Excellus BlueCross BlueShield

All rates shown reflect a monthly premium. Rochester Chamber will bill small group members quarterly. Excellus will bill our individual members monthly.

Please keep in mind that the Affordable Care Act mandates that pediatric dental is required for subscribers who have dependents under the age of 19. If you have a stand-alone dental plan that fulfills the mandate, you can purchase your medical plan without the pediatric rider.

All plans include dependent coverage to 26.  Individuals can purchase a rider to cover dependents to age 30.

For information, email Rochester Chamber Business Services Insurance Broker Patrick LoMando or call (585) 256-4644.

The Excellus small group spreadsheet includes links to the detailed benefit summaries, group enrollment forms and SBC’s.  Click on the plan name in the spreadsheet to access the detailed benefit summary and 4-tier rates.  The first page of the detailed summary is the plan rate sheet, which includes links for the group enrollment form and SBC towards the bottom of the page.  Prices shown include the pediatric dental rider.  If you have a stand-alone dental plan that fulfills the pediatric dental mandate, you can waive the pediatric rider from your medical plan.  Please contact me for plan pricing without the pediatric rider.

2018 Excellus Small Group Rates

Individual Plan Comparisons

2018 Individual Summaries/Pricing with Pediatric Dental

2018 Individual Summaries/Pricing without Pediatric Dental

2017 Individual Summaries/Pricing without Pediatric Dental

Insurance Forms

To enroll in an Excellus health plan, you must download the appropriate new group enrollment forms packet listed below. Once you have downloaded the forms packet, you will also need to download a rate sheet for the particular plan you have selected. The rate sheet link is attached to the plan summary found in the above plan comparisons.

2018 Individual Enrollment Forms with Pediatric Dental

2018 Individual Enrollment Forms without Pediatric Dental

For information, contact: 
Patrick LoMando