Health Insurance

Annual Enrollment Information:

If you are already enrolled in a health insurance plan through the Town, and are not making any changes for FY18, no action is required on your part.

If you are a new enrollment for Health insurance for Town, or making a change to your existing coverage, i.e., changing from an individual plan to a family plan, changing to a different plan, or cancelling your current health or dental insurance, you do need to fill out an enrollment and change form.   If you are a new enrollment for Health Insurance, you also need to complete the MMHG Employee Acknowledgement Form. 

Enrollment Forms:

Blue Cross Blue Shield Enrollment and Change Form

Harvard Pilgrim Enrollment and Change Form

MMHG Acknowledgement Form

Payroll deductions for all July 1, 2018 health insurance will begin with your first paycheck in June.  

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.

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)
  • Marriage
  • Birth of a child
  • Adoption
  • Legal guardianship
  • Dependent loss of status as a dependent
  • Change of address 

FY17 Health & Dental Insurance Rates

coverage option in a standard format, to help you compare across options.

FY17 Comparison of Benefits (click on links below)

PPO Comparison of Benefits 

HMO Comparison of Benefits 


Blue Cross Enrollment and Change Form

Harvard Pilgrim Enhance Enrollment Form

Comparison of Benefits for Retirees enrolled in Medicare A&B

FY17 Summary of Benefits (click on links below)

Harvard Pilgrim HMO Ratesaver

Harvard Pilgrim Benchmark

Blue Care Elect Rate Saver

Blue Care Elect Benchmark

Network Blue Rate Saver

Network Blue Benchmark

Important Health Insurance Notices

MMHG HIPAA Notice of Privacy Practices

MMHG Creditable Coverage Notice

Notice of Health Insurance Marketplaces

Notice about Children's Health Insurance Program (CHIP)


Find A Doctor Links:

Blue Cross Blue Shield Find a Doctor

Harvard Pilgrim Find A Doctor

New Employees

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.

For additional information information about health insurance and wellness programs visit the Mayflower Municipal Health Group's website at, or their Facebook page at

Dental Insurance Information

Flexible Spending Account Information