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Needham
Emergency Alert ALERT HEALTH ALERT - COVID-19 Public Health Department
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  4. Human Resources Department
  5. Benefits Information
  6. Benefits Forms

Benefits Forms

Active Employees

Health Insurance

Harvard Pilgrim Health Care (PDF)

Blue Cross Blue Shield (PDF)

Tufts Health Plan (PDF)

Other Benefits

Benefits Declination Form (PDF)

Opt Out Program form (must be eligible) (PDF)

Health Savings Account (HSA) Enrollment /Contribution Change Form (PDF)

Flexible Spending Account (FSA) Form (PDF)

Delta Dental (PDF)

EyeMed - Vision Insurance Form (PDF)

Retirees

Non-Medicare Plans

Harvard Pilgrim Health Care (PDF)

Blue Cross Blue Shield (PDF)

Tufts Health Plan (PDF)

Medicare Plans

Harvard Pilgrim Medicare Enhanced (PDF)

Blue Cross MEDEX (PDF)

Blue MedicareRx (PDF)

Blue Cross Managed Blue for Seniors (PDF)

Tufts Medicare Supplement PDP Plus (PDF)

Tufts Medicare Preferred HMO (PDF)

  1. Active Employees
    1. Health Insurance
    2. Voluntary Benefits
  2. New Employees
  3. Retired Employees & Surviving Spouses
  4. Summary of Benefits and Coverages
  5. Health Rates
    1. FY2019 Health Insurance Rates (PDF)
    2. FY2018 Health Insurance Rates (PDF)
    3. CY2018 Medicare Supplement Rates (PDF)
  6. HIPAA Privacy (PDF)
  7. Injured While on Duty
  8. Other Benefits
    1. Aflac Insurance
    2. Credit Union Membership
    3. Deferred Compensation
    4. Direct Deposit
    5. Employee Assistance Plans
    6. Section 125 Plan
  9. Group Insurance Policy (PDF)
  10. Benefits Forms
  11. OptiMed Health Partners
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Contact Us

  1. Needham Town Hall
    1471 Highland Avenue
    Needham, MA 02492
    Phone: 781-455-7500

    Other Town Buildings

FAQs

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  2. How do I request public records from the Town?
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  4. How can I dispose of my recyclable materials?
  5. Does the Town of Needham provide notary services?
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