Employee Benefits

Active Town and School employees may utilize the links and documents below for further information on their benefits. The Town's Human Resources Department is available to answer any questions pertaining to benefits. Any employee seeking to submit a benefit enrollment or change form must do so through the Town's Human Resources Department.  

Insurance Rates

Employees

Retirees

COBRA

Health Benefits

Health and Dental Enrollment Form

Network Blue New England Plan Details

Network Blue New England Coverage Details

Blue Care Elect Preferred PPO Plan Details

Blue Care Elect Preferred PPO Plan Coverage Details

Network Blue Massachusetts Hospital Tiers

Network Blue New Hampshire Hospital Tiers

Hospital Tiering Fact Sheet

Ambulatory Surgical Centers

Town of Andover Blue Cross website

Blue Cross Plans Medication Formulary

Dental Benefits

BCBS Dental Blue Plan Details

Vision Benefits

EyeMed Vision Plan Details

Vision Enrollment Form

Life Insurance

Basic Life and AD&D Schedule of Benefits

Voluntary Life and AD&D Insurance Program

Employee Rate Grid

Spouse Rate Grid

Flexible Spending Accounts

FSA Overview

Dependent Care 101

FSA Enrollment Form

Health Claim Form

Dependent Care Claim Form

Retirement Savings

457 Deferred Compensation Plan

457 Enrollment and Andover Plan Information

457 and Roth Contribution Form

Other Employee Benefits

Benefits Overview

Employee Assistance Program (EAP)

EAP Website Link

Tickets at Work

ASPCA Pet Insurance - Contact benefits@andoverma.us for information

Retirement Planning

Employees Retirement Overview Guide

Medicare Q&A