2022 - 2023 Plan Year

Introduction

Here you will find important information and resources regarding your benefits as well as company policies and procedures.


Benefits Overview

Review all your benefits plans, options, and rates for 2022 in the Bomco Open Enrollment Memo

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

Bomco offers medical coverage through Tufts Health Plan to help protect you and your family from the high cost of medical care. Tufts is committed to changing health care through outstanding service, valuable products and cost savings you can measure year after year. Tufts offers an extensive network of providers to choose from. For more information, please visit https://tuftshealthplan.com/ To find a doctor, please visit https://tuftshealthplan.com/find-a-doctor



2022 Contributions:

Employee Only $46.88 per pay period (Bomco contributes $109.39 per pay period)

New! Employee + One (Spouse or Child) $46.88 per pay period (Bomco contributes $200.03 per pay period)

Employee plus family $110.21 per pay period (Bomco contributes $379.75 per pay period)


When can participation begin? First of the month after 60 days of employment

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)

HRA Plan Design

Bomco will reimburse the first $750 of the individual and the first $1,500 of the individual + one and family deductible.



How Does It Work?

  1. After your visit with your provider, the provider bills Tufts directly
  2. Tufts adjudicates the bill and send the claim directly to HRCTS and sends an EOB to you and the provider
  3. HRCTS sends the payment directly to the provider and then provider will bill you the remaining amount due


How Do I Get Reimbursed?

Your medical claims are paid automatically using the money in your HRA fund, eliminating the need to submit a manual HRA reimbursement request. HRC Total Solutions will send the payment directly to the provider.

 

What Can I Use My HRA For?

Your HRA will pay for your deductible services, which are defined in your Benefits Summary.


Questions?

For more information please see Human Resources.

2022 HRA Outline

2022 HRA Outline

Dental Benefits

2022 Delta Dental PPO Plus Premier

Bomco offers dental coverage through Delta Dental. The Delta plan offered covers you for preventive dental care services and other services like fillings, care of infections, crowns, and more.

You are not required to use a participating dentist, however, when you do, you will be able to take advantage of negotiated provider discounts.

To find a dentist, go to: www.deltadentalma.com


2022 Contributions:

Employee Only $2.79 per pay period (Bomco contributes $6.50 per pay period)

Employee plus family $7.31 per pay period (Bomco contributes $17.06 per pay period)


When can participation begin? First of the month after 60 days of employment

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

Your family depends on your income for a comfortable lifestyle and for the resources necessary to make their dreams – such as college education – a reality. Like anyone, you don’t like to think of the scenario where you’re no longer there for your family. However, you do need to ensure their lives can continue if the worst should occur. Our Basic Life and AD&D insurance plan pays benefits if you die or are seriously injured.


Employer Paid Basic Life/AD&D General Provisions:

Benefit Amount: 1x Annual Earnings up to $50,000

Benefit Max: $50,000

Age Reduction: 50% at age 70


Our Voluntary Life Insurance Plan provides additional coverage if you die or are seriously injured. Eligibility includes all employees working 30+ hours per week and their spouses and dependents.

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)

Our Long Term Disability Insurance (LTD) will pay you a monthly benefit if you are unable to work due to a disabling accident or sickness for an extended period of time.



Employer Paid LTD General Provisions:

Elimination Period: 180 days

Benefit Duration Period: Social Security Normal Retirement Age (SSNRA)

Income Replacement Level: 60% of weekly earnings (up to maximum)

Maximum Benefit: $1500.00 Weekly

2022 Principal Long Term Disability (LTD) Benefit Summary

2022 Principal Long Term Disability (LTD) Benefit Summary

2022 Principal Voluntary Accident Insurance

Accident Insurance plan provides benefits when injuries, medical treatment and/or services occur as a result of a covered accident. With Accident Insurance, you’ll receive payment(s) associated with a covered injury and related services. You can use the payment in any way you choose – from expenses not covered by your major medical plan to day-to-day costs of living such as the mortgage or your utility bill.



Why do I need Accident Insurance?

·         Accident insurance will pay a benefit for over 90 different accident related injuries or treatments (see Human Resources for the full listing)

·         No pre-existing condition limitation

·         Does not offset with other benefits

·         Portability

·         BONUS! Each covered member (3 per family) will receive $50 for proof of 1 health screening performed in a 12 month period


2022 Principal Voluntary Accident Insurance Summary of Benefits

2022 Principal Voluntary Accident Insurance Summary of Benefits

Retirement

Bomco offers a 401(k) plan through Fidelity to help you reach your financial goals.


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