Enrollment

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During Open Season, if you want to stay with the same plan, you do not have to make an enrollment change. Your current plan coverage will continue.

Complete Your Enrollment!
If you are enrolling for the first time or need to make changes to your current plan, follow these steps:

Active Employees - Standard Option and Basic Option Enrollment:

Step 1:

Choose a medical plan.

Step 2:

Confirm your type of enrollment (self or family), the plan you'd like to join, and make a note of the corresponding FEHB enrollment code:

Blue Cross and Blue Shield Service Benefit Plan

Enrollment Code

If you have this medical plan:

Self

Family

Standard Option

104

105

Basic Option

111

112

Step 3:

Enroll online using your agency's method:*

OR

Fill out the Health Benefits Election Form (SF-2809) and provide a copy to your Human Resources office.

Annuitants—Standard Option or Basic Option Enrollment:

Please visit the Office of Personnel Management (OPM) website for information on how to enroll or call the OPM Open Season Express line at 1-800-332-9798.

FEP BlueVision®—Active Employees and Annuitants Enrollment:

Enroll online at www.BENEFEDS.com or call 1-877-888-3337.

Dental Blue Healthy Supplement—Active Employees and Annuitants Enrollment:

Print, complete (with signature), and mail the PDF Dental Blue Healthy Supplement Enrollment Form to:

Blue Cross Blue Shield of Massachusetts
Dental Blue Healthy Supplement
Enrollment Operations
PO Box 986001
Boston, MA 02298

Please note: To be eligible to join you must live in Massachusetts and be a member (or are becoming a member) of the Service Benefit Plan.

Questions? Blue Cross Blue Shield of Massachusetts is only a phone call away.

If you have any questions, please call us at 1-800-433-7766—a local, dedicated Member Service associate is ready to assist you.

* List of online enrollment tools provided by OPM at www.opm.gov/insure.