Human Resources

Forms & Resources

Forms

Benefits Enrollment & Change Forms

Benefits Enrollment & Change Form

Domestic Partner Information

Domestic Partner Affidavit - Required to add your Domestic Partner to coverage.
Domestic Partner Form - Required to discontinue your Domestic Partner's coverage.

Flexible Spending Account (FSA) Reimbursement Forms

Dependent Care FSA (DCFSA) Reimbursement Form

Healthcare FSA (HCFSA) Reimbursement Form

Limited Purpose FSA (LPFSA) Reimbursement Form

Health Savings Account (HSA) Forms

Health Savings Account (HSA) Reimbursement Form

Resources

Employee Online

Employee Online - Provides the ability to review and make certain changes to personnel records including changes to medical and dental benefits. Should you need a password please complete the online request form.

Carrier Websites

Use the links below to access the official websites of our insurance carriers.

Medical
Blue Cross Blue Shield of Massachusetts - Use this link to access the home page.
Blue Cross Blue Shield - PPO Provider Directory - Use this link to find a doctor or hospital in the PPO National Network (useful for out-of-New England members).
 
Dental
Delta Dental of Massachusetts - Use this link to access the home page.

Other Resources

IRS Publication 502- Medical & Dental Expenses for use in preparing your tax returns.
IRS Publication 503 - Child & Dependent Care Expenses for use in preparing your tax returns.

Last updated: July 11, 2018