2022 Benefits - Confidential, Management, and Elected Officials Hired on or After 8/18/15

Health Insurance

Platinum Plan Excellus BCBS Summary Document
     Rates - Individual Per Pay Period $ 72.89
               - Family Per Pay Period      $189.52
     Rx co-pay: $5/$35/$70, 2x @ Mail

Health Insurance Enrollment Form and Dependent Eligibility Verification

Dental Insurance

Dutchess Dental Summary Document - 2022 Rate: $154.53/Month (100% Employee Paid)

Excellus BCBS Dental Blue Options - Low Option Summary Document - 2022 Rates: $33.44/Month Individual; $87.84/Month Family (100% Employee Paid)

Excellus BCBS Dental Blue Options - High Option w. Ortho Summary Document - 2022 Rates: $41.73/Month Individual; $109.63/Month Family (100% Employee Paid)

Dutchess Dental/Platinum Vision Enrollment Form

Excellus BCBS Dental Blue Options Enrollment Form

Vision Insurance - 2022 Rate: $24.34 Per Month (100% Employee Paid)

Platinum Vision Summary Document

Flexible Spending Account

Flexible Spending Account Information

Flexible Spending Account Enrollment Form