Treasurer Employee Information & Personnel Documents

Open Enrollment Information: Medical & Dental for Active Employees

  1. Fiscal Year 2023 Health Comparison (PDF)
  2. Fiscal Year 2023 Insurance Premium Rate Sheet (PDF)

Harvard Pilgrim Information

  1. Behavioral Flyer (PDF)
  2. Enrollment Form (PDF)
  3. Fitness (PDF)
  4. Focus Handbook (PDF)
  5. Focus Schedule of Benefits (PDF)
  6. Focus Summary of Benefits (PDF)
  7. HMO Handbook (PDF)
  8. HMO Schedule of Benefits (PDF)
  9. HMO Summary of Benefits (PDF)
  10. HPHC Focus (PDF)
  11. HPHC HMO (PDF)
  12. HPHC PPO (PDF)
  13. Informational Presentation (PDF)
  14. Living Well Program (PDF)
  15. PPO Handbook (PDF)
  16. PPO Schedule of Benefits (PDF)
  17. PPO Summary of Benefits (PDF)
  18. Prescription Drug Brochure (PDF)
  19. Prescription Drug Coverage (PDF)
  20. Smart Start (PDF)

Blue Cross Blue Shield Dental Information

  1. Blue Cross Blue Shield Dental Enrollment Form (PDF)
  2. Blue Cross Blue Shield Dental Summary of Benefits (PDF)

Flexible Spending Account

  1. Dependent Care Eligible Expenses (PDF)
  2. FSA (TASC) Eligible Expenses (PDF)
  3. TASC Enrollment Form (PDF)
  4. TASC Identity Theft Flyer (PDF)
  5. TASC Mobile APP (PDF)

Other Employee Information

  1. COBRA Notice (PDF)
  2. Fiscal Year 2022 Salary Administration Plan (SAP) (PDF)
  3. FY2023 Salary Administration Plan (Personnel Bylaw) (PDF)
  4. Health Insurance Opt Out Policy Fiscal Year 2023 to Fiscal Year 2025 (PDF)
  5. Health Reimbursement Arrangement FY24
  6. Notice of Privacy Practices (HIPAA) (PDF)
  7. Notice of Your Prescription Drug Coverage and Medicare 2023
  8. Policy for Eligibility for Retiree Health Insurance (PDF)
  9. W4 for 2023.pdf