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- Open Enrollment (FY2020)
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 Brochure Retiree (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
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
CanaRx Prescription Drug Program (see more for $0 co-pays!!)
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)
| Insurance Carrier | Customer Service | Find a Provider |
|---|---|---|
| Fallon Community Health Plan | 1-800-868-5200 | Plan: Select Care and Direct Care |
| Harvard Pilgrim Health Care | 1-800-782-3675 | Plan: HMO or PPO |
| Tufts Health Plan | 1-800-462-0224 | Plan: HMO |
| Blue Cross/Blue Shield | 1-800-262-BLUE | Plan: HMO Blue New England |
| Delta Dental | 1-800-872-0500 | Plan: Delta Dental PPO Plus 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