Active Employees

Blue Cross Blue Shield

• Member Services Phone: 800-782-3675
• Blue Cross Blue Shield Website

Plan Summaries:

• HMO Deductible Plan (PDF)
• PPO Deductible Plan (PDF)
• HMO High Deductible Plan (PDF)
• PPO High Deductible Plan (PDF)
• Vision Rider (PDF)
• Dental Plan (PDF)

Forms:

• BCBS Enrollment Form (PDF)
• Subscriber Claim Form (PDF) (eyeglass/contact lens reimbursement)
• Student Affidavit Form (PDF) (Dependent Dental coverage for full-time students age 19 to 23)
• Fitness Reimbursement (PDF)
• Weight Loss Reimbursement (PDF)

Rates:

• Insurance Rates Effective July 1, 2023 (PDF)

Boston Mutual

• Beneficiary Change Form (PDF)

MIIA All One Health Employee Assistance Program (EAP)

• Contact: 800-451-1834
• All One Health Website 
• EAP Flyer (PDF)
• Smartphone App Flyer (PDF)

Spending Plans (HSA, FSA & Dependent Care)

HealthEquity

15 West Scenic Pointe Drive
Draper, UT 84020
Phone: 866-346-5800
HealthEquity Website

Summaries:

• Health Savings Account (PDF)
• Health Savings Account - Investing (PDF)
• Flexible Spending/Dependent Care (PDF)

Payroll Changes

Should you need to make changes to your Direct Deposit or State/Federal tax forms please reach out to Human Resources or the Payroll Department.

Retirement Boards

Middlesex County Retirement System

25 Linnell Circle
P.O. Box 160
Billerica, MA 01865
Phone: 978-439-3000 or 800-258-3805
Middlesex County Retirement System Website

Hours
Monday through Friday
8:30 am to 5 pm

Forms:

• Address Change (PDF)
• Name Change (PDF)
• Beneficiary Change (PDF)

Massachusetts Teachers Retirement System (MTRS)

500 Rutherford Avenue
Suite 210
Charlestown, MA 02129-1628
Phone: 617-679-MTRS (6877)
MTRS Website

Public Employee Retirement Administration Commission (PERAC)

5 Middlesex Avenue
Suite 304
Somerville, MA 02145
Phone: 617-666-4446
PERAC Website