Retired Employee Benefits

Retiree Benefit Information

• 2026 Retiree Benefit Summary and Rate Sheet(PDF, 508KB)
• Delta Dental Benefits(PDF, 2MB)
• VSP Vision Benefit Information(PDF, 700KB)

Benistar Medicare Medigap and Advantage Plan Options for Medicare Eligible Retirees

• New! 2026 Benistar Medigap and Advantage Plans(PDF, 571KB)
• Contact Benistar Customer Service at 800.236.4782 for more information

Retirement Health Savings (RHS) Reimbursement Form

• Mission Square-Meritain Health RHS Reimbursement Form(PDF, 65KB)

Compliance Information

• 2025 HMO-H15040 Summary of Benefits and Coverage(PDF, 490KB)
• 2025 PPO2-P14926 Summary of Benefits and Coverage(PDF, 480KB)
• 2025 PPO3-P14930 Summary of Benefits and Coverage(PDF, 477KB)
• Consumer Coverage Disclosure Act(PDF, 268KB)
• CHIPRA State Premium Assistance Notice(PDF, 342KB)
• HIPAA Notice of Privacy Practices(PDF, 194KB)
• NMHPA Notice(PDF, 83KB)
• Patient Protections Disclosure(PDF, 83KB)
• Women's Health and Cancer Rights Act(PDF, 101KB)