Employee Open Enrollment

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The Town of Agawam's Annual Open Enrollment Period has passed. Please look for more information Spring 2024!

You can still view our online resources with BCBS. Click here to view the Town of Agawam's eKit! Visit the eKit for plan options, wellness resources, Find a Doctor, Medication Lookup, and other fact sheets provided by BCBS!

BCBS Health and Dental Information

BCBS Rates and Enrollment Forms

  1. Annual Open Enrollment Notice 2023
  2. Insurance Rate Sheet - 2023-2024
  3. BCBS Enrollment Form
  4. BCBS Student Certification Affidavit

2023 Summary of Benefits and Coverage Packets

  1. 2023 Blue Care Elect PPO Summary of Benefits and Coverage
  2. 2023 Blue Care Elect PPO Summary of Benefits
  3. 2023 Network Blue New England HMO Summary of Benefits and Coverage
  4. 2023 Network Blue New England HMO Summary of Benefits
  5. 2023 Access Blue NE Saver Summary of Benefits and Coverage
  6. 2023 Access Blue NE Saver Summary of Benefits
  7. 2023 Dental Blue Program Summary of Benefits

BCBS Programs

  1. Health Reimbursement Arrangement - Summary of Benefits and Coverage
  2. Health Reimbursement Memo 2022
  3. Health Reimbursement Form 2022
  4. Diabetes Care Value Program Brochure
  5. Fitness Reimbursement Form
  6. Learn to Live Behavioral Health
  7. Smart90 Med Program
  8. Weight Loss Reimbursement Form
  9. Weight Management Program

Voluntary Insurance Programs: Enrollment Information and Forms

  1. AFLAC - 2023 Open Enrollment Flyer
  2. American Fidelity - 2023 Pre-Enrollment Flyer
  3. American Fidelity - 2023 Plans Overview
  4. Boston Mutual Enrollment Form

Other

  1. Smart 90 Medication List for
  2. Doctors on Call