Retirees Insurance

Retirees 65 and over

Summary of Benefits

  1. Medex 2 Plan for Seniors 2018 Summary of Benefits
  2. Managed Blue for Seniors 2018 Summary of Benefits
  3. Blue MedicareRX 2018 Summary of Benefits
  4. HNE Medicare Secure Plan Retiree 65+ 2018
  5. 2018 Medicare HMO Blue for Seniors Summary of Benefits
  6. 2019 HNE Medicare Secure 2018-2019 Comparison
  7. 2019 HNE Medicare Secure Summary
  8. 2019 BlueMedRx__Summary of Benefits_Tier3_8582_SB_3OPT26
  9. 2019 BCBS Medicare HMO Blue Summary
  10. 2019 Managed Blue For Seniors Summary
  11. 2019 Medex 2
  12. Chicopee Dental 2018

Enrollment and Cancellation forms

  1. BCBS Medex/ Managed Blue Enrollment and Termination Form
  2. BCBS Blue MedicareRX Disenrollment Form 2017
  3. HNE Medicare Advantage Disenrollment Form 2017
  4. Blue MedicareRX 2018 Enrollment Form
  5. 2019 BlueMedicare RX PDP enrollment form

Over 65 Rates

  1. 2018 Retiree Rates - Medicare Eligible Retirees
  2. 2019 Rates - Retirees 65

Blue MedRX Drug List

  1. Blue MedicareRX Drug List

2019 OPEN ENROLLMENT RETIREES 65+

  1. 2019 Open Enrollment Ltr - 2 Retirees KB

Retirees Under 65

Summary of Benefits

  1. 2018 HNE ESS 2000 SBC
  2. 2018-2019 HNE PPO
  3. 2018-2019 HNE PPO BENEFIT CHART
  4. 2018-2018 HNE ESS 2000 benefit chart
  5. 2018 hmo blue 2000 5-7-2018
  6. 2018 hmo blue options v.5 5-7-18 (1)
  7. 2018-2019 HNE WISE MAX BENEFIT CHART
  8. FY 2020 BCBS HMO BLUE NEW ENGLAND 3000 SBC
  9. FY 2020 BCBS HMO NEW ENGLAND 3000
  10. FY 2020 BCBS HMO BLUE NEW ENGLAND OPTIONS SBC
  11. FY 2020 BCBS HMO BLUE NEW ENGLAND OPTIONS
  12. HNE PPO 3000 FY2020
  13. HNE HMO ESS 3000 FY2020
  14. HNE WISE MAX FY 2020

Enrollment and Cancellation forms

  1. Active Employee BCBS Enrollment and Cancellation Form (PDF)
  2. Active Employee HNE Enrollment and Cancellation Form (PDF)

Under 65 Rates

  1. Under 65 Health Insurance Rates FY 2018
  2. BENEFIT RATES FY 2019
  3. 2019 OE Notice to Active EE

Important Notice about Prescription Coverage and Medicare

  1. IMPORTANT NOTICE ABOUT RX AND MEDICARE