Human Resources

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 VISION:

Altus Vision Benefits and Coverage

*Altus Vision Enrollment Form

ALTUS DENTAL:

Altus Dental Benefits and Coverage

*Altus Dental 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

HARVARD PILGRIM HEALTH CARE (3 Plans):

Harvard Pilgrim Focus Network MA HMO:

Medical Plan Monthly Contribution 07/01/2025: Individual $1,120.39 / Family $2944.40

Focus Network MA HMO Benefits and Coverage

Harvard Pilgrim HMO:

Medical Plan Monthly Contribution 07/01/2025:  Individual  $1,231.01 / Family $3,235.09

HMO Benefits and Coverage

Harvard Pilgrim PPO (option only if you live outside of the New England area):

Medical Plan Monthly Contribution 07/01/2025: Individual $1,307.14 / Family $3,435.18

PPO Benefits and Coverage

Harvard Pilgrim Enrollment Form:

*Harvard Pilgrim Enrollment Form

Disclosure Notice:

*Medicare Part D Creditable Coverage Disclosure Notice

ALTUS VISION:

Altus Vision Benefits and Coverage

*Altus Vision Enrollment Form

ALTUS DENTAL:

Altus Dental Benefits and Coverage

*Altus Dental Enrollment Form

Medicare Part D Creditable Coverage Disclosure Notice

Medicare Enhance Enrollment Form

Medicare Enhance Senior Plan Rates for January 2026

Medicare Enhance Plan Benefit Handbook

Aetna Medicare Rx Offered by SilverScript

Medicare Enhance Schedule of Benefits