2022 - 2023 Plan Year

Introduction

Benefits Overview

Bomco OE Memo 2022

Bomco OE Memo 2022

Contact Us

Client Contacts

KF

Katy Flaherty

kflaherty@bomco.com

(978) 283-9000

MM

Mike McCarthy

mmccarthy@bomco.com

(978) 283-9000

Medical Benefits

2022 Tufts Health Plan Advantage HMO $1,000
2022 Tufts Health Plan Advantage HMO $1,000 SBC

2022 Tufts Health Plan Advantage HMO $1,000 SBC

Tufts behavioral-health-resource-guide.pdf

Tufts behavioral-health-resource-guide.pdf

Tufts MemberApplication-Web-Fillable-Final.pdf

Tufts MemberApplication-Web-Fillable-Final.pdf

Health Reimbursement Arrangement (HRA)

2022 HRA Outline

2022 HRA Outline

Dental Benefits

2022 Delta Dental PPO Plus Premier
2022 Delta Dental Benefit Summary

2022 Delta Dental Benefit Summary

Delta Dental PPO Premier Enrollment Form

Delta Dental PPO Premier Enrollment Form

2022 Principal Basic Life/AD&D and Voluntary Life Insurance

2022 Principal Basic Life/AD&D Benefit Summary

2022 Principal Basic Life/AD&D Benefit Summary

2022 Principal Voluntary Life Benefit Summary

2022 Principal Voluntary Life Benefit Summary

Beneficiary Designation - Change Form

Beneficiary Designation - Change Form

2022 Principal Long Term Disability (LTD)

2022 Principal Long Term Disability (LTD) Benefit Summary

2022 Principal Long Term Disability (LTD) Benefit Summary

2022 Principal Voluntary Accident Insurance

2022 Principal Voluntary Accident Insurance Summary of Benefits

2022 Principal Voluntary Accident Insurance Summary of Benefits

Retirement

2018 Bomco 401(k) Required Disclosure Information

2018 Bomco 401(k) Required Disclosure Information

2018 Bomco 401(k) Summary Plan Description

2018 Bomco 401(k) Summary Plan Description

401(k) Rollover Form

401(k) Rollover Form

Beneficiary Form.pdf

Beneficiary Form.pdf

Default Fund Information Sheet.pdf

Default Fund Information Sheet.pdf

401(k) Fund Change Notice.pdf

401(k) Fund Change Notice.pdf

Important Information

Fidelity- 2 Factor Authentication.pdf

Fidelity- 2 Factor Authentication.pdf

401 k Election Trends.pdf

401 k Election Trends.pdf

2022 Compliance Notices.pdf

2022 Compliance Notices.pdf

City of Gloucester EMERGENCY ORDER- Use of Masks and other protective measures.pdf

City of Gloucester EMERGENCY ORDER- Use of Masks and other protective measures.pdf

Fidelity-Protection from Cyber Fraud.pdf

Fidelity-Protection from Cyber Fraud.pdf

IMPORTANT 2020 Year End Changes.pdf

IMPORTANT 2020 Year End Changes.pdf

401 k FUND CHANGE NOTICE.pdf

401 k FUND CHANGE NOTICE.pdf

2022 Open Enrollment Memo.pdf

2022 Open Enrollment Memo.pdf

2022 W4.pdf

2022 W4.pdf

Direct Deposit Form.pdf

Direct Deposit Form.pdf

M-4 State Tax Form.pdf

M-4 State Tax Form.pdf

Expense Voucher.pdf

Expense Voucher.pdf

Policies

Bomco Code of Conduct.pdf

Bomco Code of Conduct.pdf

Bomco Code of Rules.pdf

Bomco Code of Rules.pdf

Bomco PPE Procedure.pdf

Bomco PPE Procedure.pdf

Fire Prevention Plan.pdf

Fire Prevention Plan.pdf

Hearing Conservation Program.pdf

Hearing Conservation Program.pdf

Infectious Disease Policy.pdf

Infectious Disease Policy.pdf

Medical Opt Out Program.pdf

Medical Opt Out Program.pdf

PTO Policy.pdf

PTO Policy.pdf

PTO Salaried Employees.pdf

PTO Salaried Employees.pdf

Safety Policy.pdf

Safety Policy.pdf

Student Loan Assistance Policy.pdf

Student Loan Assistance Policy.pdf

Un Vaccinated Employee Memo.pdf

Un Vaccinated Employee Memo.pdf

Massachusetts COVID-19 Emergency Paid Sick Leave—Notice to Employees.pdf

Massachusetts COVID-19 Emergency Paid Sick Leave—Notice to Employees.pdf

Family Medical Leave Act.pdf

Family Medical Leave Act.pdf

Earned Sick Time from The Attorney General.pdf

Earned Sick Time from The Attorney General.pdf

Employee Notice Regarding Massachusetts.pdf

Employee Notice Regarding Massachusetts.pdf

FAMILIES FIRST CORONAVIRUS RESPONSE ACT (FFCRA).pdf

FAMILIES FIRST CORONAVIRUS RESPONSE ACT (FFCRA).pdf

PARENTAL LEAVE.pdf

PARENTAL LEAVE.pdf