Benefits and Insurance - City of Holyoke

Open Enrollment for Group Health, Dental, Vision Insurance and Flexible Spending Account
May 1, 2025 – May 23, 2025

Learn more and meet representatives from Blue Cross Blue Shield MA, the City’s Personnel Department, and the City’s insurance consultants at either of the following informational meetings that will be held at:

Thursday, May 15th from 3:30-5:30 pm at the Holyoke Council on Aging and Senior Center, 291 Pine St. Holyoke, MA 01040

Monday, May 19th from 3:30pm-5:30 pm at Holyoke High School, 500 Beech St. Holyoke MA, 01040

City of Holyoke Personnel Dept.

City Hall Annex

Room 205-206

20 Korean Veterans Plaza

Or by calling – 413-322-5555

Open Enrollment forms 2025-2026

BCBSMA Enrollment and Cancellation Form

BCBS Voluntary Vision Plan Summary

Voluntary Vision Blue 20/20 Enrollment form

BCBSMA Dental Summary of Benefits

Benefits Plan Design Table

TASC Enrollment form

TASC Benefits Summary

BCBSMA Health Summary of Benefits

Finding your Primary Care Provider(PCP) ID

BCBSMA Q&A

Health Benefit Trust Contact List

BCBSMA Fitness Reimbursement

BCBSMA Weight Loss Reimbursement

Open Enrollment Letter

Enrollment Forms and Documents:

Medex 2 Summary of Benefits

Blue MedicareRx (PDP) Formulary

Boston Mutual Life Insurance Benefit Summary

Boston Mutual Enrollment Form

BCBSMA Medex PDP Disenrollment Form

Medex Open Enrollment Letter 2025

BCBSMA Medex 2 w/PDP Enrollment