GIT 2017 Summaries

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The Group Insurance Trust

For nearly 60 years, the NYSADA’s Group Insurance Trust (GIT) has provided its members a variety of insurance programs. The GIT offers programs for all size dealerships. The GIT can quote from its existing rate schedules and/or provide a quote on actual dealership claim experience if applicable. For more information please contact NYSADA and speak with either GIT's Insurance Director, Jeff Scardino at (518) 463-1148 ext. 321 or by email: jeff@NYSADA.com.

GIT Staff

Jennifer Cole (ext.323)
Insurance Administrator

Kathy Atchison (ext.283)
GIT Insurance Specialist

Analisa Sanchez (ext.297)
GIT Insurance Specialist

2017 BSNENY Benefit Info

Blueshield of Northeastern New York (Health Now)

GIT's Plan options for the following regions; Downstate,
Upstate, Mid-Hudson & Western NY (Buffalo Region)

Plan Summaries

2017 PPO 837 In/Out Network Benefit Plan

2017 EPO 5010 100% Copay Plan

2017 EPO 5024 80/20% Copay Plan

2017 EPO 6305 $1500 Ded Plan

2017 PPO 6303 $2600 HSA HDHP

2017 PPO 6303 $3000 HSA HDHP

2017 EPO 8000 Bronze Plan $6000 Ded

2017 AH06 Align POS 1500-3000 (Western NY Only)

2017 AH05 Align POS 1000-2000 (Western NY Only)

2017 A11 Align POS 250-500 (Western NY Only)

Summary of Benefit Coverage Documents (SBC's)

2017 PPO 837 In/Out Network Benefit Plan

2017 EPO 5010 100% Copay Plan

2017 EPO 5024 80/20% Copay Plan

2017 EPO 6305 $1500 Ded Plan

2017 PPO 6303 $2600 HSA HDHP

2017 PPO 6303 $3000 HSA HDHP

2017 EPO 8000 Bronze Plan $6000 Ded

BSNENY Vision Benefits

2017 Vision Rider Benefit

2017 Vision Rider (Buffalo)

2017 Excellus Benefit Info

Excellus

GIT's plan options for Syracuse / Southern Tier / Rochester

Plan Summaries

2017 PPO Plan

2017 EPO 100% $250 Ded. Plan

2017 EPO 80%/20% $750 Ded. Plan

2017 EPO $1500 Ded. Plan

2017 PPO $2600 HSA HDHP

2017 PPO $3500 HSA HDHP

2017 PPO Bronze HSA HDHP

Summary of Benefit Coverage Documents (SBC's)

2017 PPO Plan

2017 EPO 100% $250 Ded. Plan

2017 EPO 80%/20% $750 Ded. Plan

2017 EPO $1500 Ded. Plan

2017 PPO $2600 HSA HDHP

2017 PPO $3500 HSA HDHP

2017 PPO Bronze HSA HDHP

2017 Express Scripts Benefits

Express Scripts

Rx Option Summaries

Rx Option 1
Rx Option 2
Rx Option 3
Rx Option 4
Rx Option 5
Rx Option 6
Rx Option 7
Rx Option 8
Rx Option 9
Rx Option 10

Prior Authorization / General request Form

General request form

Express Scripts Formulary

2017 Express Scripts Formulary

Express Scripts Claim Forms

Express Scripts Reimbursement Form

Express Scripts Claim Form

Express Scripts Home Delivery Order Form

Home Delivery Order Form

2017 Guardian Dental

Guardian Dental

Dental Plan Summary

Schedule Plan Low

High Option PPO

DHMO

Pediatric Dental

Guardian Claim Form

Teledoc

Teledoc

Teledoc for all HDHP's

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