FY19 Health Benefits Rates 

• Health & Dental Insurance Rates

FY19 Benefit Summaries

• BCBS Blue Care Elect PPO Benefits & Coverage
• BCBS Blue Care Elect PPO Summary of Benefits
• BCBS Access Blue (High Ded with HSA) Benefits & Coverage
• BCBS Access Blue (High Ded with HSA) Benefits Summary
• BCBS Network Blue HMO 250/750 Benefits & Coverage
• BCBS Network Blue HMO 250/750 Benefits Summary
• HPHC HMO 250/750 Benefits Summary
• HPHC HMO 250/750 Four Facts
• HPHC High Deductible with HSA Benefits Summary
• HPHC High Deductible Four Facts
• Altus Dental Plan Summary - Low Plan
• Altus Dental Plan Summary - High Plan
• Altus Dental Maximum Carryover Flyer

Health Savings Account (HSA) Information

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

Employee Assistance

• MIIA Employee Assistance Program

Enrollment Forms

• Blue Cross Blue Shield Enrollment Form
• Harvard Pilgrim Enrollment Form
• Altus Two-tier Dental Enrollment Form
• HSA Enrollment Form
• HSA Family Deduction Form
• HSA Individual Deduction Form
• Limited Purpose FSA Enrollment Form
• HSA Eligibility Form

Health Insurance Changes

• Presentation 3/21/18
• Video

Benefit Comparison

• FY19 Health Plan Comparison—Acton Health Trust

FY19 Flexible Spending Accounts (FSA)

• Flexible Spending Information
• Flexible Spending Enrollment Form
• FSA Eligible Health Care Expenses
• FSA Debit Card Information
• FSA Dependent Care Claim Form
• FSA Store Information

Flexible Spending Open Enrollment Period is mid-April through May.

FY19 Investment Opportunities

• 403b Plan Highlights
• 403b Frequently Asked Questions
• 403b Enrollment Information
• 403b Salary Reduction Agreement

FY19 Insurance Benefits

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

Retiree Health Insurance (65 and over)

• 2018 Blue MedicareRx Prescription Drug Plan 
• 2018 Blue MedicareRx Enrollment Form 
• 2018 Blue MedicareRx (PDP) 3-tier Formulary 
• 2018 Blue MedicareRx Formulary Changes 
• 2018 Medex2 Summary of Benefits 
• 2018 Tufts Plan Highlight Sheet 
• 2018 Tufts Summary of Benefits
• 2018 Tufts Enrollment Form
• 2018 Comparison of Retiree Health Plans