2022 Benefits - Deputy Sheriff's Association
Employees Hired on or Before 2/3/16
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
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
Dutchess Dental/Platinum Vision Enrollment Form
Flexible Spending Account
Flexible Spending Account Information
Flexible Spending Account Enrollment Form