HUMAN RESOURCES
Sandra DeBow
New Location:
Old Lincoln School
194 Boylston Street (RT. 9)
Brookline, MA 02445
|
HOURS:
Monday - Thursday 8:00 - 5:00
Friday 8:00 - 12:30.
PHONE: 617-730-2120
FAX: 617-739-7519 |
Annual Benefits Open Enrollment Period May 5 – May 16th
Town Human Resources
194 Boylston St Room 106
Office Hours Mon – Thurs 8:00 – 5:00, Fri 8:00 – 12:30
The Annual Benefits Open Enrollment Period offers Town and School Employees
and Non-Medicare Eligible Retirees the option to enroll in or make changes
to their health insurance. Active employees may also enroll in or make
changes to the following benefits: Dental Insurance, Life Insurance, Medical
and Dependent Care Flexible Spending Accounts and Section 125 benefits.
There will be three information sessions scheduled prior to the Annual Open
Enrollment period. All changes made during the benefits open enrollment
period are effective July 1st.
Info Session Schedule
Benefits Rate Sheet
Health Insurance
Massachusetts State Law now requires that all residents over the age of 18
have health insurance coverage. If you cannot provide proof of coverage, you
may be penalized when filing your State taxes. Please see the Massachusetts
Health Connector website for more information:
www.mahealthconnector.org
The Town of Brookline offers Blue Cross Blue Shield health insurance
coverage to benefit eligible employees and contributes 75% of the monthly
premium. If you are eligible for health insurance coverage through the Town
and choose not to enroll, you must complete the State Required Employee
Health Insurance Responsibility Disclosure (HIRD) Form each year during the
Annual Open Enrollment Period.
Employees may enroll as an individual or include a spouse and/or dependent
children. When enrolling a spouse, a legal marriage certificate from the
Town in which you were married must be provided. If a dependent is enrolled
in your plan and is between the ages of 19-26, the
dependent coverage application must
be completed as well.
The following information will assist employees in making health insurance
enrollment decisions:
HMO Blue Summary of Benefits
Blue Choice Summary of Benefits
Co-Pay Reimbursement Policy
Co-Pay Reimbursement Form
BCBS Enrollment Form
HIRD Form
Health Insurance Opt-Out Policy
The Town of Brookline now offers employees, who are currently enrolled in
health insurance, the option of “opting-out” of their coverage in exchange
for an annual payment of $1,000 for an individual plan or $2,500 for a
family plan. Please read the following policy to determine if it applies to
you. If you would like to participate, please complete the following
paperwork. You must also provide proof of coverage elsewhere in the form of
a letter on company letterhead or a copy of an enrollment form listing the
effective date and signed by a company representative.
Opt-out Policy
Opt-out Form
HIRD Form
Dental Insurance
In October 2007, the Town established two voluntary dental insurance plans
through Blue Cross Blue Shield. Although the employee pays 100% of the
monthly premium, the employee benefits from a lower group rate and pre-tax
payroll deductions. Please keep in mind that dental insurance is different
from health insurance. These plans, like many other dental plans, have
varying levels of coverage for different types of services. Also, once you
enroll in a dental insurance plan, you may not cancel your coverage until
the end of the plan year. The plan year runs from July 1st – June 30th.
Dental Blue Preventive
Dental Blue Plan 2
BCBS Enrollment Form
Life Insurance
The Town offers a $5,000 Term Life Insurance Policy to all benefit eligible
employees. If you did not enroll in this benefit when you were hired but
wish to, you must complete the attached form and your enrollment must be
approved by the Life Insurance Company.
Evidence of Insurability Form
The AFSMCE Union Members covered under the main contract now have the added
benefit of purchasing an additional $2,500 life insurance policy. However,
they must pay 100% of the premium for this additional $2,500 coverage. The
weekly deduction for this benefit is $0.08. If you are a member of AFSCME
and would like to purchase this additional coverage, you must complete the
following paperwork.
Enrollment Form
Flexible Spending Accounts
Employees may enroll in the Flexible Spending Accounts for Medical Expenses,
Dependent Care Expenses or both. Employees can enjoy the benefit of pre-tax
payroll deductions over the plan year, which runs from July 1st – June 30th.
