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)

Plan Information - Early Retiree / Active Plans

  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)

Medex Plan

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

Forms

  1. Fitness Reimbursement (PDF)
  2. Mail Order - CVS Caremark (PDF)