City of Manchester, NH Official Website

Retirees Under 65 Open Enrollment

OPEN ENROLLMENT FOR RETIREES UNDER 65
(May 29, 2017 to June 9, 2017)

Notice of Open Enrollment Letter Dated 5/22/17

The rates, forms and information below are for plan year beginning 7/1/17. If you are going to change your benefit option, please make sure to complete the Health Insurance Enrollment/Change Form for Retirees Under 65.

For New Hampshire State Retirement retirees please also complete the Retirement Annuity Deduction Authorization form if you will be making a change to your benefit options. Mail the documents prior to 6/9/17 to:

City of Manchester
HR Dept./ Benefits
One City Hall Plaza
Manchester, NH 03101

RATE CHARTS & ENROLLMENT FORMS
CHARTS FORMS

 


 ANTHEM HMO AND POS PLANS

PLAN SUMMARIES

 


HIGH DEDUCTIBLE HEALTH PLAN (HDHP)

The City offers two High Deductible Health plans; the Regional High Deductible Health Plan and the National High Deductible Health Plan. Both plans have the same plan design, however the Regional plan has the added benefit of significantly lower out of pocket costs to you when you receive services in the New England area.

With the High Deductible Health Plan, you can open up a Health Savings Account (HSA). As a retiree, you have the option of choosing whatever bank you want for your Health Savings Account. The City is currently transferring HSA custodians from Avidia Bank to BenefitWallet. If you are enrolled in the City's High Deductible Health plan and would like to open a Health Savings Account with the City's bank, please complete the HSA form Retiree must sign listed below and contact the benefits coordinator at 603-792-6809, or email benefitscoordinator@manchesternh.gov for instructions on how to open up an HSA with BenefitWallet.

REGIONAL HDHP NATIONAL HDHP
  • Consists of: Contracted providers throughout the 6 New England States (NH, MA, ME, VT, RI & CT). 
     
  • Choose if: If you and your family members reside in one of the 6 New England states.
     
  • This will give you the opportunity to lower your costs because the network under this plan holds contracts with some hospitals at a far deeper discount than the National HDHP. For example, the charge for an MRI may cost you $1,100 under the National HDHP, where it would cost $800 under the Regional plan.
     
  • Important: You must designate a Primary Care Provider
  • Consists of: Contracted providers throughout all 50 states.
     
  • Choose if: If you permanently live outside of the 6 New England States.

 

 

HDHP SUMMARY OF BENEFITS HSA FORMS & INFORMATION

 

 

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