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> Blue Collar Hired Before

Blue Collar Employees Hired on or Before 4/6/15

Health Insurance

Classic Blue Excellus BCBS Plan Summary Document
    Rates - Individual Per Pay Period $  89.17
               - Family Per Pay Period     $193.28
     Rx Co-Pay - 
$5/$20/$35, 2x @ Mail

Blue PPO Excellus BCBS Summary Document
    Rates - Individual Per Pay Period $  87.75
               - Family Per Pay Period      $189.99
     Rx Co-Pay - $5/$20/$35, 2x @ Mail

Platinum Plan Excellus BCBS Summary Document
     Rates - Individual Per Pay Period $  59.97
               - Family Per Pay Period      $155.92
     Rx co-pay: $5/$35/$70, 2x @ Mail

Comprehensive Value Plan (CVP) Summary Document
     Rates - Individual Per Pay Period $ 0.00
               - Family Per Pay Period      $ 0.00
     Rx Retail: 20%/20%/40%
     Rx Mail: 15%/15%/40%  

Health Insurance Enrollment/Change Form

Dental Insurance - no cost to employee
  - Sunrise Dental Summary Document 
  - Sunrise Dental Enrollment Form


Vision Insurance2018 Rate  - $24.34 Per Month - 100% Employee Paid

 - Platinum Vision Summary Document 
 - Platinum Vision Enrollment Form 

Flexible Spending Plan

 - Flexible Spending Plan Document
 
- Flexible Spending Enrollment Form