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Elected Officials Elected on or After 8/18/15

2019 Benefits - Elected Officials Elected on or
After 8/18/15

 

Health Insurance

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 Eligibility Verification


Dental Insurance

Excellus BCBS Dental Blue Options - Low Option Summary Document - 2019 Rates: $31.86/Month Individual; $83.67/Month Family (100% Employee Paid)

Excellus BCBS Dental Blue Options - High Option w. Ortho Summary Document - 2019 Rates: $39.87/Month Individual; $104.70/Month Family (100% Employee Paid)

Excellus BCBS Dental Blue Options Enrollment Form


Vision Insurance - 2019 Rate: $24.34 Per Month (100% Employee Paid)

Platinum Vision Summary Document

Platinum Vision Enrollment Form


Flexible Spending Account

Flex Spending Account Information and Enrollment Form