Please Note:OPEN ENROLLMENT for the VVS Health Plan will be during the month of JUNE.[ √ ] Click on links below to view
If you would like to make changes to your health plan during this "June" open enrollment or within 30 days of a qualifying event, please complete the change form and applicable applications listed below and return to Patty Kahler at the VVS Adminstration Building.
Please notify Patty Kahler of any changes to your medical or dental plan enrollment status, such as:Annual Disclosure Notices (click on link to view)
___________________________________________________________________________________________MedicalMVP Select Care, Inc(Group# = 242725)625 State StreetPO Box 2207Schenectady, NY 123011-800-229-5851
- Form may be used to seek reimbursement for medical claim benefits paid out of pocket, including Vision Services and Mental Health/Substance Abuse Treatment.
MVP Plan Books:DentalDelta Dental(Group# = 17879)PO Box 2105Mechanicsburg, PA 17051-800-932-0783
Delta Dental Links:
Plan Books:PrescriptionsLocal Pharmacy Drugs(up to a 34 day supply)orMail Order(90 day supply)ProAct Pharmacy Services(RX Bin# = 017366, Group = VVS)1226 US Highway 11Gouverneur, NY 13642315-287-30001-866-287-9885
VVS Insurance Program SpecialistPO Box 1285275 State Route 31Verona, NY 13478
Phone: 315-829-2520 ext. 7417
Fax: 315-829-4949Below you will find additional information regarding the Affordable Care Act “Form 1095-C” regarding your 2016 health coverage. If you have questions regarding what to do with this form, please visit the IRS website https://www.irs.gov or call your tax preparer.