Procedure to Enroll (PDF File)
TransitChek Form (PDF File)
Online:
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Group Medical, Vision & Dental Plans
 Group Medical (Including Vision) Plans (Available for New York Residents Only and Contiguous Counties of NJ & CT): See attached for counties
August 2008 Open Enrollment for Empire BC/BS Medical Plans
Open Enrollment for the Empire BC/BS HMO medical plans will be held between August 1, 2008 and August 31, 2008. Open Enrollment is offered to all fulltime temporary employees that have been employed for at least 45 days. The coverage will become effective on September 1, 2008. The cost for these programs can be found on each “description of benefits” listed below.
Please note that if you are a fulltime employee and have satisfied a 45 day waiting period and do not elect coverage for either HMO medical plan by August 31st, you will
not be eligible for this benefit again until September 1, 2009. For those employees that have not worked 45 days, once the 45 day waiting period has been satisfied, you may elect coverage. If you do not, you will not be eligible again until next year’s open
enrollment period.
There is no open enrollment for the dental plan. If you are a fulltime employee and your 45 day waiting period is satisfied, you may elect coverage. If you do not elect to participate in the Rayant Dental Plan at the completion of your waiting period, you will not be eligible to join again for 12 months from the date you became eligible.
Listing of Doctors and Hospitals
| Group Medical Plans: |
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- The first option is a $10 office visit copay plan.
Click here for a description of rates and benefits. Enrollment Form
- The second option is a $25 office visit copay plan.
Click here for a description of rates and benefits. Enrollment Form
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| Group Dental Plan: |
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List of Dentists – Rayant Dental Option Network |
In order to participate in the Rayant Dental Program, you must satisfy a 45 day waiting period.
If you do not elect to participate in the Rayant Dental Plan following your waiting period, you will not be eligible to join again for 12 months from the date you became eligible.
For a description of benefits please click here. Enrollment Form | Dental Rates | Dental Claim Form
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Please note: If you are enrolling in one of the offered Empire BC/BS Medical Plans or the Rayant Dental Plan, please have your enrollment forms submitted to Frank Barone prior to the effective date of coverage.
For additional information regarding cost , please contact Frank Barone at 212-947-9756 ext. 208
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