Active Employees Insurance

Summary of Benefits

Summary of Benefits

  1. standard life policy
  2. standard life medical history statement - ma residents
  3. standard life medical history statement - non mass residents
  4. standard life summary
  5. sbc-uniform-glossary-of-coverage-and-medical-terms-final
  6. FY 2020 EYEMED Benefit Summary City of Chicopee
  7. FY 2022 HNE PPO 5000
  8. FY2022 HNE HMO Essential 5000
  9. FY2022 HNE HMO WISE MAX
  10. FY 2022 Dental Blue Program 2
  11. FY2022 HMO BLUE NE OPTIONS
  12. FY2022 HMO BLUE NE 4000

Open Enrollment FY 2023

  1. 2022 City of Chicopee MERP SBC HNE Plans2
  2. 2022 MERP FAQ2
  3. 2022 Model Notice CoC2
  4. City of Chicopee Wellness Fair2
  5. Open Enrollment active and under 65 retiredfinal2
  6. ESI-Achieve-Better-Balance-with-Work-Life-Webinars
  7. MEDICAL-COMPARISON-CHART-2022-2023
  8. school rates FY 2023
  9. FY2023 Benefit Rate Sheet handout1

COBRA Information

  1. COBRA RIGHTS

Wellness Information 

  1. Holiday Health
  2. Emergency Room or Urgent Care
  3. BCBSMA _ER_Diversion_Fact_Sheet_ (3)
  4. _HNE ER_Diversion_Fact_Sheet

Fitness Reimbursement Forms

  1. BCBS Fitness Reimbursement form
  2. Elms
  3. Health New England Fitness Reimb Form 7.1.19

Employee Assistance Program (EAP)

  1. TC-Financial-Benefit
  2. ESI-Stress-Letter-one-page
  3. EAP College Tuition
  4. Prescription Drug Dangers
  5. Parenting Resources
  6. EAP - Debt Counseling
  7. EAP-Spanish-Child-and-Elder-Care-Flyer
  8. ESI Tools Letter-one page

American Fidelity Plans

  1. AFA school flyer for 2021 open enrollment
  2. FY 2022 OPEN ENROLLMENT AFA school flyer
  3. FY 2022 OPEN ENROLLMENT AFA Muni flyer

Blue Cross Blue Shield Programs

  1. Cost Compare
  2. Weight Loss Reimburse
  3. Blue Member App
  4. My Blue Member App
  5. Baby Reimbursement
  6. Live Health Baby Reimbursement
  7. Telehealth
  8. Healthy Me
  9. BCBS HEALTHY ME Program Guide
  10. PillPack
  11. Core Program Poster Final PDF
  12. MyBlue_Member_App_FAQ_Members

HRA - Health Reimbursement Account

  1. FY 2022 MERP SBC BCBS Plan
  2. FY2022 MERP FAQ
  3. FY 2022 MERP SBC HNE Plans

Health New England Programs

  1. HNE Welcome to Health Care_Flyer_40 or less
  2. HNE hitting the road_flyer_40 or less
  3. HNE Cost of Care Calculator
  4. HNE Smoking Cessation Program
  5. HNE How to Choose Correct Care
  6. HNE Member Portal
  7. HNE Wellness Program
  8. yoga on line classes - hne
  9. HNE FF HMO map
  10. HNE Chewsi_Dental (1)
  11. HNE Cost of Care Calculator
  12. HNE Choose Correct Care_Teladoc
  13. HNE Rx Solutions (2)
  14. HNE Teladoc BH Now Available (4)

PLAN CHANGES

  1. FY 2021 PLAN CHANGES SPREADSHEET EFF 7-1-20

Enrollment and Cancellation Forms

  1. Active Employee BCBS Enrollment and Cancellation Form (PDF)
  2. EyeMed Enrollment and Cancellation Form (PDF)
  3. American Fidelity Cancellation Request
  4. American Fidelity Name Change Form
  5. American Fidelity Address Change Form
  6. Texas Life Cancellation Form
  7. Texas Life Name Change Form
  8. Texas Life Address Change Form
  9. Standard Life
  10. HNE Enrollment_Term Form

Employee Benefits Rates

  1. FY2022 BENFIT RATES

BENEFIT RATES FOR 21 PAY

  1. FY 2022 21 PAY ESCROW RATE SHEET (2)