2024 Benefits - Confidential, Management, and Elected Officials Hired on or Before 8/17/15
Health Insurance
Classic Blue Excellus BCBS Summary Document
Rates - Individual Per Pay Period $287.97
- Family Per Pay Period $479.14
Rx Co-Pay - $5/$20/$35, 2x @ Mail
Blue PPO Excellus BCBS Summary Document
Rates - Individual Per Pay Period $278.05
- Family Per Pay Period $456.18
Rx Co-Pay - $5/$20/$35, 2x @ Mail
Platinum Plan Excellus BCBS Summary Document
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
Dental Insurance
Dutchess Dental Summary Document - 2024 Rate: $167.00/Month (100% Employee Paid)
Excellus BCBS Dental Blue Options - Low Option Summary Document - 2024 Rates: $36.67/Month Individual; $96.35/Month Family (100% Employee Paid)
Excellus BCBS Dental Blue Options - High Option w. Ortho Summary Document - 2024 Rates: $45.77/Month Individual; $120.26/Month Family (100% Employee Paid)
Dutchess Dental/Platinum Vision Enrollment Form
Excellus BCBS Dental Blue Options Enrollment Form
Vision Insurance - 2024 Rate: $24.34 Per Month (100% Employee Paid)
Platinum Vision Summary Document
Flexible Spending Account