Forms
HRA Claim Form
Education Claim Form
Tobacco Free Declaration
WRA Claim Form
Biometric Screening Form
Employee Data Sheet
Authorization for Release of Health Information

 

Welcome to the new BAC Local #2 NY/VT Joint Benefit Funds Web-Site!

 

Log into your personal information by using your previous user name and password.

 

Please see important information regarding your health benefits below.

 

BAC Local #2NY health & prescription monthly premiums effective January 1, 2017:

 

SINGLE

2-PERSON

FAMILY

2016 (current) health & Rx premiums

$ 558.41

$ 948.32

$ 1,077.14

 

 

 

 

2017 Standard health & Rx premiums

$ 619.84

$ 1,052.64

$ 1,195.63

** 2017 premium discount of 10%

$ 557.86

$ 947.38

$ 1,076.07

 

** You will be eligible for the 10% premium discount if you certify in writing, by using

the tobacco declaration form, that you do not use tobacco products or if you enroll in the tobacco

cessation program offered through HMC.  Like the HMC Health Management Program, the

HMC tobacco cessation program is offered at no cost for you and your eligible dependents. The

contact number for the program is 844-751-4531.

 

** You must complete the tobacco declaration form, one per family member who is insured with the Fund (age 18 & over) or enroll in HMC’s tobacco cessation program before the end of January 2017 to receive the 10% discount.

 

The discount premium amounts are actually less than the current 2016 rates!

 

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