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Open Enrollment

A Flower in the Hampshire College Greenhouse

Benefit Forms and Additional Info

Health Insurance

Health Insurance Enrollment/Change Form (pdf) 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 = M

Health Information and Reimbursement Forms

Dental Insurance

Vision Insurance

Flexible Spending Account

The IRS has set the maximum limit that you can elect for the health care spending account at $2,600 for 2017. The dependent care maximum remains at $5,000 for 2017.

Life Insurance

Our life insurance carrier is Symetra. The current basic life insurance benefit will remain at 2.0 times your annual salary benefit, up to a maximum of $150,000. Employees have the option to purchase additional life insurance for themselves, their spouses or partners, and children. This supplemental life insurance coverage is employee-paid.

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.

Stay In Touch
With The Benefits Office
Snail Mail
Benefits Office
Hampshire College
893 West Street
Amherst, MA 01002
Phone + Email
413.559.5495
Fax: 413.559.5695
benefits@hampshire.edu