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RETIREE BENEFITS

MedicalBlue Cross Blue Shield Logo

The ICSD offers retiress who are under age 65 a comprehensive medical plan through Excellus Blue Cross Blue Shield.
 
Forms/Info
Enrollment Application with Addendum
Prescription Drug Claim Form
Medical Claim Form
HIPAA Authorization Form
Instructions to Submit HIPAA Authorization Online
Classic Blue Benefit Grids
 

The Hartford/MedicareThe Hartford Logo

ICSD retirees and covered dependents age 65 or older are offered the Hartford Plan, which is specifically designed to coordinate with Medicare.
 
Forms/Info
Frequently Asked Questions
Benefit Summary
Premium Cheat Sheet
Certificate of Group Retiree Health Insurance
Medicare.gov
Medicare Handbook
 

Prescription Benefit PlanExpress Scripts Logo

The ICSD offers all retirees a prescription benefit plan, administered by Express Scripts.
 
Forms/Info
Frequently Asked Questions
Plan Materials
Pharmacy Directory Notice
Evidence of Coverage
Notice of Privacy Practices
 

International Insurance

GeoBlue Logo
The ICSD offers retirees who are covered by the Hartford an international insurance plan through GeoBlue.
 
Forms/Info
Frequently Asked Questions
Benefit Summary - GeoBlue Voyager Choice
GeoBlue Direct Pay
Who to Contact

ENV Insurance



TST BOCES



ICSD Human Resources
607-274-2137
Website



ICSD Business Office



Let's Talk!


OUR SCHOOLS
Belle Sherman
Beverly J Martin
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Northeast
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DISTRICT INFO

Ithaca City School District
Dr. Luvelle Brown, Superintendent
400 Lake Street
Ithaca, NY 14850
(607) 274-2101