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