May 1-31 Annual Enrollment Information - Health (Employee & Retiree), Dental (Employee & Retiree), Vision (Employee & Retiree), Critical Illness, Accident, Cancer Expense, Disability and Life Insurance Plans

Contact Life Plus at 866/511-9222 with questions and/or to enroll in; Critical Illness, Accident, Cancer Expense, Short Term Disability and Life Insurance Plans.

 

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PDF icon Health, Life, Dental and Vision Insurance Rates FY24101.76 KB
PDF icon Employee, Spouse, Dependent, COBRA Participant May 1 – 31, 2023 Annual Benefit Enrollment Memo116.74 KB
PDF icon Retiree, Spouse, Dependent, COBRA Participant May 1 – 31, 2023 Annual Benefit Enrollment Memo100.92 KB
PDF icon Basic Term Life Insurance Enrollment Form 274.56 KB
PDF icon BCBS Health Insurance Enrollment Form207.58 KB
PDF icon Delta Dental Insurance Enrollment Form59.76 KB
PDF icon EyeMed Vision Insurance Enrollment Form114.25 KB
PDF icon Long Term Disability Insurance Enrollment Form497.68 KB
File Accident, Cancer, Critical illness, Dental, Pet, Short-term Disability, Term and Universal Life, Vision Insurance Presentation10.34 MB
PDF icon BCBS HMO and PPO eKit (Summary of Benefits, Resources, Forms, Rx Information) 202313.58 MB
PDF icon BCBS Virtual Primary Care Fact Sheet 20232.63 MB
PDF icon BCBS HMO Network Blue New England Summary 2023723.72 KB
PDF icon BCBS HMO Network Blue New England Summary of Benefits and Coverage 2023997.93 KB
PDF icon BCBS PPO Blue Care Elect Summary 2023735.34 KB
PDF icon BCBS PPO Blue Care Elect Plan Summary of Benefits and Coverage 20231.24 MB
PDF icon BCBS Telehealth Fee Change Notice Effective July 1, 2021103.27 KB
PDF icon BCBS Cost Share Assistance Medication List Aug 2023586.05 KB
PDF icon BCBS MyBlue Member App Fact Sheet532.02 KB
PDF icon BCBS Quicker and Less Expensive Emergency Room Alternatives 63.44 KB
PDF icon EyeMed Vision Insurance Frequently Asked Questions553.36 KB
PDF icon EyeMed Vision Insurance Benefit Summary 3.57 MB
PDF icon EyeMed Vision Insurance SunPerks 656.7 KB
PDF icon Delta Dental Premier Voluntary Enhanced Table Summary 582.12 KB
PDF icon Delta Dental PPO Plus Premier Summary 218.79 KB
PDF icon Delta Dental Insurance Plan Member Benefits at deltadentalma.com621.14 KB
PDF icon Delta Dental New Teledentistry.com Fact Sheet 176.98 KB
PDF icon Delta Dental Insurance Rollover Max Summary1.05 MB
PDF icon Delta Dental General Information 1.02 MB
PDF icon Basic Term Life Insurance Summary 205 KB
PDF icon Basic Term Life Insurance Rates52.58 KB
PDF icon Optional Term Life Insurance for Employee, Spouse and Dependent Rates60.22 KB
PDF icon Accident Insurance Summary562.54 KB
PDF icon Accident Insurance Rates316.3 KB
PDF icon Critical Illness Insurance Summary579.3 KB
PDF icon Critical Illness Insurance Rates1.06 MB
PDF icon Cancer Expense Insurance Summary and Wellness Form1.63 MB
PDF icon Cancer Expense Insurance Rates 141.57 KB
PDF icon Universal Life Insurance Summary 564.07 KB
PDF icon Universal Life Insurance Rates688.52 KB
PDF icon Short Term Disability Insurance Summary 192.76 KB
PDF icon Statement of Intent to Decline Benefits Form95.33 KB