Employee Benefits
Employee Assistance Program (EAP)
- The Wellness Corporation (outside link) or 800-828-6025
Retirement Income Plan
- Retirement Income Plan Description
- TIAA-CREF (outside link)
Group Insurance Plan
Health & Dental Insurance
- HMO Blue/New England Summary of Benefits (PDF file)
- Blue Choice New England Summary of Benefits (PDF file)
- Dental Blue Summary of Benefits (PDF file)
- Blue Cross/Blue Shield of Mass. Subscriber Claim Form (PDF form)
- Blue Cross/Blue Shield of Mass. Dental Claim Form (PDF form)
- Blue Cross/Blue Shield of Mass. Drug Claim Form (PDF form)
- Blue Cross Blue Shield of Massachusetts (outside link)
- Blue Shield of Northeastern New York (outside link)
Life Insurance
- Life Insurance Beneficiary Change (PDF form)
Long-Term Care (LTC) Insurance
- Williams College Voluntary Long Term Care Insurance Benefit (outside link)
Express Scripts Pharmacy Plan
- coming soon
Medical Expense and Dependent Care Reimbursement Plans (MERA & DCRA)
- Instructions for Setting Up a New MERA or DCRA Account (PDF file)
- Instructions for Renewing a MERA or DCRA Account (PDF file)
- EBS Benefit Solutions, Inc. log-in for
Flexible Spending Account
Online System for MERA & DCRA Accounts (outside link) - EBS Flexible Spending Account MERA/DCRA Reimbursement Form (PDF form)
- EBS Direct Deposit Reimbursement Authorization Form (PDF form)
- Request Additional EBS Flex Card Form (PDF form)
- MERA Change in Family Status Form (PDF form)
Retiree Health Insurance
Health Insurance Portability and Accountability Act (HIPAA)
- Notice of Privacy Practices for the Use and Disclosure
of Protected Health Information (PHI) - Authorization for Use or Disclosure
of Protected Heath Information (PHI) (PDF form) - Requested Restriction of the Uses and Disclosures of Protected Health
Information (PHI) for Treatment, Payment or Operations (PDF form) - Request for Amendment of Protected Health Information (PHI) (PDF form)
- Request of Accounting of Protected Health Information (PHI)
Disclosed by Williams College (PDF form)
Adobe Reader is required to view and print PDF files.
Click on the image at left to download the FREE Adobe Reader.