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 to 4:00pm (PDF)

Rosemary Recreation Complex, 178 Rosemary Road, Needham, MA (PDF)

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

Active Employees (PDF) / Retirees (Non-Medicare) (PDF)

FY2020 Health Plan Comparison Charts

 High Deductible (PDF) / Benchmark (PDF)/ Both (PDF)

FY2020 General Information

Open Enrollment BrochureRetiree (Non-Medicare) Announcement

Enrollment Forms

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

Opt-Out Program

Program Requirements (PDF) / Enrollment Form (PDF) / Declination Form (PDF)

Health Savings Account (HSA) Info

HSA Guidebook

Health Equity Plan Comparison Tool

Flex Spending Account (FSA) Info

FSA Overview / Eligible Expenses List / West Suburban Health Group (WSHG) Information on HSA/QHDHPs

Summary Plan Document (7/1/18 - 6/30/19)

Summary Plan Document (7/1/19 - 6/30/20)

Other Benefits

NEW!: MyTeleMedicine

Diabetes Care Rewards Program

CanaRx

Legal Notices

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

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