Open Enrollment Period: November 1-December 2, 2011
Detailed information summarizing new (and all other) benefit programs are included in the Open Enrollment letter. 

2012 Health and Welfare Benefit Changes: The College is changing the life insurance structure and adding a new low-cost option for health insurance. To learn more about these health and welfare benefit changes attend one of the benefits information sessions:

• Thursday, November 17, 11 a.m.-Noon, FPH West Lecture Hall

Human Resources will be on campus to answer benefit questions and accept benefit enrollment/change forms on the following dates: 

• Wednesday, November 16, 10:45 a.m.-Noon, Facutly/Staff Lounge
• Tuesday, November 29, Noon-1 p.m., Faculty/Staff Lounge
• Wednesday, November 30, Noon-1 p.m., Faculty/Staff Lounge
• Thursday, December 1, Noon-1 p.m., Cole Science Room 121

Changes made during Open Enrollment are effective January 1, 2012.

The annual benefits open enrollment period is the one occasion each year during which employees have the opportunity to make voluntary changes to their enrollment elections for their health, dental, and vision insurances as well as to their election to participate in the medical and/or dependent care Flexible Spending Accounts (FSA).

Benefit Enrollment/Change/Reimbursement Forms and Additional Information

Health Insurance

Health Insurance Enrollment/Change Form Find your insurance plan on the list below. Write the corresponding letter on the PRODUCT line next to the Member Section arrow (in blue) on the enrollment/change form. 

• HMO = B
• Advantage (Low Cost) HMO = E
• PPO = L

Advantage (Low Cost) HMO Information

Advantage (Low Cost) HMO Summary of Benefits
Low Cost HMO Deductible Details Information Sheet REVIEW CLOSELY
Low Cost HMO Member Information Sheet

Other Health Information and Reimbursement Forms

HMO Summary of Benefits
PPO Summary of Benefits
Fitness Reimbursement Form (2011) BENEFIT ENHANCEMENT: In 2012 the fitness reimbursement will include yoga studios as qualifed fitness centers. New form will be up on website in early 2012.
Prescription Mail Order Form
Member Reimbursement Medical Claim Form

Dental Insurance

Dental Insurance Enrollment/Change Form
Dental Claim Form

Vision Insurance

Vision Insurance Enrollment/Change Form
Out-of-Network Claim Form

Flexible Spending Account

Flexible Spending Account Enrollment Form 2012
Health Care Flexible Spending Account Calculator
Dependent Care Flexible Spending Account Calculator
Flexible Spending Claim Form

Life Insurance

Effective January 1, 2012, Hampshire is changing from the current age-banded basic life insurance benefit to a flat 2.0 times annual salary benefit, up to a maximum of $150,000 (the same maximum as under our current benefit). The new 2.0 times salary benefit will provide a more equitable benefit for all benefits-eligible employees. 

In addition, in response to requests from some employees, Hampshire is adding a new employee paid supplemental life benefit option for 2012. Employees will also have the option to purchase life insurance for their spouses or partners and/or children. Look for your personalized supplemental life insurance enrollment form from Lincoln Financial Group in early November 2011 for more information.

Life Insurance Enrollment Form
Beneficiary Change Form
Life Insurance FAQs
Supplemental Life Insurance Summary of Benefits (Payroll-Monthly)
Supplemental Life Insurance Summary of Benefits (Payroll-Biweekly)
 

This website is intended as a general overview of Hampshire College benefits plans only. Every effort has been made to summarize these programs accurately. In all cases, the actual provisions of each benefit plan will govern if there is any inconsistency between this site and Hampshire’s formal plans or contracts.