FY25 Open Enrollment Information

Please visit the Town of Holliston's Employee Benefits Fair on April 24, 2024 from 10am-5pm in Upper Town Hall. Our HR Benefits Manager Joanne Liburd can also answer questions at liburdj@holliston.k12.ma.us. **Please note that Tufts will merge with Harvard Pilgrim 7/1/24**  No Changes? No Action Required.

Changes are as easy as 1-2-3: 

1) Choose a health plan  2) Confirm your doctor is in the network  3) Fill out the corresponding enrollment & cancel forms.

Health Insurance for Active Employees & Non-Medicare Eligible (Under 65) Retirees

Benchmark Comparison Chart

High Deductible Comparison Chart

Rates

Benchmark Plan Summaries:

Network Blue of NE Benchmark (Summary of Coverage)  Enrollment/Cancel Form

Network Blue Select Benchmark Limited Network (Summary of Coverage)  Enrollment/Cancel Form

Harvard Pilgrim Benchmark HMO Plan (Schedule of Benefits)  Enrollment/Cancel Form

High Deductible Plan Summaries:

Access Blue NE HSA Qualified Plan (Summary of Coverage) Enrollment/Cancel Form

Network Blue Select HD Plan (Summary of Coverage) Enrollment/Cancel Form

Harvard Pilgrim HSA Qualified HMO Plan (Schedule of Benefits) Enrollment/Cancel Form

Out of Area Plan:

Harvard Pilgrim Health Care PPO Plan  Enrollment/Cancel Form

Tufts Cancellation Form: Tufts Form

REQUIREMENTS FOR FAMILY COVERAGE

Dental Coverage and Rates (No Rate Change from 2024)

Learn More About Ways To Save Money

Flexible Spending Account (FSA) Information (Re-enrollment required)

Flexible Spending Account (FSA) Enrollment Form

Health Savings Account (HSA) Information (Re-enrollment required if employee contributes)

Health Savings Account (HSA) Enrollment Form 

More About Health Plans

West Suburban Health Group