Active Employee Benefits

LS Employee Benefits Guide

HARVARD PILGRIM HEALTH CARE (3 Plans):

HMO with HSA:

HMO with HSA Benefits and Coverage

Focus Network MA HMO:

Focus Network MA HMO Benefits and Coverage

HMO:

HMO Benefits and Coverage

Harvard Pilgrim Insurance Rates and Enrollment Form:

*Medical Plan Rate Contribution 07/01/2025-06/30/2026

*Hardvard 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

CAFETERIA PLAN ADVISORS – FLEXIBLE SPENDING (FSA):

*FSA Store

Flexible Spending (FSA) Cafeteria Plan Documents

HEALTHEQUITY (HSA):

*HSA Store

HSA Documents

403(b):

403(b) plan (tax-sheltered annuity plan or TSA) is a retirement plan.

Link to 403b Providers TSA Consulting Group: LS 403b Providers through TSA Consulting Group

*403(b) Plan Participation Guide

*403(b) Meaningful Notice – Plan Summary 2025

*403(b) Annual Retirement Benefits Guide 2025

*403(b) Enrollment Form

*403(b) Distribution Information

*IRS Notice 2023-62

457:

The Massachusetts Deferred Compensation 457 SMART Plan is a retirement savings program available for Commonwealth of Massachusetts state and municipal employees. Eligible employees can save and invest before-tax and after-tax dollars through salary deferrals into our wide array of low fee investments options.

*457 Smart Plan

*457 Territory Map for Representative Contacts