Non-Medicare Open Enrollment (FY2020)

FY2020 Open Enrollment Period

April 8, 2019 through May 10, 2019 (at noon)

Benefits Fair!

Tuesday, April 23, 2019, 1:00pm to 4:00pm (PDF)

Rosemary Recreation Complex, 178 Rosemary Road, Needham, MA (PDF)

This webpage will continue to be populated with up-to-date information to help you make an informed choice related to health care. Please continue to check this page or schedule an appointment with your Human Resources Department for more information.

FY2020 Rates - Health, Dental & Group Life

Active Employees (PDF) / Retirees (Non-Medicare) (PDF)

FY2020 Health Plan Comparison Charts

 High Deductible (PDF) / Benchmark (PDF)/ Both (PDF)

FY2020 General Information

Open Enrollment Brochure Retiree (Non-Medicare) Announcement

Enrollment Forms

Fallon (PDF) / Harvard Pilgrim (PDF) / Blue Cross/Blue Shield (PDF) / Tufts (PDF) Delta Dental (PDF) Health Savings Account (HSA) (PDF) / Flexible Spending Account (FSA) (PDF) Declination Form (PDF)

Opt-Out Program

Program Requirements (PDF) / Enrollment Form (PDF) / Declination Form (PDF)

Health Savings Account (HSA) Info

HSA Guidebook

Health Equity Plan Comparison Tool

Flex Spending Account (FSA) Info

FSA Overview / Eligible Expenses List / West Suburban Health Group (WSHG) Information on HSA/QHDHPs

Summary Plan Document (7/1/18 - 6/30/19)

Summary Plan Document (7/1/19 - 6/30/20)

Other Benefits

NEW!: MyTeleMedicine

Diabetes Care Rewards Program

CanaRx Prescription Drug Program (see more for $0 co-pays!!)

Legal Notices

Affordable Care Act - Market Place Notice (PDF) / CHIP Notice (PDF) / HIPAA Privacy Notice (PDF) / COBRA Notice (PDF) / HIPAA Special Enrollment Rights (PDF) / Notice of Patient Protections (PDF) / Summary of Benefits and Coverage (SBC) (PDF) / Women's Health and Cancer Rights Act (WHCRA) (PDF) / Summary of Benefits and Coverage (SBCs)

Insurance Carrier
Customer Service
Find a Provider
Fallon Community Health Plan


1-800-868-5200


Plan: Select Care and Direct Care


Harvard Pilgrim Health Care


1-800-782-3675


Plan: HMO or PPO


Tufts Health Plan


1-800-462-0224


Plan: HMO


 Blue Cross/Blue Shield


1-800-262-BLUE


Plan: HMO Blue New England


Delta Dental1-800-872-0500Plan: Delta Dental PPO Plus Premier
AflacRay DeRosa (Agent): 617-658-1834NA


Please visit the West Suburban Health Group website for additional insurance information

HR Benefits Office Hours (Appointments encouraged)

Tues, Weds, Thurs, 1:00pm to 4:30pm