Department of Financial Services Approved Summary Plan Descriptions (SPDs)

• 2025 Metal Level Plans Booklet (Platinum/Gold/Silver/Bronze)
  • Amendment #1 Section IX and Section XII effective 1/1/2025
• 2025 Classic Blue Secure Medicare Supplement Plans Booklet (MS3 and MS4)
• 2025 Classic Blue Traditional Plans Booklet (Classic Blue 50/150, Classic Blue 100/200)
  • Amendment #1 Section IX and Section XII effective 1/1/2025
• 2025 PPO Plans Booklet (PPO 10/35, PPO 10/100, PPO 15/35)
  • Amendment #1 Section IX and Section XII effective 1/1/2025
• DFS Approval Letter (dated 11-13-2024)

Previously DFS Approved Plan Documents

• Tompkins County's Indemnity Plan and Schedule of Benefits
• Comprehensive Plan (DFS Approved 5-22-2013)
• Indemnity Plan 50-150 (DFS Approved 5-22-2013)
• Medicare Plan  (DFS Approved12-8-2015)
• PPO-H Plan (Replaces PPO 10 Plan) and Certificate of Coverage (DFS Approved 9-15-2016)
• Rider to Extend Coverage for Young Adults through Age 29
• (Revised) Indemnity Plan for City of Ithaca Firefighters