Federal Tax Form

IRS FAQ’s for the 2020 Federal Tax Form

Tax Withholding Estimator

State Tax Form

BLUE CROSS BLUE SHIELD OF NEW ENGLAND-

• Network Blue NE
• Network Blue NE Deductible ($300/$900)
• Access Blue NE Deductible ($2,000/$4,000) HSA Eligible
• Network Blue Select Saver Deductible ($3300/$6450) HSA Eligible
• Blue Choice NE (grandfathered employees currently enrolled only)   
• Dental Blue Freedom High Plan
• Dental Blue Freedom Low Plan
• Dental Blue - Under 13 Benefit Fact Sheet
• Enrollment Form for health and dental benefits

BLUE 20/20-NEW THIS PLAN YEAR

You do not have to be enrolled in health/dental benefits to enroll in Blue Vision.  

• Blue 20/20 Benefit Summary
• Enrollment Form

FLEXIBLE SPENDING (FSA)-Please see updated information below from FSA:

We are pleased to share that the Cafeteria Plan Advisors Spending Accounts operations will transition to operate under the ebm Insurance Solutions (ebm) brand.  Over the coming months, you will begin to see the ebm-branded email addresses, such as cpaclaims@getebm.com and the updated website:  getebm.com

To get to the log in page, click this link:  https://getebm.com/spending-accounts OR if you are on the ebm homepage, select TECHNOLOGY TOOLS then SPENDING ACCOUNTS, then select the (formerly CPA) option for Participant.  Enter your existing credentials as they have not changed. 

• Flexible Spending Summary (FSA)
• FSA Eligible Expenses
• FSA Authorization Form
• Welcome to Health Care
• Welcome to Dependent Care
  • FSA Dependent Care Claim Form
• FSA Benny Card
• FSA Store
• Any questions?  We have office staff  ready to assit you.  Click here         for more information (updated contact information 02/26/26)

PAYROLL DIRECT DEPOSIT FORM (UP TO TWO ACCOUNTS)

• Direct Deposit Form