Human Resources

Health, Dental, & Voluntary Insurance Documents, Benefit Summaries, and Forms.

Benefit Plan Documents For: Plan Year 2022 - 2023  

(Please be sure to see both Page 1 & Page 2 for all benefit information)

Click here to view All / Prior Years


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SPECIAL OPEN ENROLLMENT – May 1, 2023 through May 8, 2023

For Short Term Disability (STD) & Long Term Disability (LTD) ONLY

 

Change In Benefit Explanation


Forms

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RETIREE INFORMATION - Important Medicare Supplemental Rate Plan Change  

Effective January 1, 2023, the Medex 2 rate increase will be 3.82%, not 6.57%.  Due to the timing of going out to bid, the adjusted rate is not reflected in the retiree mailing. For help with any questions please call 978-399-2915.   

 
New Rates Effective January 1, 2023 - Individual Plans  

Total PremiumTown Share (60%)Retiree Share (40%)
Medex 2 with PDP - 3.82% Increase  $361.06$216.64$144.42
Medicare PPO Blue Freedom Rx  - 0% Increase$357.00$214.20$142.80











Health Reimbursement Arrangement (HRA) documents - Mitigation Funds

These funds are available, until they are exhausted, for employees and retirees who are non-Medicare eligible who participate on the Town's health insurance to help offset increased out of pocket costs for plan design changes (health insurance copays only) for  those who meet the criteria through the HRA (Health Reimbursement Arrangement).  

HRA Forms

  1. Health Reimbursement Account Memorandum of Agreement - Memorandum of Understanding (PDF)
  2. HRA - FAQ - Explains HRA Process - Outline
  3. HRA Enrollment Form - School
  4. HRA Enrollment Form - Town
  5. Health Reimbursement Account Claim Form (PDF) - Universal Claim Form

MIIA Employee Assistance Program (EAP)

Call 800-451-1834 for a confidential counseling and referral service. You receive 3 confidential in-person counseling sessions to help:

  • Manage Anxiety and Depression
  • Adjust to Demands of Work
  • Resolve Relationship Conflict
  • Talk About a Loved One's Drinking
  • Address Parenting and Family Issues
  • Assess Your Level of Stress
  • Become a Better Communicator

Additional Information

  • You receive legal assistance: 1 free 30-minute office or telephone consultation
  • per legal matter; does not include job-related legal issues.
  • You receive financial counseling: one free 30-minute telephone consultation per
  • financial issue.
  • Available to employees and household members 24 hours a day, 7 days a week.

ADA Building Compliance

  1. ADA - Building Department - Grievance Procedure 10-2020
  2. ADA - Building Department - Notice of Non-Discimination 10-2020
  3. ADA - Building Department- Responsible Person 10-2020