Benefit Information

Medical/Dental

• Dental Information Low and High Plans

Summaries of Benefits Coverage

• SOS HRA Benefit Overview
• 2022-2023 Access Blue New England - $20 Co-Pay
• 2022-2023 Blue Choice 2-Tier $20 Co-Pay
• 2022-2023 ABNE SOS w/ HRA $20/$40 1k/3k DED - All Employees
• 2022-2023 Access Blue New England $5 Co-Pay
• FLEX SPENDING ACCOUNTS Summary of Benefits Coverage
• Life Insurance: ask HR for a copy of your group coverage

Flex Spending Accounts (FSA)

• Benefit Advantage Healthcare and Dependent Care Brochure
• FSA Eligible and Ineligible Expenses
• Benefit Advantage Claim Form

NHRS Retirement Information

• At-A-Glance for Members Vested Prior to 2012
• At-A-Glance for Members Hired Prior 2011 - Not Vested Prior to 2012
• At-A-Glance for Members Hired After July 1, 2011
• At a Glance Information Enrollment Form
• NHRS Designation of Death Beneficiary(ies) Pre-Retirement form
• Fact Sheet
• Employees who are 60 years old or older can complete this important form to select to expand their beneficiary options: Pre-Selection Before Service Retirement at Retirement Age Beneficiary Designation Form

Required Notices

• Healthcare Marketplace Information
• CHIPRA Model Notice