Boston Medical Center
Benefits & Forms
Submit paper forms by mail or fax to:
Voluntary House Staff Benefits Plan | 10-27 46th Avenue, Suite 300-2 | Long Island City, NY 11101 | Fax: (212) 356-8181
Personal information:
-
Update Form* to add new dependents to your plan. Requests to add dependents must be received within 30 days of qualifying event (birth/adoption or marriage), and you must attach requested documentation (see form).
Submit paper forms by mail or fax to:
Voluntary House Staff Benefits Plan | 10-27 46th Avenue, Suite 300-2 | Long Island City, NY 11101 | Fax: (212) 356-8181
Disability:
- Short-term Disability
- Long-Term Disability
- INSMED Portable Disability Coverage – Policies offered to you without any medical underwriting requirements or exams.
Library Funds Request
QI Training & Education Application Form
QI Training & Education Reimbursement Form (For those who have been previously approved for this benefit)
QI Grant (The CIR House Staff Quality Council at BMC has secured $25,000 per year from BMC’s Captive Insurer as a dedicated stream of funding for house staff led QI/PS projects at BMC. Grants are available in any amount, determined by the applicant’s proposed budget.)
1) Complete a CIR membership verification form here (verification will take 1-2 business days, not including federal holidays)
2) Call SportsClub— (800) 611-9833 (Select option 2) or email mxteam@tsiclubs.com for more information
CIR members receive a reduction from the standard club rates at My Sports Club locations in Massachusetts. Rates will be $49.99 for a month-to-month Passport Membership which provides full access to all SportsClub locations with the exception of three Passport Premium Clubs within the Boston market. The joining fee is waived. An annual maintenance fee of $59.99 would be charged for new memberships and those CIR members converting to the advertised plan.
Compare to: $69.99 per month plus a $29 joining fee. Total savings of $270 for each CIR member.
APPLICATIONS FOR THE BMC PCF ARE NOW CLOSED.
The CIR House Staff Patient Care Fund (PCF) Committee at BMC has secured $35,000 per year through the CIR/BMC contract as a stream of funding dedicated to address ing patient care. The fund accepts grant applications for materials, resources and/or services to improve patient care at BMC as well as for house-staff led initiatives to address key social determinants of health issues facing our patients.
Regional Vice Presidents & Delegates
Regional Vice President
Amir Meiri, Internal Medicine
Delegates
| Calan Sowa | Internal Medicine | |
| Jordana Laks | Internal Medicine | |
| Jennifer Maccarone | Internal medicine | |
| Brandon Newsome | Psychiatry | |
| Olivia Humbarger | General Surgery | |
| Maysha Abassi | Radiology | |
| Karrin Weisenthal | Emergency Medicine | |
| Howard Lanney | Family Medicine | |
| Andrew Hunter | Internal medicine | (Alternate) |
| Patrick Tivnan | Radiology | (Alternate) |
