Retiree Benefit Information and Forms

Retirees of the Town can access benefit & retirement information and can access necessary forms to change your address or beneficiaries if needed.  

Retiree Benefit Information

Health Insurance

  1. 2023_Blue_Medicare_RX_PDP_Summary_of_Benefits_OPT26
  2. 2023_Medex_2_Summary_of_Benefits
  3. Medicare Brochure
  4. Blue Cross and Blue Shield HMO (under 65)
  5. Blue Cross and Blue Shield PPO (under 65)
  6. CanaRx Prescription (under 65)
  7. CVS Caremark Prescription (under 65)
  8. Hampshire Retiree Instructions

Altus Dental & Vision

  1. Altus Dental Benefits Summary
  2. Altus Vision Benefit Summary

Boston Mutual Life Insurance

  1. Certificate Change Form Fillable Beneficiary Group

Worcester Regional Retirement 

  1. 2023 Direct Deposit Calendar Worcester Regional
  2. Employment after Retirement
  3. Windfall Elimination Provision 2023
  4. Application for Withdrawal of funds
  5. WRRS Beneficiary change form
  6. Moving Out of State
  7. Name or Address Change