Online Enrollment - Current City Employees Only
The 2021 Annual Employee Benefits Enrollment has ended.
- All elections are final and will remain in effect from January 1, 2021 through December 31, 2021, unless you experience a change in status as defined by the Internal Revenue Service (IRS) regulations.
- New deductions will appear on the January 8, 2021 paycheck.*
* For benefits that require insurance carrier approval, no new premiums will be deducted until such time the carrier approves coverage.
- All forms are due back by December 31, 2020.
Employees can submit forms via:
Employee, Spouse and Child Life/Accidental Death (ADD) and Long Term Disability (LTD)
MetLife Beneficiary Designation Form
MetLife Statement of Health – Employee and Spouse
Statement of Health Registration Help Guide
Capital Health Plan
Overage Dependent Form
Domestic Partnership
Affidavit of Domestic Partnership