAs as if they were insurance products, requiring state licensure, capital reserves, and rate-filing approval. Taft-Hartley is generally cleaner from a regulatory standpoint; MEWAs have more state-by-state complexity but offer pooling benefits to non-unionized industries. There have been historical MEWA fraud cases that drove regulatory tightening; legitimate MEWAs (sponsored by reputable trade associations) operate without those concerns.
Taft-Hartley pools claims risk across thousands of employees from hundreds of contributing employers, whereas a regular group plan rates your specific group based on your demographics and claims history. The pooling effect is statistical — when one contributing employer has a bad claim year, that bad year is one of hundreds in the trust's experience. The arithmetic averaging produces dramatically smoother year-over-year rate changes than any individually-rated group plan can achieve. A regular group plan's renewal can swing 20-50% based on a single high-cost claimant; a Taft-Hartley trust's renewal typically moves 3-7% per year in line with broad medical trend, regardless of any single contributing employer's experience. This is why Taft-Hartley is structurally the most stable funding arrangement available — the math forces it.
Taft-Hartley plans are subject to ERISA (federal regulation of employee benefit plans) but with several Taft-Hartley-specific provisions. Joint trusteeship is required (equal labor and management representation on the trustee board). Trustees have fiduciary duty to plan participants under ERISA, but the multi-employer structure shifts most fiduciary liability from individual contributing employers to the trustee board — a meaningful protection compared to single-employer plans where the employer is fully on the hook. Plan documents, summary plan descriptions, and Form 5500 reporting are handled at the trust level, not by individual contributing employers. Withdrawal liability rules are stricter for Taft-Hartley than for single-employer plans (the Multi-Employer Pension Plan Amendments Act of 1980 governs pension withdrawal; health-plan withdrawals have less codified rules). For most contributing employers, the practical compliance experience is much lighter than a self-funded or even fully-insured group plan, because the trust handles the regulatory load.
Eligibility check takes ~5 min. We confirm your 5+ enrolled count, pull the BCBS PPO provider lookup for your zip codes, model your group at the H&W 125 vs 175 tier, and surface what you'd pay vs your current plan.