Wednesday, April 3rd to Wednesday, May 1st @4:00PM EST (CLOSED)

For Changes Effective July 1, 2019 (Fiscal Year 2020)

View the FY20 Open Enrollment Packet.  All fillable forms can be found on our Benefits Forms Website!

The annual open enrollment time is almost here, giving you the opportunity to review your benefit options and choose a new health plan if you desire.  If you want to keep your current Group Insurance Commission (GIC) health plan, you do not need to fill out any paperwork.  Your coverage will continue automatically.  Please take this opportunity to think about what you and your family need in the way of health care.  Additionally, please review the list of additional required documents  if you have dependents or are turning 65!

Be sure to read your GIC Benefit Decision Guide  for annual enrollment details. Do your homework during annual enrollment, even if you don't plan to make any changes:

  • Review the GIC Benefit Decision Guide for benefit and rate changes effective July 1, 2019
  • Review the City of Springfield Rates Sheet to see which plan fits into your budget!
  • Consider enrolling in a limited network plan to save money every month on your premiums.  These plans have the same benefits as the wider network plans, but save money because they have fewer physicians, hospitals, and other providers.
  • Contact the plans to find out if your doctors and hospitals still participate in your plan.  Specify the plan's full name, such as Harvard Pilgrim Primary ChoicePlan or Harvard Pilgrim Independence Plan, not just Harvard Pilgrim.
  • Check on copay tier assignments that affect what you pay when you get physician or hospital services.  Copay tiers can change each July 1 with new data.

 Your GIC Benefit Decision Guide is an overview of GIC benefits; it is not a comprehensive plan handbook.  There may be other services that you and your family need.  Contact each plan to find out details about those benefits. 

Keep in mind!  Once you choose a health plan, you cannot change plans during the year, unless you move out of the plan's service area.  If your doctor or hospital leaves your health plan, you must find a new participating provider in your chosen plan. 

See the GIC website for the latest annual enrollment news, forms to expedite your decisions, and answers to frequently asked questions.   A new Summary of Benefits and Coverage document, as required by federal health care reform, provides a summary of a GIC plan benefits and cost-sharing requirements.  View, fill out, print all GIC Forms from our website.

All GIC forms must have a wet signature; no copies, emails, or faxes are allowed at this time.

Enrollment packages will be delivered to most worksites April 3rd.  If you have questions, please contact us via email at or call 413-787-6055.

Mark the Date!  All completed enrollment forms are due to your GIC Benefits Coordinator no later than Wednesday, May 1, 2018 @ 4:00PM EST.

Flexible Spending Accounts

*Active Employees Only*

 If you wish to continue your existing Flexible Spending Account, you must Re-enroll during Open Enrollment!  

The FSA benefit allows you to contribute pre-tax dollars to individual accounts for eligible uninsured or unreimbursed medical, dental, vision care, and dependent care expenses.

                                                    Annual Minimum               Annual Maximum

Health Care Accounts                      $300                                    $2,500


Dependent Care Accounts               $500                                    $5,000  

The Health Care FSA is a DEBIT CARD which allows you to “Swipe-N-Go”.  You will only be able to use your debit card for eligible health care expenses.  You can use the debit card for specific expenses rather than paying for them and submitting forms for reimbursement.  Under IRS Notice 2006-69, the FSA debit card is not valid for Dependent Care expenses. 

A Dependent Care FSA (DCFSA) is a pre-tax benefit account used to pay for eligible dependent care services, such as preschool, summer day camp, before or after school programs, and child or adult daycare. If you sign up for a Dependent Care Account, you will need to submit for reimbursements using this form.

If you are currently participating in the FSA benefit, you will be required to re-enroll for the new plan year July 1, 2019 through June 30, 2020. The FY2020 FSA Deduction Authoriziation Form will be made available to every eligible employee during open enrollment.  Forms can be filled out online and emailed, sent via interoffice mail, or dropped off in the "FSA DROP BOX" in the City Hall Room 18 waiting area.

 Some Qualified Medical Expenses:

  •   Eyeglasses/Contacts
  •   Co-payments (Office visits, prescription co-payments)
  •   Braces
  •   Chiropractor
  •   Dental Work not covered by dental insurance
  •   Vitamins (by Rx)

**You may also use your card on the FSA website for your health and medical needs! Visit the FSA store and purchase items such as first aid kits, baby supplies, ice packs, sunblock and more!

***Make sure you spend all of your money by June 30th as funds will not "roll over" into the next Fiscal Year!

If you are currently enrolled, keep your FSA Card.

All completed forms must be to the Benefits Dept. by 4:00PM EST on Wednesday, May 1st!  This deadline still applies to forms returned to employees for missing information!

Page last updated:  Thursday, June 13, 2019 03:46 pm