Retirees Insurance

Retirees 65 and over

Summary of Benefits

  1. 2019 HNE Medicare Secure 2018-2019 Comparison
  2. 2019 HNE Medicare Secure Summary
  3. 2019 BlueMedRx__Summary of Benefits_Tier3_8582_SB_3OPT26
  4. 2019 BCBS Medicare HMO Blue Summary
  5. 2019 Managed Blue For Seniors Summary
  6. 2019 Medex 2
  7. Chicopee Dental 2018
  8. 2020 HNE HMO MEDICARE SECURE SBC Overview chart
  9. 2020_enrollment kit HNE HMO MEDICARE SECURE
  10. 2020 BCBS Medicare HMO Blue
  11. 2020 MANAGED BLUE FOR SENIORS SBC
  12. 2020 BCBS Medex 2 SBC
  13. 2020 BlueMedRx Summary of Benefits

Enrollment and Cancellation forms

  1. BCBS Medex/ Managed Blue Enrollment and Termination Form
  2. HNE Medicare Advantage Disenrollment Form 2017
  3. 2019 BlueMedicare RX PDP enrollment form
  4. HNE MEDICARE ADVANTAGE ENROLLMENT FORM
  5. Blue MedicareRX 2020 Enrollment Form

Over 65 Rates

  1. 2019 Rates - Retirees 65
  2. 2020 RETIREE 65 INSURANCE RATES

Blue MedRX Drug List

  1. Blue MedicareRX Drug List
  2. 2020 MedexRX formulary changes
  3. 2020 Formulary (PDP) Medex RX

2020 OPEN ENROLLMENT RETIREES 65+

  1. 2020 Open Enrollment Ltr - Retiree 65
  2. POSTER OE - 65

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. 2019 OE Notice to Active EE
  3. FY2020 Rate sheet active employees

Important Notice about Prescription Coverage and Medicare

  1. IMPORTANT NOTICE ABOUT RX AND MEDICARE