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HUMAN RESOURCES

Insurance

Open Enrollment May 12, 2008 to June 6, 2008

 

Helpful Information:

Qualifying Event:
An event that permits a person to modify their health benefits coverage category. Examples include, but are not limited to, the birth of a child, divorce, marriage, new hire, involuntary loss of coverage from another source, court decree (as part of a divorce or custody agreement).

If no qualified event occurs as described above, the only opportunity to change your health insurance plan is during an Open Enrollment Period. Normally Open Enrollment occurs during late spring/early summer with an effective date of July 1.

All employees are notified in writing of the Open Enrollment Period through a payroll stuffer.

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Cancellation Request:
If you want to cancel your current coverage of health, life or dental insurance, a written request must be submitted to Margaret Pfifferling, Benefits Supervisor at City Hall Room 306.

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Health Insurance Rates for Employees 7/1/08:
The new WEEKLY rates, effective July 1, 2008, are as follows:

Insurance Company Individual Family Notes
Blue Cross Blue Shield PPO
$53.93
$124.56
Active Employees 75/25
Based on 52 pay week cycle
Blue Cross Blue Shield HMO
$29.92
$80.18
Management 75/25
Based on 52 pay week cycle
Blue Cross Blue Shield HMO
$23.93
$64.14
Active Employees 80/20
Based on 52 pay week cycle

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Health Insurance Rates for Public Health School Nurses 7/1/08:
The new WEEKLY rates, effective July 1, 2008, are as follows:

Insurance Company Individual Family Notes
Blue Cross Blue Shield PPO
$66.77
$154.22
Public Health School Nurses 75/25
Based on 42 week pay week cycle
Blue Cross Blue Shield  HMO
$29.63
$79.42
Public Health School Nurses 80/20
Based on 42 week pay week cycle
Blue Cross Blue Shield HMO
$37.04
$99.27
Public Health School Nurses 75/25 Hired after 7-1-05
Based on 42 week pay week cycle

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Health Insurance Rates for School Department 7/1/08:
The new WEEKLY rates, effective July 1, 2008, are as follows:

Insurance Company Individual Family Notes
Blue Cross Blue Shield PPO
$140.22
$323.86
School Department 75/25
Based on 20 paychecks
Blue Cross Blue Shield  HMO
$62.23
$166.77
School Department 80/20
Based on 20 paychecks

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Health Insurance Rates for 7/1/08:
The new Monthly rates, effective July 1, 2008, are as follows:

Insurance Company Individual Family Notes
Blue Cross Blue Shield  HMO
$129.64
$347.44
City Councillors and City Solicitor 75/25

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Health Insurance Rates for Retirees 7/1/08:
The new WEEKLY rates, effective July 1, 2008, are as follows:

Insurance Company Individual Family Notes
Medex III Blue Cross Blue Shield
(Family is Retiree & Spouse)
$100.53
$201.06
Blue Cross Blue Shield PPO
$233.71
$539.77
Retirees 75/25
Based on Monthly Payments
Blue Cross Blue Shield HMO
$77.79
$208.47
Retirees 85/15
Based on Monthly Payments
Blue Cross Blue Shield HMO
$103.71
$277.95
Retirees 80/20
New Retirees after 5/1/08

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Dental Insurance Rates for Employees & Retirees 7/1/08: - Plan Detail
The new MONTHLY rates, effective July 1, 2008, are as follows:

Insurance Company Individual Individual Plus One Family Notes
Delta Dental
$26.15
$53.82
$82.83
All Employees/Retirees Monthly payments
Delta Dental
$15.69
$32.29
$49.70
School Based on 20 Paychecks
Delta Dental
$31.38
$64.58
$100.60
Nurses based on 10 months

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Enhanced Dental Insurance Rates for Employees & Retirees 7/1/08: - Plan Detail
The new MONTHLY rates, effective July 1, 2008, are as follows:
Coverage $1000 per person per Year plus additional benefits

Insurance Company Individual Individual Plus One Family Notes
Delta Dental
$45.50
$93.65
$144.12
All Employees/Retirees Monthly payments
Delta Dental
$27.30
$56.19
$86.47
School Based on 20 Paychecks
Delta Dental
$54.60
$112.38
$172.94
Nurses based on 10 months

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Office of the Mayor
City of Haverhill, Massachusetts
City Hall, Room 100, 4 Summer Street, Haverhill, MA 01830
mayor@cityofhaverhill.com
978-374-2300

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