AFFORDABLE CARE ACT (ACA) INFORMATION - FORM 1095-C
This is the first year that the new health care law, also called the Affordable Care Act or Obamacare, required employers to send 1095-C forms to certain employees.
If you were a full-time employee working an average of 30 or more hours per week and/ or were enrolled in health insurance through the Town for any time during 2015, you should have received a Form 1095-C.
The Form 1095-C contains important imformation about the health care coverage offered or provided to you by the Town.
Important Reminders for employees who have their health insurance through the Town. You are required to notify the Payroll and Benefits Office within 30 days of the following event:
- Divorce/ Remarriage
- Medicare eligibility for your self or dependent (whether Medicare is due to age or disability)
- Birth of a child
- Legal guardianship
- Dependent loss of status as a dependent
- Change of address
FY17 Health & Dental Insurance Rates
Availability of Summary Health Information
As an employee, the health benefits available to you represent a significant component of your compensation package. They also provide important protection for you and your family in the case of illness or injury.
Your plan offers a series of health coverage options. Choosing a health coverage option is an important decision. To help you make an informed choice, your plan makes available a Summary of Benefits and Coverage (SBC), which summarizes important information about any health coverage option in a standard format, to help you compare across options.
Health Insurance Enrollment and Changes Forms (click on links below) Employees must list a primary care physician and PCP# for their doctors and their dependents if applicable. Marriage certificates and birth certificates are required for all dependents being covered.
FY17 Comparison of Benefits (click on links below)
Comparison of Benefits for Retirees enrolled in Medicare A&B
FY17 Summary of Benefits (click on links below)
Important Health Insurance Notices
MMHG HIPAA Notice of Privacy Practices
MMHG Creditable Coverage Notice
Notice of Health Insurance Marketplaces
Children's Health Insurance Program (CHIP)
Find A Doctor Links:
New employees must enroll in health insurance, dental insurance, or life insurance, within 30 days of the hire date in order to participate in any of these plans. If a new employee is not interested in participating in one or all of these plans, they must sign the form below acknowledging that they are declining enrollment in these plans at this time.
Use link below for denial of coverage form.
For additional information information about health insurance and wellness programs visit the Mayflower Municipal Health Group's website at www.mmhg.org, or their Facebook page at https://www.facebook.com/pages/Mayflower-Municipal-Health-Group-Wellness/102067516606295?fref=ts
Employees who enroll in one of the Town's health insurance plans must sign the the notice below, confirming that they will notify the Town about any qualifying life events.
Use link below for employee acknowlegement form.
Dental Insurance Information
Flexible Spending Account Information
- 2017 Annual Benefits and Wellness Fair
- Commonly Asked Questions and Answers
- Dental Insurance
- Employee Assistance Program
- Employment Opportunities/ Applications
- Employment Verifications
- Flexible Spending Accounts
- Health Insurance
- Miscellaneous Employee/ Reimbursements Forms
- New Hire Employee Forms
- Optional Insurance & Investment Options
- Required Notices
- School Department Handbook
- School Payroll Information
- Wellness Programs