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Pelham
SCHOOL DISTRICT
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Retiree Benefits
Health Trust Retiree Information
NHRS Medicare Advantage Information Session Dates
Open Enrollment Newsletter
Health Trust Retiree Video
Early Retirees
Open Enrollment Notice For Retirees July 1 2024
Early Retirees Summaries of Benefits and Coverages
Comparison Plan Benefits ABSOS1K and AB20 Teachers Group Sept 1 2024 through June 30 2025
Cost Sharing Schedule Open Access OA20(07L)
Form Info - Helpful Hints when completing the Retiree Medical-Dental Application and Change Form
Form-Annuity Deduction Authorization for Medical and Dental Benefits Fillable
Form-Retiree ACH Authorization Fillable PDF
Form-Retiree Medical and or Dental Application and Change Fillable
Retirees Over 65
Open Enrollment Notice for Retirees July 1, 2024
Retirees Over 65 Summaries of Benefits Options
Medicomp Three Brochure 7-1-24 to 12-31-24
HealthTrust Medicare Advantage Plan to Medicomp 3 Comparison Sheet
Medicomp Three Rev 01-2023 Subscriber Certificate
Form Info - Helpful Hints when completing the Retiree Medical-Dental Application and Change Form
Form - Annuity Deduction Authorization for Medical and Dental Benefits Fillable Form
Form - Retiree ACH Authorization Form Fillable PDF
Form - Retiree Medical and or Dental Application and Change Fillable
HealthTrust Benefit Plan Updates Flyer MAPD begins 1-1-2025
HealthTrust MAPD Plan Benefit Summary Begins 1-1-2025
HealthTrust MAPD Plan FAQs for Retirees Begins 1-1-2025