Human Resources: Employee Benefits

INSURANCE ENROLLMENT FORMS & INFORMATIONAL LINKS

For assistance please contact Kelly Pigott at 781-316-3497 or email her at kpigott@arlington.k12.ma.us.

Please select from the below topics or CLICK HERE to Expand/Contract all topics.

What You Should Know about GIC Health Benefits and the COVID-19 Outbreak



• HEALTH INSURANCE - Effective July 1, 2022 - June 30, 2023
  
  
  • GIC Benefit Decision Guide
  • GIC Health Plan Rates
  • GIC Health Plan Rates - Employees hired on or after 12/1/2011
  • Required Documents for GIC Coverage
  • GIC Qualifying Life Events and Your Options
  • Qualifying Event Chart
  
  


• HEALTH INSURANCE - Effective July 1, 2021 - June 30, 2022
  
  
  • GIC Benefit Decision Guide
  • GIC Health Plan Rates
  • GIC Health Plan Rates - Employees hired on or after 12/1/2011
  • Required Documents for GIC Coverage
  • GIC Qualifying Life Events and Your Options
  • Qualifying Event Chart
  
  


• HEALTH REIMBURSEMENT ACCOUNT (HRA)
  Navia Benefits Solutions
  
  
  • HRA Claim Form
  • HRA Questions & Answers
  • HRA Co-Pays
  • NAVIA Phone APP
  
  


• DENTAL INSURANCE - Effective January 1, 2022
  Outside Open Enrollment you will need a Qualifying Event to enroll.
  
  
  • 2022 Enrollment/Change Form
  • 2022 Dual Option Plan Comparison
  • 2022 Enrollment Materials Kit
  
  


• DENTAL INSURANCE - Effective January 1, 2021
  
  
  
  • 2021 Dental Enrollment/Change Form
  • 2021 Dual Option Plan Comparison
  • 2021 Enrollment Materials Kit
  
  


• FLEXIBLE SPENDING ACCOUNT (FSA) - Effective January 1, 2021
  Navia Benefits Solutions
  
  
  • 2021 FSA Online Enrollment Instructions
  • 2021 Enrollment Kit
  • 2021 Online Enrollment Form
  • NAVIA Claim Form
  • NAVIA Eligible Expenses
  • NAVIA Phone APP



• 403(b) PLAN
  
  
  • TSA Consulting Group - Arlington Public Schools 403(b) Plan
  • Plan Summary
  • Instructions for Online Salary Reduction Agreement Processing
  • Salary Reduction Agreement
  
  
  
• LIFEPLUS
  
  
  
  • Boston Mutual - Basic Life Insurance
  • Boston Mutual - Voluntary Life Insurance
  • AllState - Disability Insurance
  • AllState - Cancer Insurance
  • AllState - Individual Whole Life Insurance
  • AllState - Individual Whole Life Insurance Quotes
  


• LIFE INSURANCE - Boston Mutual Life Insurance Company
  A basic $10,000.00 term insurance policy is available to all eligible employees
  at a cost of $9.90 per month. Additional, voluntary, term insurance (in increments of $10,000.00 up to a maximum of $100,000.00 depending upon age) is also available.
  
  • Basic and Optional Life - Rates
  • Boston Mutual Enrollment Form


• LIFE INSURANCE - LifePlus/Allstate
  To enroll in Life Insurance Plan, please contact LifePlus Insurance Agency Inc.directly. LifePlus number: 781-837-9222


• DISABILITY INSURANCE - LifePlus/Allstate
  To enroll in Disability Insurance Plan, please contact LifePlus Insurance directly. LifePlus number: 781-837-9222
  
  • Disability Insurance Brochure


• CANCER EXPENSE PLAN - LifePlus/Allstate
  To enroll in Cancer Expense Plan, please contact LifePlus Insurance directly.
  LifePlus number: 781-837-9222
  
  • Cancer Insurance Brochure


• ARLINGTON MUNICIPAL CREDIT UNION