Annual Open Enrollment
for Retirees Under 65
April 20, 2020-April 24, 2020
 

​Summary of Benefits for Site of Service plans

• HMO Site of Service $250 Summary of Benefits
• HDHP Summary of Benefits

Enrollment Form and Rate Chart for Retirees of the NHRS (Police and Fire)

• NHRS Health Insurance Rates Effective 7/1/2020
• NHRS Health Insurance Enrollment Form 

Enrollment Form and Rate Chart for Retirees of the Contributory Retirement System

• Contributory Retirement Health Insurance Rates Effective 7/1/2020
• Contributory Reitrement Health Insurance Enrollment Form

Enrollment form for all Retirees who live permanently outside of New England

• Health Insurance Enrollment Form for Out of State Retirees

Delta Dental Enrollment Form for all retirees

• Delta Dental Enrollment Form

Under 65 Retiree Plans, Forms, Rates and Information

HDHP and Site of Service Informational Presentation