Benefits

GIC Health Insurance (FY23) July 1, 2022 - June 30, 2023

  1. Health Insurance Overview - New Hire
  2. Health Plan Rates
  3. Insurance Plans Guide
  4. Allways Health Partners
  5. Harvard Pilgrim Independence
  6. Harvard Pilgrim Primary Choice
  7. Health New England
  8. Tufts Navigator
  9. Tufts Spirit
  10. Unicare Community Choice
  11. Unicare Plus
  12. Unicare Basic with CIC
  13. Unicare Basic without CIC
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PRESCRIPTION - Express Scripts
  1. Overview
  2. Mobile App Flyer
  3. 90 Day Benefit Flyer
  4. Accredo
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  1. ENROLLMENT FORM
  2. Required Documents
  3. Dependent Age 19 to 26  ** Enrollment/Change Form
  4. Acknowledgement Form
  5. Benefit Statement Correction Form
  6. HIPPA - Notice of Privacy Practices
  7. Children's Health Insurance Program (CHIP) Notice
  8. Handicapped Dependent Application
  9. Third - Party Address Request
  10. GIC Marketplace Notice
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  1. ALTUS DENTAL INSURANCE
  1. Dental Summary
  2.  Enrollment Form
  3. Web Flyer
  4. Maximum Carry Over
  5. Rates
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FSA

  1. Flex Spending Enrollment Form
  2. FSA WEX Health Payment Benny Card
  3. OTC - New Expenses Now Eligible
  4. FSA Store Flyer
  5. FSA OTC Flyer
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Middlesex County Retirement

  1. Retirement Guide for Employees Hired Post April 2, 2012
  2. Retirement Guide for Employees Hired Pre April 2, 2012
  3. Middlesex County Retirement Website

457 Deferred Compensation Plan (SMART Plan)
The 457 Deferred Compensation Plan allows Town employees to set aside a portion of earnings through a payroll deduction as an investment for retirement. The maximum contributions are defined by the IRS according to specific guidelines, including additional contributions if the individual is age 50 or older. The amounts contributed to the deferred compensation plan may be made either before taxes are applied to the participant’s salary or after taxes have been applied.

  1. Smart Plan Highlights
  2. Online Enrollment
  3. Smart Plan Representative

Family Medical Leave

The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave. Eligible employees are entitled to:

  • Twelve workweeks of leave in a 12-month period for:
    • the birth of a child and to care for the newborn child within one year of birth;
    • the placement with the employee of a child for adoption or foster care and to care for the newly placed child within one year of placement;
    • to care for the employee’s spouse, child, or parent who has a serious health condition;
    • a serious health condition that makes the employee unable to perform the essential functions of his or her job;
    • any qualifying exigency arising out of the fact that the employee’s spouse, son, daughter, or parent is a covered military member on “covered active duty;” or
  • Twenty-six workweeks of leave during a single 12-month period to care for a covered servicemember with a serious injury or illness if the eligible employee is the servicemember’s spouse, son, daughter, parent, or next of kin (military caregiver leave).

  1. FMLA Fact Sheet
  2. START HERE: FMLA Certification Form
  3. FMLA Certification for Family Member
  4. FMLA Intent to Return-to-Work Form
  5. FMLA Fitness Certification
  6. FMLA Poster
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