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Lincoln-Sudbury Regional School District

Retirees

Early Retirees and Non-Medicare Eligible Retirees Benefits 07/​01/​2026 - 06/​30/​2027

HARVARD PILGRIM HEALTH CARE (3 Plans):

Harvard Pilgrim Focus Network MA HMO:

Medical Plan Monthly Contribution 07/01/2026: Individual $1,365.76 / Family $3,589.22

Focus Network MA HMO Benefits and Coverage

Harvard Pilgrim HMO:

Medical Plan Monthly Contribution 07/01/2026:  Individual  $1,500.60 / Family $3,943.57

HMO Benefits and Coverage

Harvard Pilgrim PPO (option only if you live outside of the New England area):

Medical Plan Monthly Contribution 07/01/2026: Individual $1,593.40 / Family $4,187.48

PPO Benefits and Coverage

Harvard Pilgrim Enrollment Form:

*Harvard Pilgrim Enrollment Form

Disclosure Notice:

*Medicare Part D Creditable Coverage Disclosure Notice

ALTUS DENTAL:

Altus Dental Benefits and Coverage

*Altus Dental Enrollment Form

ALTUS VISION:

Altus Vision Benefits and Coverage

*Altus Vision Enrollment Form