Employee Benefits

Health Care Reform Summary of Benefits and Coverages

Blueshield of Northeastern NY

Blue Shield Summary Plan Description (Health and Vision)

SBC 2021 (Class 0001)
SBC 2021 (Class 0002)
SBC 2021 (Class 0003)
SBC 2021 (Class 0004)

PPO 898 $10.00 Plan – $1 and $3 Rx Plan (Class 0001)
PPO 898 Class 0001 Benefit Summary

PPO 898 $10.00 Plan – $5 and $10 Rx Plan (Class 0003)
PPO 898 Class 0003 Benefit Summary

PPO 898 $20 Plan (Class 0002)
PPO 898 Class 0002 Benefit Summary

PPO 898 $25 Plan (Class 0004)
PPO 898 Class 0004 Benefit Summary

Davis Vision Benefit Summary (Class 0001 and 0003)
Davis Vision Benefit Summary (Class 0002)
Davis Vision Benefit Summary (Class 0004)

Delta Dental

Delta Dental Evidence of Coverage

Capital District Physicians’ Health Plan (CDPHP)

CDPHP 2021 Benefit Summary
CDPHP Certificate of Coverage
CDPHP HMO Summary of Benefits and Coverage