Benefit Information for Full-Time Employees, FY25 (July 1, 2024 - June 30, 2025)

FY25 Summary of Benefits for New Fulltime Employees :
Please see the file attachments below for a full details and enrollment forms. Questions may be directed to Jennifer Stover at [email protected]

VENDOR CONTACTS

NHIT McKenzie McDouglal [email protected]

csONE Lisa Ouellette [email protected]

HealthTrust Teresa Williams [email protected]

Colonial Life/Ameritas Sonya Kinch [email protected]

Corebridge Brandon Dohery [email protected]

Mission Square Caroline Sorokos [email protected]

NH Retirement System [email protected] (603) 410-3500

Attachment	Size
Summary of Benefits for New FT Employees, 7/1/24 - 6/30/25	163.35 KB
NHRS Required enrollment forms	246.51 KB
Health Insurance Enrollment Form	144.02 KB
HSA Enrollment form, used when chosing the HMO HSA plan	855.19 KB
HSA Deduction Electioni Form (Must accompany HSA Enrollment Form)	38.71 KB
FSA Enrollment Form (for FSA, LP-FSA, DCA)	813.32 KB
Buy-Back- Health Insurance Declination Form	139.74 KB
Buy-Back- Dental Insurance Declination Form- Buyback	139.36 KB
Dental Enrollment and Change Form	481.87 KB
Colonial Life Rate Sheet and Enrollment Application	137.88 KB
Ameritas Eye Insurance Comparison: VSP compared to EyeMed	1.65 MB
Ameritas Eye Insurance Enrollment Form.	149.56 KB