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2024 Open Enrollment-All Eligible Employees

 

This is an important time of year to review your coverage, learn about the benefits offered, and to add or drop coverage for yourself and/or dependents. You may change plans at this time. You must apply before April 26, 2024 by the end of the day.

On April 2nd, the Legislators voted to increase the premiums of the health insurance. The premiums are as follows:

 

PPO Plan-
Individual: $1,254.81 Your Cost: $313.70/month $156.85/bi-weekly
Family: $3,310.70 Your Cost: $827.68/month $413.84/bi-weekly
Hybrid Plan-
Individual: $898.49 Your Cost: $224.62/month $112.31/bi-weekly
2 Person: $1,749.32 Your Cost: $437.32/month $218.66/bi-weekly
Family: $2,530.58 Your Cost: $632.64/month $316.32/bi-weekly
High Deductible Plan-
Individual: $771.49 Your Cost: $192.86/month $ 96.43/bi-weekly
2 Person: $1,502.08 Your Cost: $375.52/month $187.76/bi-weekly
Family: $2,175.91 Your Cost: $543.22/month $271.61/bi-weekly

To help understand the presentation please refer to Health Insurance Definitions.

Know your benefits

Handouts from the Presentations:

 

Want to change your coverage? Here are the forms that you will need:

Excellus PPO Be sure that you are eligible for the PPO Plan.

Hybrid

HDHP & HSA Deposit

Pre Tax Acceptance Or Declination Form *must accompany any enrollment form

Opt Out Enrollment Form

Dental information

31 Sunrise Dental & CSEA EBF Enrollment Form -available for CSEA members and non members. CSEA Sunrise: $40.32

Guardian Dental Enrollment Kit For Lewis County-available for all employees. Guardian: Individual $11.36     Family: $34.06

Vision information

34 Gold Vision & CSEA Vision Enrollment-Individual $9.67     Family $26.06

Flex Spending

For Medical/Health and Dependent Care- Enrollment Form & Direct Deposit Form

 


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