Retiree Benefits Information
Click on each title to access the documents
FY23 Open Enrollment Letter to Retirees
Harvard Pilgrim Enrollment Form
FY23 Retiree Health Insurance Option Comparison
PPO Benefit Summary
HMO $2000 Benefit Summary
HMO $4000 Benefit Summary
Statement of Benefits & Coverage - PPO $2000
Statement of Benefits & Coverage - HMO $2000
Statement of Benefits & Coverage - HMO $4000
Prescription Information - PPO
Prescription Information - HMO
Blue Cross Blue Shield Enrollment Form
FY23 Retiree Dental Insurance Options
Plan Description - Dental Buy Up - $1,500
Plan Description - Dental Blue - $1,000
Medicare Part D Annual Notice
Medicare Enhance Plan - Schedule of Benefits
Aetna Medicare Rx offered by SilverScript - Schedule of Benefits