Online Enrollment - Current City Employees Only
The 2019 Annual Employee Benefits Enrollment has ended.
- All elections are final and will remain in effect from January 1, 2019 through December 31, 2019, unless you experience a change in status as defined by the Internal Revenue Service (IRS) regulations.
- New deductions will appear on the January 11, 2019 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, 2018.
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 - (Coming soon – Approx 2 weeks – check back)
Capital Health Plan
Overage Dependent Form
Domestic Partnership
Affidavit of Domestic Partnership