Health Insurance Deduction and Premium Amounts - RF Regular Employees

RF Regular Health Plan

The Research Foundation Regular Health Plan is available to all locations and is provided by Empire Blue Cross PPO and Express Scripts.

Empire Blue Cross PPO
www.empireblue.com
PO Box 11800, Albany, NY 12211-0800
(800) 377-5156

Express Scripts

www.express-scripts.com
(800) 251-7690

The following biweekly deduction amounts are in effect for 2019 and can also be found in the Benefits Bulletin:

PPO Option

Employee Coverage

Employee and Spouse

Employee and Child(ren)

Family: Employee, Spouse, Child(ren)

Traditional PPO

$64.79

$205.99

$164.54

$322.97

Deductible PPO

$29.60

$135.60

$101.19

$217.49

Health Maintenance Organizations

The following table provides deduction amounts for all Health Maintenance Organizations (HMOs) available to RF employees:

Plan Administrator Address

------------------------------------------

Applicable Locations

Biweekly Employee Costs, by Coverage Plan

Employee Coverage

Employee and Spouse

Employee and Child(ren)

Family: Employee, Spouse, Child(ren)

Blue Choice (BCBS of Rochester/Excellus)
www.excellusbcbs.com
165 Court Street
Rochester, NY 14647-0001
(585) 454-4810, (800) 462-0108

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SUNY Brockport, SUNY Geneseo

CLOSED TO NEW ENROLLEES

 

$49.49

 

$178.12

 

$212.90

 

$212.90

Capital District Physicians Health Plan (CDPHP) - All Areas
www.cdphp.com
500 Patroon Creek Boulevard, Albany, NY 12206
(518) 641-3700, (800) 777-2273

-----------------------------------

Empire State College, RF Central Office, SUNY Cobleskill, University at Albany, Binghamton University, College at Oneonta, Morrisville State College, SUNY Polytechnic Institute (Utica/Rome and Albany), SUNY New Paltz, SUNY Delhi

 

$53.28

 

$159.86

 

$149.20

 

$245.11

Independent Health Association (IHA)
www.independenthealth.com
511 Farber Lakes Drive
Buffalo, NY 14221-8272
(716) 631-8701, (800) 501-3439

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Alfred State College, Buffalo State College, SUNY Fredonia, University at Buffalo

 

$48.45

 

$184.11

 

$125.97

 

$222.87

MVP Health Plan - Albany/Syracuse/Rochester*
www.mvphealthcare.com
625 State Street, PO Box 2207
Schenectady, NY 12305
(888) 687-6277

-----------------------------------

Binghamton University, College at Oneonta, Empire State College, Morrisville State College, RF Central Office, SUNY Brockport, SUNY Cobleskill, SUNY Delhi, SUNY ESF, SUNY Geneseo, SUNY New Paltz, SUNY Oswego, SUNY Polytechnic Institute (Utica/Rome and Albany), University at Albany, Upstate Medical University

 

$62.54

 

$243.84

 

$163.08

 

$259.43

Vision Coverage

Deduction amounts for Vision Plan Plus coverage:

 

Biweekly Employee Costs, by Coverage Plan

 

Employee Coverage

Employee and Spouse

Employee and Child(ren)

Family: Employee, Spouse, Child(ren)

Davis Vision

www.davisvision.com

$4.06

$9.66

$9.66

$9.66

Dental Coverage

Deduction amounts for Delta Dental coverage:

 

Biweekly Employee Costs, by Coverage Plan

 

Employee Coverage

Employee and Spouse

Employee and Child(ren)

Family: Employee, Spouse, Child(ren)

Delta Dental

www.deltadentalins.com

$1.59

$7.03

$7.03

$7.03

Change History

 

 

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