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Non-Medicare Open Enrollment (FY2020)

FY2020 Open Enrollment Period:
April 8, 2019 through May 10, 2019 (at noon)

Benefits Fair!:
Tuesday, April 23, 2019, 1:00pm - 4:00pm
Rosemary Recreation Complex, 178 Rosemary Road, Needham, MA

This webpage will continue to be populated with up-to-date information to help you make an informed choice related to health care. Please continue to check this page or schedule an appointment with your Human Resources Department for more information.

 FY2020 Rates - Health, Dental & Group Life

 FY2020 Health Plan Comparison Charts

 Active Employees / Retirees (Non-Medicare)  High Deductible / Benchmark / Both

 FY2020 General Information

 Open Enrollment Brochure  Retiree (Non-Medicare) Announcement

 Enrollment Forms

Fallon  /  Harvard Pilgrim  /  Blue Cross/Blue Shield  /  Tufts 
 Delta Dental
 Health Savings Account (HSA) / Flexible Spending Account (FSA)

Declination Form

 Opt-Out Program

 Program Requirements  Enrollment Form / Declination Form

 Health Savings Account (HSA) Info

Flex Spending Account (FSA) Info

 HSA Guidebook FSA Overview 
 HealthEquity Plan Comparison Tool  Eligible Expenses List
 West Suburban Health Group (WSHG): HSA/QHDHPs  Benefit Strategies, LLC. Resources and Forms
  Summary Plan Document (Prior Year FY2019) 
 Other Benefits
 NEW!: MyTeleMedicine Diabetes Care Rewards Program

 Legal Notices

 Affordable Care Act - Market Place Notice  CHIP Notice
HIPAA Privacy Notice  COBRA Notice
HIPAA Special Enrollment Rights Notice of Patient Protections
Summary of Benefits and Coverage (SBC)  Women's Health and Cancer Rights Act (WHCRA)
 Summary of Benefits and Coverage (SBCs)

Insurance Carrier

 Customer Service

Find a Provider

 Fallon Community Health Plan


Plan: Select Care and Direct Care

 Harvard Pilgrim Health Care


Plan: HMO or PPO

 Tufts Health Plan


Plan: HMO

 Blue Cross/Blue Shield


Plan: HMO Blue New England

Delta Dental  1-800-872-0500  Plan: Delta Dental Premier 
Aflac  Ray DeRosa (Agent): 617-658-1834 NA

Please visit the West Suburban Health Group website for additional insurance information

HR Benefits Office Hours (Appointments encouraged)

Tues, Weds, Thurs, 1:00pm to 4:30pm