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  • Open Enrollment

Open Enrollment

Mandatory Notices

CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP)
HEALTH CARE EXCHANGE INFORMATION

Frequently Asked Questions

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1. When does my Flex Spending money need to be used up by?

Each plan year, a certain amount of unused funds in your FSA are elgible to rollover to next plan year.  New this year, the threshold has been increased. Anything under $500 will automatically roll over to be used during the July 1, 2022-June 20, 2023 plan year even if you choose not to re-enroll. Starting next plan year, the threshold will increase to $570. 

2. I want to have the same amount of money taken out for Flex Spending do I need to do anything?

Yes, everyone that wishes to participate in Flex Spending or Dependent Care plans must re-enroll each year.  Fill out the form listed under the appropriate employee forms box and return it to Human Resources no later than June 1, 2022.

3. I have our insurance now, I'm not making any changes, do I need to fill out any forms?

No, you're all set!  The only time you need to fill out the enrollment/change form for insurance is to make changes, such as remove or add dependents or to enroll into our plan.

School Department Employees

Please submit all forms to HR by June 1st.

School Open Enrollment Newsletter
Open Enrollment Presentation
SchoolCare Open Enrollment Notice
SchoolCare Open Enrollment 2022 (VSP does not apply)
2022-2023 Yellow Open Access w/CF Summary of Benefits
2022-2023 Yellow Open Access w/CF Outline of Coverage
Cigna Dental PPO
Cigna Preventive Care Screenings
Cigna Generics Drug List 2022
Cigna Finding Care
Schoolcare Enrollment/Change Form (E-Signature Compatible)
Flex Spending Enrollment Form - School
Flexible Spending Account Overview

INSURANCE RATES EFFECTIVE JULY 1, 2022-JUNE 30, 2023

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*Premiums are subject to negotiations and may change pending City Council approval of collective bargaining agreements.

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UNIONS: NUTRITION, CUSTODIANS PLAN TYPE EMPLOYEE COST PER PAY CHECK
21 PAYS SINGLE $54.98
26 PAYS SINGLE $44.40
21 PAYS TWO PERSON $109.95
26 PAYS TWO PERSON $88.80
21 PAYS FAMILY $148.43
26 PAYS FAMILY $119.89
UNION: ADMINISTRATORS, CUST. SUPERVISORS PLAN TYPE EMPLOYEE COST PER PAY CHECK
21 PAYS SINGLE $32.99
26 PAYS SINGLE $26.64
21 PAYS TWO PERSON $65.97
26 PAYS TWO PERSON $53.28
21 PAYS FAMILY $89.04
26 PAYS FAMILY $71.94
UNIONS: CLERICAL, TECHS PLAN TYPE EMPLOYEE COST PER PAY CHECK
21 PAYS SINGLE $38.48
26 PAYS SINGLE $31.08
21 PAYS TWO PERSON $76.96
26 PAYS TWO PERSON $62.16
21 PAYS FAMILY $103.90
26 PAYS FAMILY $83.92
UNION: PROFESSIONALS PLAN TYPE EMPLOYEE COST PER PAY CHECK
21 PAYS SINGLE $34.36
26 PAYS SINGLE $27.75
21 PAYS TWO PERSON $68.72
26 PAYS TWO PERSON $55.50
21 PAYS FAMILY $92.77
26 PAYS FAMILY $74.93
UNION: PARAEDUCATORS PLAN TYPE EMPLOYEE COST PER PAY CHECK
22 PAYS - LESS THAN 30 HOURS SINGLE $78.71
26 PAYS - LESS THAN 30 HOURS SINGLE $66.60
22 PAYS - MORE THAN 30 HOURS SINGLE $36.74
26 PAYS - MORE THAN 30 HOURS SINGLE $31.08
22 PAYS - LESS THAN 30 HOURS TWO PERSON $603.44
26 PAYS - LESS THAN 30 HOURS TWO PERSON $510.60
22 PAYS - MORE THAN 30 HOURS TWO PERSON $73.74
26 PAYS - MORE THAN 30 HOURS TWO PERSON $62.16
22 PAYS - LESS THAN 30 HOURS FAMILY $970.53
26 PAYS - LESS THAN 30 HOURS FAMILY $821.22
22 PAYS - MORE THAN 30 HOURS FAMILY $283.31
26 PAYS - MORE THAN 30 HOURS FAMILY $239.73

 

Municipal Employees

Please submit all forms to HR by June 1st.

City Open Enrollment Newsletter
HealthTrust Enrollment/Change Form
Flexible Spending Account Overview
Flex Spending Enrollment Form - City
Benefit Guide (Active)
Benefit Guide (1386B Only)
2022-2023 Access Blue 20 Cost Sharing
2022-2023 Access Blue 20 Summary of Benefits
2022-2023 AccessBlue 15/40 Cost Sharing (1386B Only)
2022-2023 Access Blue 15/40 Summary of Benefits (1386B Only)
2022-2023 Blue Choice 2T Cost Sharing
2022-2023 Blue Choice 2T Summary of Benefits
2022-2023 Blue Choice 3T Cost Sharing
2022-2023 Blue Choice 3T Summary of Benefits

INSURANCE RATES EFFECTIVE JULY 1, 2022-JUNE 30, 2023

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*Premiums are subject to negotiations and may change pending City Council approval of collective bargaining agreements.

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UNIONS: SMA, PMA, NON-UNION, FD, PD RANKING, 1386A & 1386B PLAN TYPE  EMPLOYEE MONTHLY COST
ACCESS BLUE NEW ENGLAND 20 (AB20 RX10/20/45) SINGLE $140.56

 

TWO PERSON  $281.13
  FAMILY $379.52
UNIONS: 1386A PLAN TYPE  EMPLOYEE MONTHLY COST
BLUE CHOICE (BC3T RX 10/20/45) SINGLE $227.27
  TWO PERSON  $454.55
  FAMILY $613.65
UNIONS: 1386B PLAN TYPE  EMPLOYEE MONTHLY COST
ACCESS BLUE NEW ENGLAND 15 (AB15 RX 10/20/45) SINGLE  $80.65
  TWO PERSON $161.30
  FAMILY  $217.75
UNIONS: PD PATROL & PD CIVILIANS  PLAN TYPE EMPLOYEE MONTHLY COST
ACCES BLUE NEW ENGLAND 20 (AB20 RX 10/20/45) SINGLE $131.19
  TWO PERSON $262.39
  FAMILY $354.22

 

BENEFITS QUESTIONS

Kelly Wood

Benefits Administrator
603-610-7270
More Info
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Human Resources

City Hall
1 Junkins Avenue, Portsmouth, NH 03801
Hours

Monday 8 AM – 6 PM

Tuesday – Thursday 8 AM – 4:30 PM

Friday 8 AM – 1 PM

Phone
(603) 610-7274
Fax
(603) 427-1575

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