Benefit Guide (Active Employees)

Employee Benefits Guide

Benefit Guide

This page acts as a guide to Belmont Town and School employee benefits for eligible Town and School employees. This page is an important resource for current employees to use as a reference for their benefit information, for new employees looking to enroll, prospective employees interested in applying for a position with the Town, exiting employees or for employees experiencing a qualifying event or seeking to enroll during an open enrollment period. See an overview summary of employee benefits.

Plans:

See a list of enrollment forms.

Eligibility

  • Eligible employees must work at least twenty (20) hours per week.
  • New eligible employees must submit all required benefit enrollment forms no later than twenty-one (21) days after their first day of employment. Benefit coverage will become effective either on the employee’s hire date, if employment begins on the first day of the month, or on the first day of the month following the hire date.
  • Upon enrollment, the employee’s premium contributions will be calculated for the remaining months of the fiscal year. If this calculation indicates that the employee’s payroll deductions will not fully satisfy the required premium obligation, a “make-up” premium will be applied to the employee’s initial pay period(s) to ensure the full premium obligation is met.
  • Dependents are eligible for coverage on the Town's health, dental and vision insurance until they are 26 years old. Their coverage will last until the last day of the month of their 26th birthday.

Dependent / Spouse Eligibility & Proof

Eligible spouses, ex-spouses and dependents may be covered under the Town's health, dental and vision insurance. The Town requires the following supporting documentation for their enrollment:

  • Spouse: a copy of the marriage certificate.
  • Ex-Spouse: a copy of the divorce decree mandating that the ex-spouse receive health coverage through the employee. The Town needs the cover sheet(s), health insurance portion, signature page and absolute date of the decree. If either spouse remarries, the ex-spouse can no longer receive coverage through the Town and must enroll in an independent plan or accept COBRA coverage.
  • Dependents: may be covered until age 26. The Town requires a copy of a government-issued birth certificate for each covered dependent. If covering an adopted child or a dependent an employee has legal guardianship over, the Town requires proof of legal adoption/guardianship (i.e. court documents, etc.). If a dependent is over the age of 26 and has a certified handicap, he/she can remain covered if the employee produces medical proof of the dependent's handicap.

Qualifying Event

A qualifying life event is an event that triggers a special enrollment period for an individual or family to purchase health insurance outside of the regular annual open enrollment period. If you experience a qualifying event, you have 30 days to select a plan or switch to a different plan. The coverage will be effective the date of the qualifying life event. Proof of the qualifying life event will be required and must be provided to the Town Human Resources Office. Examples include:

Qualifying EventSupporting Documentation 
Birth or Adoption of a ChildCopy of birth certificate or adoption papers
MarriageCopy of marriage license/certificate
DivorceCopy of divorce decree and insurance requirement section
Loss of Coverage in another planProvide a letter from previous provider or company showing the date you lost coverage

Form Submission Process

Please do not email enrollment/change forms as attachments, as they contain sensitive information (D.O.B, SSN, etc.). Forms and supporting documentation can be dropped off or mailed to the Town Human Resources Office (Belmont Town Hall, 455 Concord Avenue, 2nd Floor). If you arrive to the Town HR Office and in the unlikely event that the office is closed, you may leave your forms in the grey drop-box to the left of the office door. 

For existing employees working for the Town of School seeking to submit forms and have a Google account, you may upload a copy of your form to the google drive and share the file with HR Generalist, Mitch Carolan at mcarolan@belmont-ma.gov

Exiting Employees Benefit Information

When an employee’s Town employment ends for any reason (resignation, retirement, involuntary termination, or non-renewal), group insurance coverage will continue through the last day of the month following the month in which employment ends, provided all required premiums have been paid. When coverage terminates, the Town will provide written notice of rights to continue coverage, including COBRA (Section 3.4) continuation coverage or retiree health insurance. 

Example:
 If employment ends on June 10, coverage continues through July 31.

Premium Calculation Method: upon the termination of an employee's insurance benefit coverage the Town will calculate the total premium cost for coverage to last until the last day of the month following the month in which employment ends. If a discrepancy occurs an employee will be either refunded for an over contribution of premiums or charged an additional premium amount upon their final pay-out to meet the premium obligation

COBRA Coverage: 

The Consolidated Omnibus Budget Reconciliation Act (COBRA) allows eligible employees and their covered dependents to continue their employer-sponsored health insurance coverage for a limited period following certain qualifying events, such as termination of employment or a reduction in hours.

When a qualifying event occurs, the Town will provide timely notice of COBRA eligibility to the employee and/or covered dependents. most often via mail. This notice outlines continuation rights, coverage options, and applicable costs.

Eligible individuals generally have 60 days from the date of the COBRA election notice (or the date coverage would otherwise end, whichever is later) to elect COBRA coverage. Coverage is not automatic and must be affirmatively elected within this timeframe. 

More information about COBRA can be found here.


School Employees

UnitJob DescriptionCoverage End COBRA-Eligible?
Unit AEducators If leaving in the middle of the school year, group insurance coverage will continue through the last day of the month following the month in which employment ends. If leaving at the end of the school year, coverage will end August 31st, and end of year premium deductions will be adjusted accordingly. Yes
Unit BDirectors, Assistant Directors, Assistant Principals Group insurance coverage will continue through the last day of the month following the month in which employment ends.
Yes
Unit CAdministrative Assistants, Clerical AidesGroup insurance coverage will continue through the last day of the month following the month in which employment ends. Yes 
Unit DProfessional Aides, Classroom Assistants, Tutors, Campus Monitors and Building Based Substitutes Group insurance coverage will continue through the last day of the month following the month in which employment ends, unless the employee leaves at the end of the school year at which time premium contributions will be tabulated and the employee will be notified of their insurance end date.
Yes
School AFSCMEFood Service Employees. Maintenance Employees and CustodiansGroup insurance coverage will continue through the last day of the month following the month in which employment ends.Yes

Additional Health Insurance Options for Exiting Employees

State exchange/Marketplace options: Depending on your state of residence, you may be eligible to buy an individual policy from a state health care exchange (Massachusetts, Connecticut, Maine and Rhode Island) or the Federal Insurance Marketplace (New Hampshire).

State of ResidenceWebsitePhone
Massachusetts Residents MA Health Connector877-623-6765
Maine ResidentsCover ME866-636-0355
Rhode Island ResidentsHealth Source RI855-840-4774
New Hampshire Residents Healthcare.gov800-318-2596