New Health Insurance Active Emplyees

New Health Insurance - Active Employees

Active Employees

Open Enrollment forms for any health/dental changes and/or new contributions for FSA, HSA, DCS, 403b plans accepted from 4/4/22 - 5/6/22

**Enrollment Forms DUE FRIDAY, MAY 6th

NEW: Harvard Pilgrim Health Care Plan Information
Summary of Benefits – HMO
Summary of Benefits – HMO with HSA (high deductible plan)
Medicare Part D Creditable Coverage Disclosure Notice

MyHealthMath – Get cost information to assist in deciding on which plan is best for you
MyHealthMath Flyer 

Active EE Rate Contribution 2022-23

Active Employee Enrollment Form – HMO
Active Employee Enrollment Form – HMO with HSA
   - HSA Payroll Deduction form

Altus Dental – Summary of Benefits LOW Plan
 Altus Dental – Summary of Benefits HIGH Plan
 Altus Dental – Enrollment Form (*For new members that have not had dental coverage
previously with the district or changing plan type only)