City of Boston Health Benefits Office fax number

Fax destination details

Department

Health Benefits Office

Purpose

Submitting health benefits enrollment forms, address changes and related documents to the City of Boston Health Benefits Office; also used for health insurance enrollment materials and related correspondence.

Form

Enrollment form; Change of Address Form; Opt-Out Form — Non-Medicare Health Insurance Enrollment Form; Change of Address Form; Health Insurance Opt-Out Form

Address

Boston City Hall, Room 807, 1 City Hall Square, Boston, MA 02201

Voice phone

617-635-4570

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Fill out required fields, sign and date, and return to Boston City Hall, Health Benefits Office (Room 807). Forms can be faxed to 617-635-3932. Allow processing time as indicated on each form.

Official form instructions are published as a downloadable file on the organization's website.