FY 2024 Open Enrollment/Benefits Fair Information - May 2023

FY 2024 Open Enrollment/Benefits Fair Information

Open Enrollment Period: April 24, 2023 through May 23, 2023

Benefits Effective Date: July 1, 2023

Please note there are no major changes in benefit providers. We are still with BCBS/MIIA, Dental Blue and TASC.

Please email, mail or drop off at the Superintendent's Office any forms you need to complete by May 23, 2023. They can be submitted to the Town Treasurer's Office or the School's Business Office. The contact information is listed on Ms. Marlborough's letter.

FY 2024 Open Enrollment-Benefits Fair Flyer

FY 2024 Medical and Dental Rate Sheets

Blue 2020 Vision Information and Application ONLY

Health Insurance Coverage Information:

BCBS Application

BCBS HMO Blue Select Information

BCBS HMO Blue Select Information - Outside Reliant Doctors

BCBS Elect Information - Out of State

If you want to receive the annual stipend for opting out of Millbury's health insurance, please complete the enclosed form:

Health Insurance Opt Out Application

Dental Insurance Coverage Information:

BCBS Dental Blue Freedom Information - High Plan