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> Confidential/Management/Elected Officials Hired After

Contact Information

 DEPT OF HUMAN RESOURCES
 Amy Guererri, Commissioner
 125 East Court Street
 Ithaca, NY 14850
 (607) 274-5526
 View Full Info and  Map
 

Confidential/Management Employees Hired on or After 8/18/15

Health Insurance

Platinum Plan Excellus BCBS Summary Document
     Rates - Individual Per Pay Period $  59.97
               - Family Per Pay Period      $155.92
     Rx co-pay: $5/$35/$70, 2x @ Mail

Health Insurance Enrollment/Change Form
Dependent Eligibility Verification Form

Dental Insurance - 100% Employee Paid

   - Dutchess Dental Summary Document
   - Dutchess Dental Enrollment Form
   - Dutchess Dental Rate - $136.03/month

    - Excellus Low Option Dental Plan Document
    - Excellus High Option Dental Plan Document
    - Excellus Dental Enrollment Form

    - Excellus Low Option Rates - Individual $33.24/mo; Family $87.28/mo
    - Excellus High Option Rate - Individual $41.59; Family $109.22/mo


Vision Insurance - 2018 Rate  - $24.34 Per Month - 100% Employee Paid

 - Platinum Vision Summary Document 
 - Platinum Vision Enrollment Form 
 

Flexible Spending Plan

 - Flexible Spending Plan Document
 
- Flexible Spending Enrollment Form