Corrections

Classic Blue Excellus BCBS Summary Document(PDF, 1MB)

• Rates
  • Individual Per Pay Period $124.67
  • Family Per Pay Period $270.22
• Rx Co-Pay - $5/$20/$35, 2x @ Mail

Blue PPO Excellus BCBS Summary Document(PDF, 221KB)

• Rates
  • Individual Per Pay Period $122.68
  • Family Per Pay Period $265.63
• Rx Co-Pay - $5/$20/$35, 2x @ Mail

Platinum Plan Excellus BCBS Summary Document(PDF, 151KB)

• Rates
  • Individual Per Pay Period $95.58
  • Family Per Pay Period $248.51

TC Core Benefits Change Form(PDF, 222KB)

• Dutchess Dental Summary Document(PDF, 153KB) - 2025 Rate: $168.67/Month (100% Employee Paid). As of 7/1/2025 that rate with change to $170.36 per month.
• TC Core Benefits Change Form(PDF, 222KB)
• Excellus BCBS Dental Blue Options - Low Option Summary Document(PDF, 112KB) - 2025 Rates: $35.42/Month Individual; $93.04/Month Family (100% Employee Paid)
• Excellus BCBS Dental Blue Options - High Option w. Ortho Summary Document(PDF, 114KB) - 2025 Rates: $46.46/Month Individual; $122.06/Month Family (100% Employee Paid)
• Excellus BCBS Dental Blue Options Enrollment Form(PDF, 508KB)

2025 Rate - $24.34 Per Month - 100% Employee Paid

• Platinum Vision Summary Document(PDF, 129KB)

Platinum Plan Excellus BCBS Summary Document(PDF, 151KB)

• Rates
  • Individual Per Pay Period $95.58
  • Family Per Pay Period $248.51

TC Core Benefits Change Form(PDF, 222KB)

• Dutchess Dental Summary Document(PDF, 153KB) - 2025 Rate: $168.67/Month (100% Employee Paid). As of 7/1/2025 that rate with change to $170.36 per month.
• TC Core Benefits Change Form(PDF, 222KB)
• Excellus BCBS Dental Blue Options - Low Option Summary Document(PDF, 112KB) - 2025 Rates: $35.42/Month Individual; $93.04/Month Family (100% Employee Paid)
• Excellus BCBS Dental Blue Options - High Option w. Ortho Summary Document(PDF, 114KB) - 2025 Rates: $46.46/Month Individual; $122.06/Month Family (100% Employee Paid)
• Excellus BCBS Dental Blue Options Enrollment Form(PDF, 508KB)

2025 Rate - $24.34 Per Month - 100% Employee Paid

• Platinum Vision Summary Document(PDF, 129KB)