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Pelham
SCHOOL DISTRICT
Pelham
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Retiree Information
Title IX Information
Open Enrollment
Health Trust Retiree Information
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 Dental Options
Medicomp Three Brochure 7-1-24 to 12-31-24
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
MAPD to Medicomp 3 HealthTrust Comparison Sheet
MAPD HealthTrust Plan Presentation for Retirees
MAPD HealthTrust Benefit Plan Updates Flyer begins 1-1-2025
MAPD HealthTrust Plan Benefit Summary Begins 1-1-2025
MAPD HealthTrust Plan FAQs for Retirees Begins 1-1-2025
MAPD Enrollment Guide (MC3)
MAPD Enrollment Guide (MCNRX)
MAPD Quick Guide to Important Dates, Numbers and Names
MAPD Retiree Presentation Video