NEW EMPLOYEE BENEFIT PACKAGE
HEALTH INSURANCE AND BENEFITS FOR TRADEMEN ARE OPTIONAL.
INSTRUCTIONS ON HOW TO COMPLETE AND SUBMIT ELECTRONIC FORMS HERE
- Health Insurance Enrollment Form
- Non-Payment Acknowledgement
- Employee Notification Acknowledgement
- Tradesmen Health Insurance Requirements and Guidelines
Failure to return all required forms, completed in their entirety, will result in a processing delay.
Plan B 204/204 Plus Point of Service (POS) Insurance –
A point-of-service plan requires the policyholder to choose an in-network primary care doctor and you may have to obtain referrals from that doctor if you or an eligible dependent requires specialist services. The plan still provides coverage for out-of-network services, but you will be required to meet a deductible and pay coinsurance for those services. To review the services and equipment associated with this plan, view the complete Plan B Medical Document and the complete Plan B Prescription Document.
You may choose to have single or family coverage. View the eligibility guidelines to determine who can be considered a dependent for family coverage.
The effective date of the insurance coincides with your hire date unless you submit your completed enrollment forms more than 30 days post your hire date. Then, your effective date is the first of the following month.
To find out if a doctor is in the BCBS of WNY network, visit:
2022 - 2023 Health Contributions
Employees shall contribute to health insurance at a rate of 100% of the cost of the premium. You have two options for your contributions and must submit the Tradesmen Health Insurance Requirements and Guidelines form to select your option.
- Bi-weekly, pre-tax from your paycheck, or
- Submit payment post-tax
Should you select post-tax payments, you must also complete and submit the Non-Payment Acknowledgement form.
Checks are to be mailed to:
CITY OF BUFFALO/BPS
PO BOX 10695
ALBANY NY 12201-5695
Plan B - POS 204
Coverage Monthly Contribution Bi-weekly Contribution
Single $ 571.83 $263.92
Family $1,537.61 $709.66
Your application will be processed when your appointment is approved by the Board and all completed paperwork and required documentation is received in the Benefits Office.
Learn more about your rights to health insurance and benefits, including detailed information on Employee's Responsibility for Health Insurance, Open Enrollment, Summary of Benefits and Coverage, COBRA, HIPAA, the District's Grandfathered Status of the ACA, the Women's Health and Cancer Rights Act, Newborns' and Mothers' Health Protection Act, and Exchange Notice. Retain this Employee Notification for your records.
403(b) Tax Shelter Annuity or 457 NYS Deferred Compensation Account - All employees are eligible to contribute pre-tax dollars to one or both plans. Contact the company of your choice from the attached list of participating providers.
Employee Assistance Program - a free and confidential service provided to employees and their families that provides support in resolving personal and professional issues.