Insurance Renewal Fiscal Year 2023-2024 Notification

Updated on May 23, 2023

ALL eligible Employees (working 30 hours permanent or Relief) Need to respond.

Below are the Insurance offerings to eligible employees for the Fiscal Year July 1, 2023 thru June 30, 2024. We are currently in our open enrollment period until June 30, 2023. It is during this time add/changes may be made to your plans. You must work at least 30 hours per week to be eligible for Health/Dental Insurances and 32 hours per week to open/add to your Flex Spending Account (FSA), Life, Long Term Disability, and Voluntary Insurances. See OE Guide in Master Copies/Insurance 2023-2024 and on the Reach Website for detailed information. We are changing carriers with the exception of the Flexible Spending Account (FSA) however a form is required to renew. Point 32: HCHP Harvard/Pilgrim will carry our Health Insurance and Guardian will carry Dental, Life, Long Term, EAP & Voluntary Insurances. All Employees currently enrolled, need to fill out new forms. Forms are available thru website or the HR office to complete by June 12, 2023 for enrollment in all Plans. We are pleased to inform you once again of NO change in premiums for employees this coming year.

The following rates are per pay period based on a working 40 hours and will be reflected in your paycheck beginning July 14,2023. All eligible employees NEED to sign this notification form below.  Eligible employees declining Health Insurance need to sign a Health Insurance Disclosure/Waiver form. Please make an appointment with HR prior to end of enrollment June 12,2023 for assistance. Please READ the guide located in Programs/Master Copies/HR/Insurance 2024 Insurance/ 2023-2024 Open Enrollment Guide.

HPHC Health


  • $40 / Office Visit
  • $0 / Preventative
  • $75 / Specialist Visit
  • $ Deductible + Emergency room fee
  • $15 /45 / 90 Perscriptions
  • $30 / 90 / 180 Mail in Perscriptions
  • Non-well services/Day Surgery/Inpatient Deductible: $1500.Ind–$3000. Family

Individual Plan Contribution

  • $87.00

Family Plan Contribution

  • Emp + Spouse: $222.00
  • Emp + Child(ren): $205.00
  • Emp + Family: 294.00

Guardian Dental


  • 100% preventative
  • 80% minor
  • 50% major

Individual Plan Contribution

  • $9.00

Family Plan Contribution

  • $28.00

Guardian Life Insurance

  • Policy: $25,000
  • 100% REACH Paid

Mass Paid Family Medical Leave

  • REACH match Employee contributions

Guardian Long Disability

  • 60% Salary ~ Week 20 thru age 65 $ 2/pp

Guardian Voluntary Plans

  • Accident/Critical Illness/Cancer: $8.30 – 20.50/pp

Acknowledgement Form

I understand the REACH benefit options offered to me as an eligible employee.

Please Indicate Insurance Choices(Required)
Types of Insurance
Please note that premiums are deducted under an IRS Section 125 plan and are pre-taxed.
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.