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. FY 2020 The-Standard-Summary-of-Benefits-PDF
  6. sbc-uniform-glossary-of-coverage-and-medical-terms-final
  7. FY 2021 City of Chicopee MERP SBC BCBS Plan
  8. FY 2021 City of Chicopee MERP SBC HNE Plans
  9. FY 2021 HNE PPO 4000
  10. fy2021 HNE WISE MAX
  11. FY 2021 HNE HMO ESSENTIAL 4000
  12. FY2021 - BCBS NEW ENGLAND OPTIONS
  13. FY2021 HMO Blue Options SBC
  14. FY2021 HMO BLUE NEW ENGLAND 3000
  15. FY2021 HMO BLUE NEW ENGLAND 3000 SBC
  16. FY 2021 Dental Blue
  17. FY 2020 EYEMED Benefit Summary City of Chicopee
  18. MEDICAL COMPARISON CHART 2020-2021
  19. FY 2022 HNE PPO 5000
  20. FY2022 HNE HMO Essential 5000
  21. FY2022 HNE HMO WISE MAX
  22. FY 2022 Dental Blue Program 2
  23. FY2022 HMO BLUE NE OPTIONS
  24. FY2022 HMO BLUE NE 4000
  25. PLAN CHANGES SPREADSHEET EFF 7-1-21

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
  5. 2019 Health Fair 2
  6. 2019 Health Fair 1
  7. HNE Massage Reimbursement Form 2021

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. TC-Info-Resource-Flyer-2018
  4. TC-ResilienceJourneyFlyer-2017
  5. TC-LifestyleBenefitsFlyer 2018
  6. TraumaResources-FL-2018
  7. EAP College Tuition
  8. Prescription Drug Dangers
  9. Parenting Resources
  10. EAP - Debt Counseling
  11. Peak Performance-Wellness-Coaching-Flyer.pdf 4-19-18
  12. EAP-Wellness-Coaching-Benefit-flyer.pdf 4-19-18
  13. TrainingCenterHandout-TCEAP-2018
  14. AccessingTrainingCenter-TC-2018
  15. EAP-Spanish-Child-and-Elder-Care-Flyer
  16. ESI Tools Letter-one page
  17. TC-Child-ElderCareFlyer-2017

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 2021 MERP FAQ
  2. FY 2022 MERP SBC BCBS Plan
  3. FY2022 MERP FAQ
  4. 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

BENEFITS POWERPOINT PRESENTATION

  1. New Hire Benefit Orientation 2021

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. 2020 Benefit Rates
  2. FY2021 NEW RATES FOR ACTIVE EE-RETIREES UNDER 65
  3. FY2022 BENFIT RATES

BENEFIT RATES FOR 21 PAY

  1. FY 2020 21 PAY ESCROW RATE SHEET
  2. FY 2021 21 PAY ESCROW RATE SHEET (3) (2)
  3. FY 2022 21 PAY ESCROW RATE SHEET (2)

 ANNUAL OPEN ENROLLMENT NOTICE AND RATES

  1. 2019 OE Notice to Active EE
  2. FY 2021 OPEN ENROLLMENT NOTICE
  3. FFY2022 OE Notice to Active School EE (1)
  4. FFY2022 OE Notice to Active EE (2)