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> Elected Officials Elected on or After 8/18/15

Elected Officials Elected Hired on or Before 8/17/15

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

    - Excellus Low Option Dental Plan Document
    - Excellus High Option Dental Plan Document

    - Excellus Enrollment Form

    - Excellus Low Option Rates - Individual $33.24/mo; Family $87.28/mo
    - Excellus High Option Rate - Individual $41.59; Family $109.22/mo


Vision Insurance - 2018 Rate  - $24.34 Per Month

 - Platinum Vision Summary Document 
 - Platinum Vision Enrollment Form 
 

Flexible Spending Plan

 - Flexible Spending Plan Document
 
- Flexible Spending Enrollment Form