Benefits

1. Human Resources

457 Plan Changes (12.4 KB)

Active Employee Open Enrollment Announcement (40.5 KB)

Active Employee Rates FY13 (35.5 KB)

Family Medical Leave Act Information (31.8 KB)

Retiree Rates FY13 (34.5 KB)

Roth IRA Information (135.2 KB)

2. Flex Spending - Cafeteria Plan Advisors

Direct Deposit Enrollment Form (14.9 KB)

Flexible Spending 2012 Announcement (66 KB)

Flexible Spending Dependent Care Cert Form (23.1 KB)

Flexible Spending Enrollment Form (29.5 KB)

Flexible Spending Reimbursement Form (32.9 KB)

3. Guardian Dental

Active Enrollment Application (26.4 KB)

Guardian Active Basic Summary of Benefits (27.5 KB)

Guardian Active High Summary of Benefits (34.6 KB)

Guardian Retiree Summary of Benefits (34.3 KB)

Newton, MA List of In-Network Dentists (50.1 KB)

Retiree Enrollment Application (26.9 KB)

Canada Rx Enrollment Form (270.3 KB)

Caremark Mail Order Drugs (706.4 KB)

Enrollment Application (350.5 KB)

EyeMed FAQs (568.5 KB)

EyeMed Vision Care (link)

Tufts Canada Rx List (472.5 KB)

Tufts EPO Advantage City 16182 SBC (387.6 KB)

Tufts EPO Advantage City 16183 SBC (387.3 KB)

Tufts EPO Advantage Summary of Benefits (49.2 KB)

Tufts EPO Legacy City 11362 SBC (305.6 KB)

Tufts OOA Legacy City 11361 SBC (377.1 KB)

Tufts OSA Advantage City 16184 SBC (381.7 KB)

Tufts OSA Advantage City 16185 SBC (381.5 KB)

Tufts POS Legacy City 11360 SBC (309.6 KB)

Tufts PPO Advantage City 45621 SBC (391.3 KB)

Tufts PPO Advantage City 45622 SBC (388.2 KB)

Tufts PPO Advantage Summary of Benefits (51 KB)

5. Harvard Pilgrim

Bioscript Mail Order Drugs (838.5 KB)

Canada Rx Enrollment Form (270.3 KB)

Enrollment Application (72.1 KB)

Harvard Advantage City 1 SBC (265.9 KB)

Harvard Advantage City 2 SBC (266.4 KB)

Harvard Canada Rx List (473.9 KB)

Harvard Legacy City SBC (263.3 KB)

Prescription Information (93.4 KB)

Summary of Benefits (57.5 KB)

6. Retiree Plans

Harvard Pilgrim HMO Summary of Benefits (51.2 KB)

Tufts EPO Summary of Benefits (177.8 KB)

Tufts Medicare Complement Plan Application (1.78 MB)

Tufts Medicare Preferred Plan Application (304.8 KB)

Tufts POS Summary of Benefits (236.6 KB)