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: $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

Dutchess Dental/Platinum Vision Enrollment Form

Flexible Spending Account

Flexible Spending Account Information

Flexible Spending Account Enrollment Form