Dennis-Yarmouth Regional School District

• School Year 2026 Employee Insurance Rates
• FY 2026 Year-Round Employee Insurance Rates
• FY 2026 Health Plans Comparison
• FY 2026 Health Reimbursement Arrangement Notice
  • FY 2026 Health Reimbursement Arrangement Claim Form
• FY 2025 Health Reimbursement Arrangement Notice
  • FY 2025 Health Reimbursement Arrangement Claim Form

• Open Enrollment Notice
• Insurance Rates 2026
• BCBS MedEx Application
• BCBS Part D Application
• CCMHG Supplement Comparison
• CCMHG Medicare Advantage Comparison
• HPHC Medicare Enhancement Enrollment

Due to recent changes under the Paperwork Reduction Act, (President Biden signed into Law on December 23, 2024) we are no longer automatically mailing ACA 1095-C forms. Your Health Insurance company will send you a 1095 – B. If you need a copy of your 1095 – C form for tax purposes, please submit a request to Paula Kiser and we will provide it to you within 30 days. 

• BCBS Blue Care Elect (PPO) Summary
• BCBS Network Blue (HMO) Summary
  • Blue Cross Blue Shield Enrollment Form
  • Blue Cross Blue Shield Fitness Reimbursement
  • Blue Cross Blue Shield Weight Loss Benefit Form
• Harvard Pilgrim Health Care HMO Summary
  • Harvard Pilgrim HMO Enrollment Form
  • HPHC Fitness Reimbursement
• Harvard Pilgrim Health Care PPO Summary
  • Harvard Pilgrim PPO Enrollment Form
  • HPHC Fitness Reimbursement Form

Information About Enrollment and Coverage for Adult Children in all health plans

• Delta Dental Benefit Summary
• Delta Dental Enrollment Form
• Right Start For Kids- informational flyer

• Boston Mutual Basic Life and Optional Life Information
• Life Insurance Enrollment Form
• Optional Life Insurance Enrollment Form

• EyeMed Vision Care Summary
• EyeMed Vision Enrollment Form

• CanaRX Information for $0 copay Prescriptions
• Diabetes Care Rewards Program
• Employee Assistance Program

All employees regardless of status (full or part-time) are eligible to have deductions taken for a 403(b). The vendors we are currently working with are listed on the Approved Vendors List

Also available is the 2025 403(b) Meaningful Notice/Plan Information Brochure (MN) and Annual Retirement Benefits Guide (ARBG)

• TSA 403b Salary Reduction Agreement Form
• Roth 403b Salary Reduction Agreement Form

Mass Mutual
Thomas Clooney - (609) 706-0617

• Flexible Spending Plan Information
• Flexible Spending Plan Enrollment Form
• FSA Medical Claim Form
• FSA Dependent Care Claim Form
• OTC List

• Blue Cross Blue Shield of Massachusetts
• Harvard Pilgrim Health Care
• Delta Dental Insurance
• EyeMed Vision Care
• Cape Cod Municipal Health Group

• Mass Teachers Retirement System
• Barnstable County Retirement
  • Barnstable County Retirement Guide for members that joined before April 2012
  • Barnstable Country Retirement Guide for members that joined after April 2012

• Health Insurance Portability and Accountability Act (HIPAA) Notice for All Employees
• Employee Assistance Program Information: (800) 333-6624

If you have questions regarding the benefits offered by the Dennis-Yarmouth regional School District, please call the Benefits Office at (508) 398-7612