Insurance

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Health
Life
COBRA

 

 

Health Insurance Plans
The City of Waltham offers it's full-time, permanent employees three health options from which to choose*:

  • Harvard Community Health Plan (HMO) / Delta Dental
  • Tufts Health Plan (HMO) / Delta Dental
  • Blue Cross/Blue Shield: Blue Care Elect Preferred / No Delta Dental

The City's contributions to the plans are: 89% of the cost of HMO and 87.5% of the cost of Blue Cross Blue Shield. New employees may select one of these plans.  An open enrollment every May provides employees with an opportunity to reselect. 

The effective date of health care coverage depends on your date of hire. If date of hire is between the 1st-23rd day of the month, your insurance is effective the 1st day of the following month.  Note: employees contributions are pre-paid 1 month , so payment of 4 weeks is required. If your hire date is the 24th-last day of the month, insurance coverage becomes effective five weeks from hire. July1 if the employee transfers, depending on the plan.  As of July 1, 2011, unmarried, dependent children, who do not have access to an employer provided plan are eligible up to their 26th birthday.

Complete information on all health plans and enrollment forms are provided in your orientation package.

  *If you choose not to select the Health Insurance benefit, you must complete the Waiver of Group Health Insurance Coverage Form included in your Orientation Package.

Contact information for these health plans is as follows:

  **Preventative Dental Services are covered at 100% with no deductible.  Restorative services are covered at 80% after $50.00 per person deductible.  Braces are not covered.  Please see section on Health Insurance rates for more information regarding these health plans.
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Life Insurance Plan
The City offers full-time, permanent employees basic life insurance in the amount of $15,000. To be eligible for the Additional Optional Coverage employees must first be enrolled in the basic program.  On the enrollment form, Plan A is the basic plan and Plan B is the optional plan.

Full-time, permanent employees under age 75 who desire additional coverage are entitled to purchase life and accidental death and dismemberment insurance in $5,000 denominations up to the amount of the employee's salary.

Full-time, permanent employees under the age of 75 are entitled to purchase dependent coverage. Dependent coverage includes only life insurance.  Accidental death and dismemberment's not included.

In order to be eligible for dependent coverage, full-time permanent employees must first purchase at least $5,000 in additional optional coverage. The entire premium for any additional coverage is to be paid by the employee through payroll deductions.

When an employee is terminated, resigns, retires or reaches age 75, all additional coverage ends. The employee has the right to convert the full amount of additional coverage to an individual policy. When an employee under age 75 retires, he/she may take his/her additional coverage with them until age 75.

Once you have applied for life insurance you will receive an Insurance Certificate of Coverage from the City of Waltham Payroll Department by mail within 30 days of enrollment.  If you do not receive this certificate please contact the Payroll Department at 781-314-3270.

For more information see your orientation package, contact the Personnel Department, or visit the Boston Mutual website.
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COBRA (Competitive Omnibus Budget Reconciliation Act)
Cobra requires employers to offer employees and their families the opportunity to continue their group health care coverage for 18 to 36 months dependent upon the "qualifying event" that leads to the ultimate termination of coverage. If you do choose continued coverage, you have 60 days from the date you would lose coverage to inform the Personnel Department. If you do not choose continued coverage, your group coverage will end and cannot be reinstated.
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AttachmentSize
blue_cross_blue_shield_sbc.pdf662.15 KB
harvard_pilgrim_sbc.pdf260.75 KB
tufts_health_plan_sbc.pdf733.83 KB