RETIREE HEALTH AND DENTAL PLANS

Health Plans

• Health Enrollment/Change Forms
• Dental Enrollment/Change forms
• Retiree Health and Dental Premium Rates

Lumenos High Deductible Health Plan

• Summary of Benefits Regional Plan
• Summary of Benefits National Plan  

HMO Site of Service Plans

• HMO 100 SOS Summary of Benefits
• HMO 250 SOS Summary of Benefits

SBC's For City of Manchester Retirees Under 65 

For retirees (not on the HDHP) and who live permanently outside of the 6 New England States.

• Preferred Blue Summary of Benefits

Dental Plan

• Delta Dental Summary of Benefits

HSA Information for Retirees approaching or Over Age 65