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Employee Benefits
Employee Benefits
Health Care Reform Summary of Benefits & Coverage
Blueshield of Northeastern New York
Blue Shield Summary Plan Description (PDF)
Summary of Benefits and Coverages (SBC) :
Highmark Blueshield SBC 2022 Class 0001 (PDF)
Highmark Blueshield SBC 2022 Class 0002 (PDF)
Highmark Blueshield SBC 2022 Class 0003 (PDF)
Highmark Blueshield SBC 2022 Class 0004 (PDF)
Preferred Provider Organization (PPO) Plans:
PPO 898 10 Plan - 1 and 3 Rx Plan (Class 0001) (PDF)
PPO 898 Class 0001 Benefit Summary (PDF)
PPO 898 10 Plan - 5 and 10 Rx Plan (Class 0003) (PDF)
PPO 898 Class 0003 Benefit Summary (PDF)
PPO 898 20 Plan (Class 0002) (PDF)
PPO 898 Class 0002 Benefit Summary (PDF)
PPO 898 25 Plan (Class 0004) (PDF)
PPO 898 Class 0004 Benefit Summary (PDF)
Davis Vision:
Davis Vision Benefit Summary (Class 0001 and 0003) (PDF)
Davis Vision Benefit Summary (Class 0002) (PDF)
Davis Vision Benefit Summary (Class 0004) (PDF)
Delta Dental
Delta Dental Evidence of Coverage (PDF)
Capital District Physicians' Health Plan (CDPHP)
CDPHP Certificate of Coverage (PDF)
CDPHP 2022 Benefit Summary (PDF)
CDPHP HMO Summary of Benefits and Coverage (PDF)
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