Retiree Health Benefits

Health Insurance Eligibility Policy

  1. Health Insurance Eligibility Policy - Select Board Approved December 16, 2016 (PDF)

Health Insurance Rates

  1. Retiree Rates January 1, 2023 (PDF)
  2. Retiree Rates July 1, 2023 (PDF)

Early Retiree Health Plan Information - HMO/PPO

  1. Network Blue NE (HMO) - Summary of Benefits (PDF)
  2. HMO Summary of Benefits and Coverage - Affordable Care Act (PDF)
  3. Blue Care Elect Preferred (PPO) - Summary of Benefits (PDF)
  4. PPO Summary of Benefits and Coverage - Affordable Care Act (PDF)

Medicare Eligible Retiree Plan Information - Medex2 w/ Blue MedicareRx (PDP) 

  1. 2023 Comprehensive List - Medicare Drug Formulary (PDF)
  2. Blue Medicare Rx, PDP (PDF)
  3. Medex 2 (PDF)

Forms

  1. Medex Fitness Reimbursement (PDF)
  2. Mail Order - CVS Caremark (PDF)
  3. HMO/PPO Weight Loss Reimbursement (PDF)
  4. HMO/PPO Fitness Reimbursement (PDF)
  5. HMO/PPO Mind and Body Reimbursement (PDF)