You are eligible to enroll in one of two plans with Tufts Health Plan. All plans satisfy the definition of "creditable coverage" under the Massachusetts health care reform law. For most eligible faculty and staff, Berklee subsidizes the cost of coverage by paying 65 percent of the premium, while you pay the remainder through pre-tax payroll deductions via Berklee's Section 125 Cafeteria Plan.
Berklee's coverage with Blue Cross Blue Shield of Massachusetts ended on December 31, 2012. For questions or concerns about coverage with Blue Cross, call 1-888-543-8770.
- Medical & Dental Insurance Rates Staff and FacultyView the medical and dental insurance rates for full-time faculty and staff (paid 12 months).
- Medical & Dental Insurance Rates Part Time FacultyView the medical and dental insurance rates for full-time faculty (paid nine months).
- Medical & Dental Insurance Rates Faculty (9 Month)View the medical and dental insurance rates for part-time faculty.
This is a comprehensive plan in which you choose a primary care provider (or PCP) who will coordinate your medical care within the HMO's network and provide referrals as needed. There are no benefits for health care outside of the New England network except for emergency and urgent care.
During personal travel outside of the New England network, you may need to pay for emergency or urgent care and then apply for reimbursement from the plan.
Contact the Office of Human Resources about health care outside of the New England network during Berklee business travel.
View the Berklee College of Music Member Cost Summary - HMO.
You have a choice with this health insurance option. The PPO plan provides a higher level of benefit (in-network) if you use health care providers in Tufts Health Plan's network, and a lower level of benefits if you use non-network providers. You do not need to name a primary care provider (PCP) or receive referrals for specialist visits. This freedom of choice comes at the cost of a higher premium for than you would pay under the HMO option.
During personal travel outside of the New England area, you may need to pay for health care costs and then apply for reimbursement from the plan.
Contact the Office of Human Resources about health care outside of New England during Berklee business travel.
View the Berklee College of Music Member Cost Summary - PPO.
Enrollment and Member Services
When to Enroll
You may enroll yourself and eligible family members within 30 calendar days of your hire date (or if later, the date you become eligible for coverage). If you miss this deadline, your next opportunity to enroll will be during the annual open enrollment period (typically in the fall). Open enrollment changes become effective on January 1 of the upcoming calendar year.
Family members you may enroll are:
- Your spouse (legally married, same or opposite sex). A copy of your marriage certificate is required.
- Your same-sex domestic partner (if you live in a jurisdiction where you cannot marry). An affidavit of domestic partnership is required.
- Your children under age 26. A copy of the birth certificate or similar document is required.
Special rules apply to certain children who are not your children by birth and to ex-spouses after divorce. Contact the Office of Human Resources for more information.
Enrollment Effective Date
The enrollment effective date is the first day of the month following your hire date (or, if later, the date you become eligible for coverage).
When to Start Using Your Medical Insurance ID Card
You will receive health insurance ID cards from Tufts Health Plan approximately two to three weeks after you have completed the enrollment process. As a result, although your coverage will be effective the first of the month, you might not receive your cards until later. If possible, contact Tufts Health Plan member services before scheduling your first appointment. If you need health care services before you receive your insurance ID card, you and your doctor may contact Tufts Health Plan for proof of coverage.
Changing Your Coverage
Except during your initial 30-day enrollment period or during annual open enrollment, federal regulations prohibit you from enrolling in, canceling, or changing your participation in the plan unless you experience a qualifying life event. Examples of these events include marriage, divorce, birth of a child, and loss of non-Berklee insurance. Any change must be consistent with your qualifying life event. The deadline for making these changes is 30 days from the date of the event.
Taxes and Health Insurance: Massachusetts Residents' Form 1099-HC
Massachusetts law requires Massachusetts residents over the age of 18 to prove that they have health care coverage or pay a tax penalty. Massachusetts residents are required to transcribe data contained on form 1099-HC to their Massachusetts tax returns. By January 31 of each year, our insurance company will issue 1099-HC forms to Massachusetts residents who were enrolled in Berklee medical insurance at any time during the prior calendar year.
Tufts Health Plan Member Services
HMO: (800) 462-0224
Carelink PPO: (866) 352-9114