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Employee Benefits
Cortland County's vision and flexible spending (FSA) plans are administered by Lifetime Benefit Solutions Inc.
Cortland County's medical and dental plans are administered by Excellus.
Forms & Documents
- Annual Medicare D Creditable Coverage Notice
- Authorization to Excellus Health Plan to Disclose Protected Health Information
- Capital RX FAQs
- Dental Claim Form (PDF)
- Dental Plan Benefits (PDF)
- Employee Assistance Program (EAP) (PDF)
- Excellus Dependent Certification Form (PDF)
- Flexible Spending Reimbursement Form - Dependent Care
- Flexible Spending Reimbursement Form - Medical Expenses
- Flexible Spending Enrollment Form (PDF)
- Excellus Medical Claim Form (PDF)
- Health Insurance Enrollment Form (PDF)
- Medicare Creditable Coverage Notice 2019
- Medicare Eligibility form
- New York State Deferred Compensation Enrollment Form (PDF)
- Summary of Health Insurance Benefits (Corrections, Civilian, DOERC and General Unit CSEA)
- Summary of Health Insurance Benefits (Management, Road Patrol, NYSNA)
- Summary of Health Insurance Benefits (PPO Plan)
- Vision Claim Form (PDF)
- Vision Plan Benefits