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 BCBS HMO BLUE NEW ENGLAND 3000 SBC
  6. FY 2020 BCBS HMO NEW ENGLAND 3000
  7. FY 2020 BCBS HMO BLUE NEW ENGLAND OPTIONS SBC
  8. FY 2020 BCBS HMO BLUE NEW ENGLAND OPTIONS
  9. FY 2020 The-Standard-Summary-of-Benefits-PDF
  10. FY 2020 Revised-City_Chicopee_PPO_Essential_3000Nat_2019_I0_SBC
  11. FY Revised-City_Chicopee_HMO_Essential_3000 _2019_7Y_SBC (2)
  12. fy 2020 Revised-2019_LG_HMO_Wise_Max_2000_Rx10-25-45MAIL1x1x1_NOCHIRO_SBC
  13. FY 2020 SPD - Dental City of Chicopee
  14. FY 2020 EYEMED Benefit Summary City of Chicopee
  15. sbc-uniform-glossary-of-coverage-and-medical-terms-final
  16. MERP SBC
  17. HIRD 2019

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

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. American Fidelity plans 2018

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

HRA - Health Reimbursement Account

  1. 2018 HRA questions
  2. hra presentation 11-27-18
  3. HEALTH EQUITY HEALTH REIMBURSEMENT ARRANGEMENT
  4. 2019 MERP FAQ

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

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

BENEFIT RATES FOR 21 PAY

  1. FY 2020 21 PAY ESCROW RATE SHEET

2020 ANNUAL OPEN ENROLLMENT NOTICE AND RATES

  1. 2019 OE Notice to Active EE