Due to COVID-19, OPEN ENROLLMENT will be held during the month of July this year. You will be able to enroll, and make changes, between 7/1/20 through 7/31/20. 

The effective date for new enrollments and changes will be September 1, 2020.

Eligibility

Benefit eligible employees are active, full time employees that are scheduled to work 20 hours or more per week.

Effective Dates & Enrollment Deadlines 

New Hires: benefits selected will be effective as of the first date of employment; enrollment information must be received in HR within 30 calendar days of hire date

Position changes (non-benefit eligible to benefit eligible): benefits will be effective the first date of the new position, enrollment information must be received in HR within 30 calendar days of the new position 

Position changes (benefit eligible to non-benefit eligible): benefits will be terminated 30 calendar days from the effective date of the new position

Eligible participants: able to enroll or make policy changes during annual open enrollment or within 30 calendar days of a qualifying event

•           Annual Open Enrollment is held during the month of May. All forms and documents must be submitted by the last business day in May. Changes become effective on July 1st.
•         Annual Open Enrollment for flexible spending accounts is held during the month of November. 
•           Click here for a list of qualifying events. All forms and required documents must be submitted within 30 calendar days of the qualifying event. Click here for types of documents required.

Enrollment Procedure

All forms can be found within the specific topics below. Please print, sign, and date forms prior to sending.

Unless directed otherwise, please send forms to Theresa Sears at Central Office.

Blue Cross Blue Shield has recently introduced electronic enrollment kits. This kit includes information such as plan benefit details, enrollment forms, pharmacy information, reimbursement forms and much more.

Enrollment Kit

Enrollment Form

Rates for FY21

Enrollment Form w/Editable Fields (to allow you to fill in online)

BCBS Dental Freedom - Summary of Benefits

Rates for FY21

Aflac 

Call Jeff Nelson (774)254-4328 to enroll or request additional information 

•       Accident Insurance 
  
  • cash paid directly to you
  • family coverage is available
•       Short-Term Disability
  
  • customized plans 
  • maternity leave included after 10 months of being on a policy
•       Cancer Insurance
  • policies pay a first occurrence benefit of up to $12,000 to help with immediate costs
  • policies continue to pay over the course of treatment

Open enrollment flyer

Enrollment form

Boston Mutual* 

Call Peter Cook (781) 837-9222 or email Peter@LPINS.com for additional information.

•       Basic & Voluntary Life Insurance Rates
•       Life Insurance Enrollment Form
•       Life Insurance Change of Beneficiary Form
•       Long Term Disability Benefit Summary
•       Long Term Disability Enrollment Form             

Mass Mutual*

Call Mike Rothberg (508)584-4044 for additional information

•       Permanent Life Insurance

*Guaranteed issue for Boston Mutual and Mass Mutual is upon being hired or being moved into a benefit eligible position. Enrollment must be done with 30 calendar days.

You may apply for these during annual open enrollment, but enrollment is not a guarantee. 

If you get hurt at/during work, please notify your school nurse to complete a work injury report.

Please notify Theresa Sears if you work at central office or the facilities office.

MIIA Contact Information

Brianne Crook

One Federal Street

Boston, MA 02110-2012

Phone: (617)457-7643

Fax: (847)953-4466

Brianne.Crook@aon.com

Employee Assistance Program

Weight-Loss Reimbursement

Fitness Reimbursement

BJs

        Instructions

        Enrollment or Renewal form

403(b) Retirement Savings

        2019 Plan Summary

        Annual Retirement Benefit Guide

        Authorized Investment Providers

        Vendors known to PPS

        Security Benefits

        AXA Flyer

        Ameriprise Financial brochure

        Enrollment Form

Harbor One Banking

Cafeteria Plan

            Flexible Spending Accounts - enrollment held during the month of November

Retirements

Blue Cross Blue Shield has recently introduced electronic enrollment kits. This kit includes plan benefit details, enrollment forms, pharmacy information, and more.

Enrollment Kit

Rates for FY21

Direct Deposit form (Medicare B Reimbursement for eligible participants)

Resignations

Benefits will be terminated 30 calendar days from your last day of employment.

COBRA information will be mailed to you from a third-party vendor within a couple weeks of your exit date.