2022 Benefits - White Collar Employees 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
Dental Insurance - 2022 Rate - $154.53 per month - 100% Employee Paid
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