Insurance

Helpful Information:

• Benefit Comparisons
  • Employees & Retirees
  • Medex III Blue Cross Blue Shield
• CanaRX - Canadian Mail-order Program
• Cancellation request
• Dental Insurance Rates Matrix
• Express Scripts - Mail order prescription service
• Health Insurance Rates Matrix
• Qualifying event
• Rate Notice - FY 13
  • Employee Notice
  • Retiree Notice
  • Enrollment Form

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 Email and City's Webpage.

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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 Benefits Supervisor at City Hall Room 306.

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Health Insurance Rates - As of July 1, 2012

Flexible Spending Account (FSA)
The City of Haverhill will offer a Flexible Spending Account under IRS Section 125.  The maximum annual allowable amount to be deducted on a pre-tax basis will be $2,500.  More information will be distributed at a later date. 

Health Reimbursement Account (HRA)
The City of Haverhill will establish a Health Reimbursement Account to reimburse co-payments that exceed $250 per individual and $400 per family, per calendar year, that are incurred as a result of the following co-payments:  $250 per inpatient hospitalization and $150 for outpatient surgery.  More information will be distributed at a later date. 

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Dental Rates - As of July 1, 2012

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