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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.
Health Information and Reimbursement Forms
ATTENTION: Per Federal regulations, the SBC template has changed with the 2018 renewal. These changes may be confusing to employees enrolled in the Advantage HMO and PPO plans and, unfortunately, we are not able to modify the documents. Specifically, we want to bring your attention to how deductible expenses are noted. In past years, including 2017, the SBC noted where the deductible applied in the same row as the service. In the 2018 version, there is a general statement up front that “all copayment and coinsurance costs shown in this chart are after your deductible has been met, if a deductible applies. In table, it states there is “No charge.” This is because there is no charge after the deductible is met. In short, there is no change to what services the deductible applies to on either the Advantage HMO or PPO plans.
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.
ONE TIME OPEN ENROLLMENT for PRUDENTIAL! In conjunction with the change in Life Insurance Carrier, Prudential will be offering a one-time open enrollment this fall. Usually, if you do not enroll in the plan when initially eligible, you are considered a late entrant and have to submit medical information for underwriting approval. Prudential is giving all employees the opportunity to enroll, up to the guaranteed issue limit of $150,000, with no medical underwriting.
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.
View the 2018 rates for health, dental, and vision insurance.