Employee Information

PAYROLL & EMPLOYEE BENEFITS DOCUMENTATION
 

ALL NEW HIRES

• Contact Information
• W-4
• I-9 Employment Eligibility Information
• Payroll Direct Deposit Form
• Statement Regarding Social Security 
• Sexual Harassment Policy
• In addition to the links above, all new Board and Committee Members must complete the Mandatory Paperwork/Training from the Town Clerk's Office.
  Please use this link to complete the MA State Ethics documentation and Open Meeting Law information. The confirmations can be submitted to the Town Clerk.
  Link to Town Clerk's Mandatory Paperwork Page: Board Committee Mandatory Paperwork

Part Time, On-Call, Per Diem or Special Employees
(those not under contract or working less than 20 hours per pay period, and those who are not contributing/participating in a pension plan from a second employment or former employment):

OBRA Memo to Employees
Definition of OBRA
OBRA Enrollment Form

Benefit Eligible (those hired to work more than 20 hours per pay period):

Acceptance/Waiver of Health Benefits

Mayflower Municipal Health Group Employee Manual

Plymouth County Retirement Application
(Please provide a copy of a birth certificate when submitting a new application)

HIPAA Notice of Privacy Practices

OPEN ENROLLMENT APRIL 15, 2023-MAY 15, 2023

HEALTH, DENTAL AND VISION BENEFITS INFORMATION BELOW

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.

Summaries of Benefits are below.  A paper copy is also available, free of charge,
by calling the Treasurer/Collector's Office at 781-585-0409 .

HMO and PPO Comparisons of Benefits 
(click link above)

FY25 Health, Dental, Vision rates effective July 1,2024-June 30, 2025

 

BLUE CROSS BLUE SHIELD

Blue Cross Blue Shield Complete Plan Information and Options
Blue Cross Blue Shield Enrollment and Change Form

Blue Cross Blue Shield of MA Contact Info:
Phone: 1-800-782-3675, Website: www.bluecrossma.com
Blue Medicare RX Phone (retirees with Medex only): 1-888-543-4917

HARVARD PILGRIM

Harvard Pilgrim Complete Plan Information
Harvard Pilgrim Enrollment

Harvard Pilgrim Health Care Contact Info:
Phone: 1-888-333-4742, Website: www.HarvardPilgrim.org
 

DELTA DENTAL

Delta Dental Information including summary
Delta Dental Enrollment Form

Phone: 1-800-872-0500   Website: www.DeltaDentalMa.com

FY 23 VISION (BLUE 20/20)

Member Brochure
Summary of benefits
FAQs
Blue 20/20 Enrollment Form

Phone: 1-855-875-6948, Website: www.blue2020ma.com

FY 25 NEW VISION PLAN (Eye Med)

Eye Med Summary Information
Eye Med Enrollment Form
 

Additional Health Benefits offered to the Town of Plympton Employees
(Telehealth, BCBS Smart Shopper Health Incentives, Learn to Live Programs-free and confidential, and more!)

Retirees
Please use the following link to access Retiree Information:
Retirees | Mayflower Municipal Health Group (mmhg.org)
Creditable Coverage Disclosure Notice for Medicare Eligible Members

Helpful Links: 
Article from The VOICE: November 2023 Issue
Stay With Your Current Group Coverage

Medicare
PERAC (Public Employee Retirement Administration Commission)
Plymouth County Retirement Association
Retired State, County and Municipal Employees Association of Massachusetts