Insurance & Sick Bank

Medical & Prescription Claims

Excellus Rx Claim Form
Excellus Medical Claim Form

These forms may be filled out on the computer & printed for mailing or saved & submitted electronically at  the Blue Cross Website.

Medical & Dental Plan Information

Medical Plan Comparison
Delta Dental Plan I Coverage
Delta Dental Plan II Coverage

Sick Bank Forms

Sick Bank Application Letter
Maternity Leave Application Letter
Sick Bank Contract Language