Employee Forms
- Address Change
- AFLAC- Contact directly @ 1.800.992.3522
- BCBS of Massachusetts- Town of Dunstable
- FY2023 Rates
- Blue Freedom- Dental coverage
- BCBS Medical & Dental Enrollment/ Change Form
- BCBS Translator Resources
- TASC- Flexible Spending, Health Reimbursement & Dependant Care
- Boston Mutual Life insurance
- Conflict of Interest Law- Training/Certificate
- CORI- do NOT complete unless instructed to do so
- Credit Card Use Policy - Policy and Guidelines for Town Issued Credit Cards
- Direct Deposit
- Employee Change Status- Department Heads must complete
- Empower Retirement- Contact directly @ 1.877.457.1900
- Deferred Compensation SMART PLAN- optional for Full-time Employees
- OBRA SMART PLAN- mandatory for Part-time Employees
- Form I-9- Employment verification
- Form M-4 - Massachusetts tax withholding
- Form W-4- Federal tax withholding
- Middlesex Regional Retirement System
- Enrollment Form - mandatory for all Regular PT & FT employees
- MIIA
- Virtual Wellness Activities
- Open Enrollment 2027 !NEW!
- Personnel Board
- Policies: Emergency, Harassment, Personnel
- Wage Classification Chart
- SSA-1945
Town Forms
- "Buy Recycled"- annual memo
- Department Revenue Turnover
- Employee Reimbursement Form
- Stop Payment/Void/Reissue Request- return to Treasurer Collector office
- Timesheets
To All Employees Benefit Eligible Employees
The health insurance rates have increased 14.40% and the dental rates 4.37%. The actual design has not changed from last year. If you would like to sign up, cancel or make any changes to your plan, you may do so during the open enrollment period, May 4th – May 15th. The form can be found beginning on page 110 of the below link and/or we may have a portal available in the next few days. Stay tuned for more information. If you do not wish to make any changes, no action is needed.
Blue Cross Blue Shield information can be found Here, including plan summaries and multiple $300 reimbursement programs, starting on page 184!
New this year, we are offering Vision Insurance, if at least 2 people sign up.
New this year, we have transitioned to Mutual of Omaha life insurance. The benefit has increased from $2,000 to $10,000 and is fully funded by the town.
New this year, MIAA Health Equity will be administering the FSA program (Medical and Dependent). The FSA was previously administered by TASC
For questions please reach out to Theresa O'Leary, toleary@dunstable-ma.gov.
For the Blue Cross Blue Sheild eKit, visit https://planinfo.bluecrossma.com/ekit/2026-miiatownofdunstable-en_US.pdf
AttachmentThe Personnel Board is an appointed board that began serving in October of 2014. A Personnel Board By-Law was later adopted in May of 2015 at the Annual Town Meeting. The Personnel Board serves the main function of advising and assisting the Select Board in writing, updating, and maintaining the Town's official Personnel Policy in conformance with applicable statute and the aims and goals of the Town of Dunstable.
Board Members
| Name | Title | Term Expiration |
|---|---|---|
| Vacancy One |
Chair
|
2024
|
| Vacancy Two |
Member
|
2024
|
| Vacancy Three |
Member
|
2024
|
| Vacancy Four |
Member
|
2024
|
| Vacancy Five |
Member
|
2024
|