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Active Employees Insurance
Summary of Benefits
Summary of Benefits
- standard life policy
- standard life medical history statement - ma residents
- standard life medical history statement - non mass residents
- standard life summary
- sbc-uniform-glossary-of-coverage-and-medical-terms-final
- FY 2024 EYEMED Benefit Summary City of Chicopee
- FY 2024 HNE PPO 5000
- FY2024 HNE HMO Essential 5000
- FY2024 HNE HMO WISE MAX
- FY 2022 Dental Blue Program 2
- FY2022 HMO BLUE NE OPTIONS
- FY2022 HMO BLUE NE 4000
Open Enrollment FY 2023
- 2022 City of Chicopee MERP SBC HNE Plans2
- 2022 MERP FAQ2
- 2022 Model Notice CoC2
- City of Chicopee Wellness Fair2
- Open Enrollment active and under 65 retiredfinal2
- ESI-Achieve-Better-Balance-with-Work-Life-Webinars
- MEDICAL-COMPARISON-CHART-2022-2023
- school rates FY 2024
- FY2024 Benefit Rate Sheet handout
COBRA Information
Wellness Information
Fitness Reimbursement Forms
Employee Assistance Program (EAP)
American Fidelity Plans
Blue Cross Blue Shield Programs
HRA - Health Reimbursement Account
Health New England Programs
- HNE Welcome to Health Care_Flyer_40 or less
- HNE hitting the road_flyer_40 or less
- HNE Cost of Care Calculator
- HNE Smoking Cessation Program
- HNE How to Choose Correct Care
- HNE Member Portal
- HNE Wellness Program
- yoga on line classes - hne
- HNE FF HMO map
- HNE Chewsi_Dental (1)
- HNE Cost of Care Calculator
- HNE Choose Correct Care_Teladoc
- HNE Rx Solutions (2)
- HNE Teladoc BH Now Available (4)
PLAN CHANGES
Enrollment and Cancellation Forms
- Active Employee BCBS Enrollment and Cancellation Form (PDF)
- EyeMed Enrollment and Cancellation Form (PDF)
- American Fidelity Cancellation Request
- American Fidelity Name Change Form
- American Fidelity Address Change Form
- Texas Life Cancellation Form
- Texas Life Name Change Form
- Texas Life Address Change Form
- Standard Life
- HNE Enrollment_Term Form