NH Service Staff Benefits
Open Enrollment Deadlines & Considerations
Please take time to review these changes that you may wish to make during open enrollment.
- Medical Insurance Changes
- Dental Insurance Changes
- Flexible Spending Accounts
- Payroll Election & Direct Deposit Form
- 403(b) Retirement Savings
- W-4 Withholdings for Federal & State Taxes
- Address Changes
- Life Insurance Beneficiary Changes
Medical Insurance Changes
Dental Insurance Changes
Flexible Spending Accounts
Payroll Election & Direct Deposit Form
403(b) Retirement Savings
W-4 Withholdings for Federal & State Taxes
Address Changes
Life Insurance Beneficiary Changes
Information and Forms
- New Plan Costs (Effective 7/1/2026): Annual Employee Contribution
- New Plan Costs (Effective 7/1/2026): Monthly Premiums (to be used for part-time or mid-year calculations)
- Old Plan Costs (Effective 7/1/2025 - 6/30/2026): Annual Employee Contribution
- Old Plan Costs (Effective 7/1/2025 - 6/30/2026): Monthly Premiums (to be used for part-time or mid-year calculations)
- Flexible Spending Accounts (CGI)
- Anthem Pathway HMO Plan Information
- Dental Insurance
- VSP Vision Insurance
- Forms
- 403(b) Information
- Required Notices