Employees must designate a goal amount when they enroll, anywhere from $300
- $5,000. This amount cannot be changed. Employees must re-enroll each plan
year if they wish to continue to participate. Please read the attached
materials and/or go to www.cpa125.com for more information.
New this plan year, a debit card option will be introduced. Enrollees
will be given a debit card to use when paying for medical expenses. This
will eliminate the process of submitting receipts and forms and waiting for
reimbursement. More Information to come.
FSA Enrollment Form
FSA Dependent Care Certification Form
FSA Claim Voucher
List of eligible over the counter
medicines/items
Section 125 Benefits
Employees can have the deductions for health, dental and life insurance
withheld from their pay pre-tax, which saves money by reducing your taxable
income. This is not automatic, you must complete the form. Most employees
have done this but some have not. For example, if you see on your pay stub
“125 HMO Blue” this means your deduction is already being withheld pre-tax,
if the deduction says “non125 HMO Blue”, this means your deduction is not
withheld pre-tax and you can complete the attached form to have your
deductions withheld pre-tax.
Sec 125 Form
Any questions regarding open enrollment should be directed to Kathy
McGinnis, Benefits Supervisor by phone: (617) 730-2117 or by email at
kathy_mcginnis@town.brookline.ma.us

Brookline On the Move
Civil Service Comments
Comments on civil service in connection with the Human Resources Board study
may be made to:
hr@town.brookline.ma.us
or:
Town of Brookline
Human Resources - 3rd Floor
333 Washington Street
Brookline, MA 02445
Health Insurance Comparison
HMO Blue Summary of Benefits
Blue Choice Summary of Benefits
Health Insurance Rate Sheet
For more information on Blue Cross Blue Shield - Providers, Prescriptions, and
Forms, Click here.
Policy Information
-Anti-Retaliation Policy (PDF)
-Same Sex Marriage Benefits
(PDF)
-Living Wage By-Law (PDF)
-Policy Against Sexual Harassment (PDF)
-Workplace Safety Policy (PDF)
Classification and Pay Plan 2007 (PDF)
Human Resources By-Laws
Insurance and Tax
Deferred Benefits
Employment Application (PDF)
Civil Service Information
Union Contracts
E911 Dispatchers (PDF)
AFSCME, Local 1358, '04-'07
School Traffic Supervisors
Contract
Library Contract
BEDA Contract
The goal of the Human Resources Office is to
contribute to the achievement of Town-wide objectives chiefly through the following
activities: negotiation of equitable and competitive labor contracts with employee unions;
coordination and effective integration of all aspects of union agreements and Human
Resources policies; effective management representation at all grievance, mediation, fact
finding, and arbitration proceedings; contribution to the employment and effective
utilization of competent employees; assurance that employee insurance carriers and direct
payment health care providers deliver the contracted services and benefits with due regard
to proper cost control procedures; contribution to the identification and elimination of
workplace hazards and education of employees in safe work practices; effective management
representation at workers' compensation and unemployment compensation proceedings;
provision of limited services to benefit the health and well-being of town employees; and
preparation and maintenance of necessary Human Resources records.
There is a separate School Department Human Resources Office, however, the Town Human
Resources Office provides service to eligible school department employees for all matters
pertaining to group health insurance, group life insurance, the flexible spending account
plan, workers compensation, unemployment compensation, and occupational health.
The Town of Brookline Retirement Board services employees in all Town Departments, except
professional employees of the School Department, for retirement matters. Retirement
services for professional employees of the School Department are provided by the
Massachusetts Teachers Retirement Board.

Staff Assistance
| Sandra DeBow |
Human Resources Director |
730 - 2120 |
| Leslea Noble |
Assistant Human Resources Director |
264 - 6475 |
Marjorie Lalli |
Assistant to the HR Director |
730 - 2119 |
| Kathy McGinnis |
Benefits Supervisor (Health/Life Ins) |
730 - 2117 |
Chris McLaughlin |
Benefits Coordinator (Workers Comp) |
730 - 2120 |
Pamela Payton, RN, Occ. Health Nurse |
Occupational Health Nurse/Case Manager |
730 - 2290 |
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