Blue Collar

Platinum Plan Summary Document(PDF, 155KB)

• Rates
  
  • Individual Per Pay Period $ 83.84
  • Family Per Pay Period $217.99
• Rx co-pay: $5/$35/$70, 2x @ Mail

Health Insurance Enrollment Form and Dependent Eligibility Verification(PDF, 1007KB)

No Cost to Employee Hired Before 01/01/2019; $114.05 Per Month Hired After 01/01/2019. 

• Sunrise Dental Summary Document(PDF, 210KB)

2024 Rate - $24.34 Per Month - 100% Employee Paid

• Platinum Vision Summary Document(PDF, 117KB)
• Sunrise Dental/Platinum Vision Enrollment Form(PDF, 176KB)

• Flexible Spending Account Information(PDF, 620KB)
• Flexible Spending Account Enrollment Form(PDF, 100KB)