Employee & Retiree Benefits

• FY 26 Open Enrollment

Employee Documents

• MIAA Town of Upton - Enrollment
• MIAA Town of Upton - Ekit Plan effective Date July 1, 2025 
• Member Enrollment Form

Retiree Documents

• Member Enrollment Form
• MIAA Standard Medex 2026
• Blue Medex - Summary of Benefits Tier 3 2026

Additional Coverages and Reimbursements

• Extended Coverage Fitness Fact Sheet
• Mind Body Reimbursement Fact Sheet & Form
• MIAA Employee Assistance Program
• ER Alternatives
• Smartshopper

Employee Documents

• Employee Assistance Program
• Group Basic Life and AD and D Class 1
• Group Voluntary Life and AD&D
• Standard Enrollment and Change Form
• Standard Beneficiary Form
• Standard Travel Assistance

Retiree Documents

• Group Basic Life and AD and D Class 2 Retirees
• Standard Enrollment and Change Form Retirees

• Group Short Term Disability Class 1
• Group Short Term Disability Class 2

• Long Term Disability Summary

• Dental Blue Summary
• Member Enrollment Form
• Employer Fact Sheet - Enhanced Dental Benefits
• Member Fact Sheet - Dental Blue Under 13 Benefits

• Blue 20/20 Member Application
• Blue 20 20 Rates
• Blue 20 20 Summary

• FSA Enrollment
• FSA Summary
• FSA Eligible Expenses

• Cobra Election Notice
• Cobra General Notice
• Cobra Rates
• Marketplace Notice
• Summary of Affordable Care Act