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Confidential/Management/Elected Officials Hired Before

 

2022 Benefits - Confidential, Management, and Elected Officials Hired on or Before 8/17/15

Health Insurance

Classic Blue Excellus BCBS Summary Document
    Rates - Individual Per Pay Period $250.37
               - Family Per Pay Period     $416.56
     Rx Co-Pay - $5/$20/$35, 2x @ Mail

Blue PPO Excellus BCBS Summary Document
    Rates - Individual Per Pay Period  $241.75 
               - Family Per Pay Period      $396.61
     Rx Co-Pay - $5/$20/$35, 2x @ Mail

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: $165.35/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