FY25 Open Enrollment Information
Health Insurance for Active Employees & Non-Medicare Eligible (Under 65) Retirees
High Deductible Comparison Chart
Benchmark Plan Summaries:
Network Blue of NE Benchmark (Summary of Coverage) Enrollment/Cancel Form
Network Blue Select Benchmark Limited Network (Summary of Coverage) Enrollment/Cancel Form
Harvard Pilgrim Benchmark HMO Plan (Schedule of Benefits) Enrollment/Cancel Form
High Deductible Plan Summaries:
Access Blue NE HSA Qualified Plan (Summary of Coverage) Enrollment/Cancel Form
Network Blue Select HD Plan (Summary of Coverage) Enrollment/Cancel Form
Harvard Pilgrim HSA Qualified HMO Plan (Schedule of Benefits) Enrollment/Cancel Form
Out of Area Plan:
Harvard Pilgrim Health Care PPO Plan Enrollment/Cancel Form
Tufts Cancellation Form: Tufts Form
REQUIREMENTS FOR FAMILY COVERAGE
Dental Coverage and Rates (No Rate Change from 2024)
Learn More About Ways To Save Money
Flexible Spending Account (FSA) Information (Re-enrollment required)
Flexible Spending Account (FSA) Enrollment Form
Health Savings Account (HSA) Information (Re-enrollment required if employee contributes)
Health Savings Account (HSA) Enrollment Form
More About Health Plans