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Benefit forms
Excellus BCBS Website
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Health Insurance
NYSOH Marketplace Notice and Memo
2023-2024 Excelles Plan Booklet
2025 ACA Declination Form
Excellus Classic Blue vs PPO Comparison Summary
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Excellus BCBS PPO Summary of Benefits and Coverage
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Excellus customer service: 1-800-499-1275
Dental Forms
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Delta Dental Enrollment Form
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The Standard Highlight Sheet
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The Standard Dental Privacy Notice
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The Standard Dental customer service: 1-888-396-8641
Delta Dental customer service: 1-800-932-0783
Vision
Davis Vision & VSP Benefit Summaries
VSP-Davis Vision 21 Pay Benefit Summary
VSP-Davis Vision 26 Pay Benefit Summary
Davis Vision Network Providers
Davis Vision Claim Form
VSP Network Providers
VSP Claim Form
Guardian Vision VSP customer service: 1-877-814-8970 (claim/benefit inquires)
Guardian Vision Davis customer service: 1-877-393-7363 (claim/benefit inquires)
Guardian Vision Benefit Services: 1-800-627-4200 (request ID cards)
Flex Spending
FSA Enrollment Form
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FSA Medical Necessity Form
IRS Publication 502 - Medical and Dental Expenses
IRS Publication 969 - Dependent Eligibility
Retirement Planning
Retirement Planning Flyer
Retirement TRS Customer Service - (800) 348-7298 (Teacher Retirement)
TRS SS Verification
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TRS Prior Service Claim
Retirement 403(b) OMNI Customer Service - (877) 544-6664 (Personal Retirement)
OMNI List of Providers
OMNI 403(b) Enrollment
OMNI 403(b) List of Service Providers and Universal Availability Notice
OMNI 403(b) Enrollment Instructions
OMNI 403(b) Salary Reduction Agreement
Retirement NYSLRS Customer Service - (866) 805-0990 (Non-Teacher Retirement)
ERS Beneficiary Form
ERS Change of Address
ERS Change of Name
ERS Loan Form
ERS Supplemental Service
ERS Tier 5 plan booklet
ERS Tier 6 booklet
ERS Military service credit
Our Core Values
Students are our first priority.
Employees are our most valuable resource.
Cultivating diversity, equity, inclusion and guarding against bias are essential.
Everyone is treated with dignity and respect.
All employees will exhibit professionalism, integrity and excellence.
Creativity and continuous improvement are crucial to everything we do.
A safe, challenging and nurturing environment supports learning.
All can learn and grow academically, socially and emotionally.
Customer service and collaboration are key to being a successful and trusted partner.