View and/or print forms and information sheets below by clicking on the document title.
NOTE: Life changes (e.g. marriage, birth of a child, divorce) that create an opportunity for or require a change in coverage must be reported to the Benefits Department within 30 days of the qualifying event.
2021 UPDATES & CHANGES
2021 Open Enrollment Forms
Open Enrollment Link-Internal Use Only - If you are using a City computer
Open Enrollment Link-External Use Only - If you are using a personal computer
2021 MEDICAL/DENTAL COVERAGE
All basic medical plan packages include health and dental coverage options-you choose the network.
OPTIONAL SPECIALIZED COVERAGE
LIFE & ACCIDENTAL DEATH/DISMEMBERMENT & SHORT AND LONG TERM DISABILITY
Symetra-Beneficiary Designation Form
Financial Information & Resources
SUPPLEMENTAL ACCIDENT & SICKNESS
Colonial Life-Accident Policy
FLEXIBLE SPENDING ACCOUNTS
Enrolled employees have pre-tax program options to assist them in managing their medical and/or childcare expenses.
A selection of medical health related City policies
Retirement plans & savings options.