Employee and Retiree Benefits

Active and Retiree Benefits 

Active and retired Town and School employees may utilize the links and documents below for further information on their benefits. The Town's Human Resources Department is available to answer any questions pertaining to benefits. Any employee seeking to submit a benefit enrollment or change form must do so through the Town's Human Resources Department. 

Active Employees

Click here for the Summary of Benefits of active Town and School Employees

Health Insurance 

FY 21 Active Employee Health Insurance Rate Sheet

FY 21 HMO Summary of Benefits

FY 21 HMO Schedule of Benefits

FY21 PPO Summary of Benefits

FY21 PPO Schedule of Benefits

FY 21 Prescription Coverage 

Hospital Tiers

Provider Tiers

Harvard Pilgrim Website 

Harvard Pilgrim Enrollment Form 

Dental Insurance

Delta Dental Enrollment Form 

FY 21 Delta Dental Rate Sheets

Dental Plan Comparison 

Delta Dental Voluntary Enhanced Table Plan Information Sheet

Voluntary Enahnced Table Plan Summary of Benefits

Delta Dental PPO Plus Premier Information Sheet

PPO Plus Premier Summary of Benefits

Delta Dental Website 

Life Insurance

Life Insurance Information and Rates 

For Life Insurance enrollment forms please contact the Human Resources Office. 

 

IRS 457 Deferred Compensation (Town Employees Only) 

SMART Plan Website

SMART Plan Enrollment Form 

ICMA-RC Plan Website 

ICMA-RC Enrollment Information

ICMA-RC Enrollment Form 

ICMA-RC Contribution Change Form 

Note: Employees seeking to change their contribution amount should visit the SMART Plan's website and sign-on with their account information. 

 

Flexible Spending and Dependent Care Pre-Tax Accounts 

The Town offers Flexible Spending Accounts (FSA) and Dependent Care Accounts (DCA) through a contracted third-party provider, Cafeteria Plan Advisors. Please contact the Human Resources Department for further information. 

Cafeteria Plan Advisors Enrollment Form Calendar 2020

 

Retired Employees 

Health Insurance

Medicare Eligible Retirees Plan Information

Calendar Year 2020 Medicare Retiree Rates 

Harvard Pilgrim Website 

Harvard Pilgrim Medicare Enhanced Enrollment Form

Tufts Medicare Enrollment Form  

Harvard Medicare Enhanced Summary of Benefits

Harvard Medicare Enhanced Prescription Summary

 

Non-Medicare Eligible Retiree Plan Information

FY 21 Non-Medicare Retiree Rates

Harvard Pilgrim Enrollment Form 

FY 21 HMO Summary of Benefits

FY 21 HMO Schedule of Benefits

FY21 PPO Summary of Benefits

FY21 PPO Schedule of Benefits

FY 21 Prescription Coverage 

 

For more information on the Town's Medicare Supplement plans with Harvard Pilgrim and Tufts, please contact the Town's Human Resources Office. 

 

Dental Insurance

Delta Dental Enrollment Form 

FY 21 Retiree Dental Rates

Delta Dental Website 

Dental Comparison Chart

Delta Dental Premier Enhanced Table Plan Information Sheet 

Voluntary Enahnced Table Plan Summary of Benefits

Delta Dental PPO Plus Premier Plan Information Sheet

PPO Plus Premier Summary of Benefits