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> Road Patrol Hired Before

Deputy Sheriff's Association Employees Hired on or Before 2/3/16

Health Insurance

Classic Blue Excellus BCBS Plan Summary Document
    Rates - Individual Per Pay Period $  66.88
               - Family Per Pay Period     $144.96
     Rx Co-Pay - 
$5/$20/$35, 2x @ Mail

Blue PPO Excellus BCBS Summary Document
    Rates - Individual Per Pay Period $  65.81
               - Family Per Pay Period      $142.49
     Rx Co-Pay - $5/$20/$35, 2x @ Mail

Platinum Plan Excellus BCBS Summary Document
     Rates - Individual Per Pay Period $  44.98
               - Family Per Pay Period      $116.94
     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

Flexible Spending Plan

 - Flexible Spending Plan Document
 
- Flexible Spending Enrollment Form Form