M. Holland & Sons

Enrollment Information & Form

• 2023 Open Enrollment Announcement & Information
• Medical & Dental Enrollment Form

Medical Plan & PFA (Participant Funding Arrangement)

• Summary of Benefits
• Summary of Benefits & Coverage
• RSI PFA Benefit Summary (Co-Pay & Deductible Coverage)

Blue Cross Blue Shield Value Added Benefits

Available if enrolled in the BCBS medical plan with M. Holland & Sons.  Benefits include: Fitness Benefit, Weight Loss, Nurse Line, Maternity Care &  Mobile Services

• Blue Cross Blue Shield Value Added Benefits

Dental Plan

• Dental Summary

Life & Disability Plan(s)

• Life Insurance Beneficiary Update Form
• Life Summary 
• Long-Term Disability Summary 

Massachusetts employees are eligible for the MA Paid Family Medical Leave (PFML) policy.

• PFML Information
• How to file a PFML claim
• Download the PFML Form: CLICK HERE
  • Select “I am a Plan Member (employee)”
  • Select Massachusetts
  • Select “Paid Family and Medical Leave Claim”