2019 Benefits - Blue Collar Employees Hired on or Before 4/6/15
Health Insurance
Classic Blue Excellus BCBS Summary Document
Rates - Individual Per Pay Period $ 93.63
- Family Per Pay Period $202.94
Rx Co-Pay - $5/$20/$35, 2x @ Mail
Blue PPO Excellus BCBS Summary Document
Rates - Individual Per Pay Period $ 92.14
- Family Per Pay Period $199.49
Rx Co-Pay - $5/$20/$35, 2x @ Mail
Platinum Plan Excellus BCBS Summary Document
Rates - Individual Per Pay Period $ 62.97
- Family Per Pay Period $163.72
Rx co-pay: $5/$35/$70, 2x @ Mail
Health Insurance Enrollment Form and Dependent Verification
Dental Insurance - No Cost to Employee
Sunrise Dental Summary Document
Vision Insurance - 2019 Rate - $24.34 Per Month - 100% Employee Paid
Platinum Vision Summary Document