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⚠️ Emergency Alert 01-15-2025: Town offices will be closed on Monday, January 20, 2025, in observance of Martin Luther King Jr. Day.

Form

Form Description

FY25 Healthcare Rates

FY 25 Rates (Effective 7/1/24-6/30/25)

Health Plans, Inc HMO Plan Summary

Summary of coverage

Health Plans, Inc PPO Plan Summary

Summary of coverage

HPI Enrollment/Change Form

Enrollment/Change Form

HPI Fitness Reimbursement Form

Fitness Reimbursement

Delta Dental Plan Summary

Summary of coverage

Delta Dental Enrollment/Change Form

Enrollment/Change Form

FSA Open Enrollment Information & Enrollment Form

FY25 Information & Enrollment Form

Health Reimbursement Form

Reimbursement Form

Mission Square 457 Defined Contribution Plan

Retirement Savings Plan 

SMART Plan - 457 Defined Contribution Plan

Retirement Savings Plan - to enroll please contact HR for your access code

Disability Brochure

Benefit Summary

Life Insurance Plan Summaries

Benefit Summary

Life Insurance Enrollment Form

Enrollment Form

Cancer Coverage

Cancer Plan

Family Medical Leave Act (FMLA)

FMLA

Benefits for Active Health Insurance Members

ReviveHealth (Formerly Swift MD)

Telemedicine            

ReviveHealth Counseling (Formerly Swift MD)

Counseling Services

Good Health Diabetes Care Rewards

Diabetes Care Rewards Program                                 

Canarx

Prescription Drug Mail Order Program

PinnacleCare

Health Advisory Services

HealthJoy

24/7 Healthcare Concierge