Human Resources
Payroll & Benefits
Jenn Delehanty
Payroll & Benefits
Nikki Oathout
Personnel Clerk
Benefit Rates and Costing Tools
- Download the Benefits Cost Estimator Tool
Download and edit the yellow fields only. First select your plan tier (single, sub+ spouse, sub+children, or family). Next edit the number of services you anticipate. The calculator will show you the estimated net out of pocket cost of the comparison plans.
Examples of the estimator comparing plan expenses for Single and Family plans. The yellow column with values indicates the estimated number of services sought, including urgent care visits, labs, and doctors visits.
Important Forms & Documents
Benefit-Related Documents and Publications - Current Year
Current Contracts
Health Insurance Information
- HSA FAQs
- Healthy Blue with Copays 15/25/30 WFA
- Healthy Blue with Copays 25/30/40 CSEA
- Signature HDHP $1800/$3600
- Signature HDHP $5500/$11000
- Dental Blue Options
- Telemedicine Services
Life Insurance Information
Retirement Information
2025-26 Open Enrollment
- 2025-2026 Rates for WFA Hired prior to July 1, 2022 & CSEA
- 2025-2026 Rates for WFA Hired on or after July 1, 2022
- 2025-2026 Dental Rates (All WFA/CSEA)
- Dependent Verification Information Form
- 2025-2026 Annual Dependent Verification Form
- COBRA Continuation Notice
- COBRA Election of Continuation
- Excellus Enrollment/Change Form - WFA
- Excellus Enrollment/Change Form - CSEA
- Excellus Enrollment/Change Form - Admin
- Excellus Enrollment/Change Form - Director
- Excellus Enrollment/Change Form - Conf
- FSA Enrollment/Change Form
- HSA Bank Deduction Form
Health Insurance Information
