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
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)
HEALTH, DENTAL AND VISION BENEFITS INFORMATION BELOW
FY23 Health, Dental, Vision rates effective July 1,2022-June 30, 2023
BLUE CROSS BLUE SHIELD
Health Care Blue Cross Blue Shield Comparison of Benefits
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 Summary of Benefits
Additional Information
Delta Dental Enrollment Form
Phone: 1-800-872-0500 Website: www.DeltaDentalMa.com
VISION (BLUE 20/20)
Member Brochure
Summary of benefits
FAQs
Blue 20/20 Enrollment Form
Phone: 1-855-875-6948, Website: www.blue2020ma.com
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)
Helpful Links:
Medicare
PERAC (Public Employee Retirement Administration Commission)
Plymouth County Retirement Association
Retired State, County and Municipal Employees Association of Massachusetts