
Group Retiree Plan for eligible participants
Retiree Medical Enrollment Form
Retiree Healthcare for Non-Medicare Eligible (pre-65) Retirees
Non-Bargaining Unit
- 2026 SimplyBlue 500 – NBU Retiree
- 2026 SimplyBlue 1700 – NBU Retiree
- 2025 SimplyBlue 500 – NBU Retiree
- 2025 SimplyBlue 1650 – NBU Retiree
Bargaining Unit
- 2026 SimplyBlue 500 – BU Retiree
- 2026 SimplyBlue 1700 – BU Retiree
- 2025 SimplyBlue 500 – BU Retiree
- 2025 SimplyBlue 1650 – BU Retiree
Retiree Healthcare for Medicare Eligible (Age 65+) Retirees
Non-Bargaining Unit
2026 Benefits at a Glance – Medicare Plus Blue PPO (NBU)
2025 Benefits at a Glance – Medicare Plus Blue PPO
Bargaining Unit
2026 Benefits at a Glance – Medicare Plus Blue PPO (BU)
2026 HMO Benefits at a Glance – BCN Advantage HMO
2025 Benefits at a Glance – Medicare Plus Blue PPO
2025 HMO Benefits at a Glance – BCN Advantage HMO
Retiree Premium Rates
2026 NBU Retiree Rates
2026 BU Retiree Rates
2025 NBU Retiree Rates
2025 BU Retiree Rates
Summary Plan Descriptions
Pension
BU Pension Summary Plan Description
NBU Pension Summary Plan Description
401k
Understand your 401K options during your transition from the company
Individual Retiree Coverage Options
- Individual Plan Options: Individual members can choose from 29 plan options in the state across Gold, Silver, Bronze and Catastrophic levels. Blue Cross Preferred HMO Bronze plan has been added to the portfolio; it is designed to offer comprehensive coverage for primary care services at affordable rates.
- Access to Health Plan Advisors for the individual marketplace is available to help individuals under 65 choose the right plan, calculate costs and find out about eligibility for subsidies at 1-888-899-2968.
- Medicare Advantage Plan Options:
- A dedicated Medicare customer assistance line for those 65 or older at 1-855-339-9235 (TTY:711) is available for friends and family members.
For questions, contact your benefits team via the following options (Available M-F 8:00 AM to 5:00 PM EDT):
- HRRequest@emergentholdingsinc.com
- 517‐708‐5400