Active and Retired Employee Insurance Premium Rates
Health Insurance Rates
FY24 Employees & Non-Medicare Retiree
Effective July 1, 2023-June 30, 2024
Town Employees
Municipal Light Plant Employees
Water District Employees
School Department Employees (12 Month)
School Department Employees (10 Month)
BCBSMA Enrollment/Change Form
FY23 Employees & Non-Medicare Retiree
Effective July 1, 2022-June 30, 2023
Town Employees
Municipal Light Plant Employees
Water District Employees
School Department Employees (12 Month)
School Department Employees (10 Month)
BCBSMA Enrollment/Change Form
Retirees on Medicare Health Plans
Effective January 1, 2024-December 31, 2024
Municipal Light Plant Retirees
Town and School Retirees
Retirees Hired After - Town (3/1/2010) & School (8/26/2013)
Water District Retirees
Retirees on Medicare Health Plans
Effective January 1, 2023-December 31, 2023
Municipal Light Plant Retirees
Town and School Retirees
Retirees Hired After - Town (3/1/2010) & School (8/26/2013)
Water District Retirees
BCBSMA Medicare Eligible Enrollment Form
Life Insurance - for Employees and Retirees
Basic Life, Accidental Death and Dismemberment, Voluntary Life and Dependent Life
Dental Rates - for Employees and Retirees FY24
Altus Enrollment Form
DENTAL ONLY: JULY 1, 2023-JUNE 30, 2024
Dental Rates - for Employees and Retirees FY23
- Altus Enrollment Form
Dental Only: July 1, 2022-June 30, 2023
ALTUS VSP (Vision Service Plan) - for Employees and Retirees
Altus Vision Enrollment Form
Altus Vision Rates: July 1, 2023-June 30, 2024
VSP (Vision Services Plan) - for Employees and Retirees
- VSP Enrollment Form
VSP Plan Rates: July 1, 2022-June 30, 2023