Human Resources

Medical & Dental Documents

Medical & Dental Enrollment

HMO Summary of Benefits Coverage

HP - HMO Schedule of Benefits - 2020.pdf

Member_Savings___Discounts_-_Massachusetts_Members.pdf

Member_Savings___Discounts_-_Out_of_Area_Members.pdf

Harvard_Pilgrim_Weight_Management_Reimbursement_Form.pdf

Harvard_Pilgrim_Transparency_Tool.pdf

HP PPO Information

PPO_Schedule_of_Benefits__detailed_summary_.pdf 

HP - PPO Schedule of Benefits - 2020.pdf

PPO_Summary_of_Benefits_Coverage.pdf

HP PPO Plus HSA Information

HP_High_Deductible_PPO_Presentation.pdf

Harvard_Pilgrim_High_Deductible_PPO_Health_Plan_Schedule_of_Benefits.pdf

HP - Hi Deductible PPO Schedule of Benefits - 2020.pdf

Harvard_Pilgrim_High_Deductible_PPO_Summary_of_Benefits_Coverage.pdf

Health_Savings_Account__HSA__Q_A.pdf

WageWorks_HSA_Presentation.pdf

Limited_Purpose_FSA_Plan_Information.pdf

Prescription Coverage - OptumRx

Welcome_to_OptumRx.pdf

OptumRx_Pharmacy_Network.pdf

Prescription_Summary_for_Harvard_Pilgrim_HMO_and_PPO_Plans.pdf

Prescription_Summary_for_Harvard_Pilgrim_High_Deductible_PPO_Plan.pdf

Auto_Refill_and_Renewal.pdf

Home_Delivery.pdf

Mobile_App.pdf

Member_Rights_and_Responsibilities.pdf

Prior_Authorization_Program.pdf

Quantity_Limit_Program.pdf

Step_Therapy_Program.pdf

Authorization_to_Release_Form.pdf

Prescription_Claims_Reimbursement_Form.pdf

Prescription_Mail_Order_Form.pdf

Dental Plan Information - Delta Dental

Delta_Dental_Summary_Sheet.pdf

Delta Dental Benefits Summary - 2020 (1).pdf

Member_Guide_Delta_Dental.pdf

Implant_Brochure.pdf

Medical & Dental Premiums

2019_Full-time_Faculty___Staff_Premiums.pdf

2019_Affiliated_Faculty_Premiums.pdf

2019_9-month_Staff_Premiums.pdf

2019_COBRA_Premiums.pdf

2019_Early_Retiree_Premiums.pdf

COBRA Information & Rates

COBRA_Monthly_Rates_2019_.pdf

 

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