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- Open Enrollment (FY2022)
Non-Medicare Open Enrollment (FY2022)
Health, Flex Spending, Dental, Vision, Life and others
Open enrollment will be active April 5th through May 14, 2021, more information will be updated in the coming weeks. Updates and changes can be made by completing the applicable plan forms and returning via email to your Human Resources Department. Please contact Human Resources with any questions.
Enrollment Email Addresses
| Town Employees: enrollments@needhamma.gov |
| School Employees: HRPayrollHelpDesk@needham.k12.ma.us |
FY2022 Rates - Health, Dental & Group Life
| FY22-Rate-Chart---Effective-July-1-2021- FY21 Rate Chart - Effective July 1, 2020 |
Group Life Rates |
FY2021 Comparison Charts
| Medical | Dental | Vision |
| EyeMed Plan Summary | ||
Enrollment Forms
Enrollment Forms in Spanish
| Tufts Health Plan | ||
Insurance Carrier Information
| When making insurance enrollment decisions, always consult your healthcare provider and ensure they are within the specific plan’s network or click the "Find a Provider" link below. You may also reach out to the insurance carriers directly, via the Member Services number below, to ask specific coverage questions under the plans offered by the Town. Mention that you are a "prospective member" and be ready to reference the specific Group Number as specified below. If you need further assistance or clarification, please reach out to your HR Department and we may be able get further information from our Insurance Account Representative on your behalf. |
Insurance Carrier | Summary of Benefits (Qualified High Deductible) | Summary of Benefits (Benchmark) | Member Services | Find a Provider |
|---|---|---|---|---|
1-800-868-5200 | ||||
1-800-782-3675 | ||||
1-800-462-0224 | ||||
| 1-800-262-BLUE | ||||
High Plan: | Low Plan: | 1-800-872-0500 | ||
1025891 | 1-888-4-EYEMED | |||
Opt-Out Program
Program Requirements (PDF) / Enrollment Form (PDF) / Declination Form (PDF)
Health Savings Account (HSA) Info
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
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)
Please visit the West Suburban Health Group website for additional insurance information
HR Benefits Office Hours available by appointment only