Acton-Boxborough Regional School District

Developing engaged, well-balanced learners through collaborative, caring relationships

• WELLNESS
• EQUITY
• ENGAGEMENT

FY25 Health Insurance Information 

FY25 Benefit Summaries

This link includes more details on health plans & coverage, plus a hospital list, mind & body/fitness/Weight loss reimbursements and more! 

• FY26 Health Plan Comparison

• MIIA BCBS Blue Care Elect PPO 500/1000 Benefits Summary
• MIIA BCBS Access Blue (High Ded w/HSA) 1600/3200 Benefits Summary
• MIIA BCBS Network Blue HMO 500/1000 Benefits Summary
• MIIA BCBS SELECT Network Blue HMO 500/1000 Benefits Summary

Coverage for Out of State Dependents

Health Benefits Rates 

• FY26 Health, Dental & Vision Insurance Rates
• FY25 Health, Dental & Vision Insurance Rates

Health Plan Enrollment Forms

• Blue Cross Blue Shield Enrollment Form

FY25 Flexible Spending Accounts (FSA)

Our FSA plan runs from July 1, 2024 thru June 30, 2025. Open enrollment runs from March 25 thru May 31, 2024.  You may sign up for a Health Care and/or a Dependent Care Account.

• The maximum amount you can put away for your Health Care Account is  $3,200. The Dependent Care Maximum is $5,000 per household.
• You must enroll and fill out new paperwork each year; the FSA does not renew automatically. Existing participants can re-new online here. New Enrollees must complete the FSA Enrollment form below and submit to Cafeteria Plan Advisors.
• You can use your FSA Health Care funds to pay for health insurance deductibles and co-pays with our low deductible HMO plans. 
• You can have a Dependent Care Account regardless of your health insurance plan.
• You cannot have an FSA Health Care account if you or your spouse is contributing to an HSA (Health Savings Account).

• Flexible Spending Information
• Flexible Spending Enrollment Form
• Health Care Eligible Expenses
• Dependent Care Form
• Prepaid Benefits Card

Health Savings Account (HSA) Information

• HealthEquity Website
• Blue Cross Member Portal
• Harvard Pilgrim Member Portal
• Beneficiary Form
• Electronic Funds Transfer Form
• HealthEquity Payroll Deduction Form FY22

Saving for Retirement

Options for benefit eligible employees to save additional funds toward retirement.

• 403(b) Plan Highlights
• TSA 403(b) Information and Online Forms
• TSA Transaction Information Form
• MA SMART Plan 457(b)
• SMART Plan Overview
• 457 Plans—Contributing Through Two Plans
• How to Access Your Account

Other Insurance Benefits

• Voluntary Life Insurance
• Cancer Expense Brochure
• Accident Insurance Brochure
• Universal Life Insurance Brochure
• Disability Insurance Brochure

Altus Dental Coverage

• Altus Dental Plan Summary - Low Plan
• Altus Dental Plan Summary - High Plan
• Altus Dental Maximum Carryover Flyer
• Altus Dental Enrollment Form

EyeMed Vision Coverage

• EyeMed Benefit Summary
• EyeMed Enrollment Form

Employee Assistance

• MIIA Employee Assistance Program

1095-C Tax Forms

• Tax Form Information