Enrollment
Enrollment deadline is Friday, September 3, 2021 by 11 p.m.
- Health Risk Assessment (HRA)
- Open Enrollment Guide
- Open Enrollment Presentation
- Colonial Life Benefits
- Legal Shield & ID Shield
Health Risk Assessments must be completed by August 31, 2021.
Who’s Eligible?
Employees and spouses covered under the City medical plan.
Why Participate?
For a monthly medical insurance premium discount of $50.00 for employee and $50.00 for spouse.
- Example 1: Core insurance plan is $50.00 per month for employee. If you participate the premium per month is $0.00.
- Example 2: Core insurance plan for employee & spouse is $219.63 per month. If you and your spouse both participate, the total premium per month is $119.63.
Why Participate?
Know your health status related to diabetes, heart disease, and stroke. Lab-accurate results are produced in minutes. Review your results with a board-certified Nurse Practitioner via virtual consultation and develop a personal action plan.
Voluntary Program Offered by City
If you are a full-time employee who regularly works a minimum of 30 hours per week, you are eligible to participate in the City’s benefit plans. You may also enroll your eligible dependents under select plans you choose for yourself. Eligible dependents include:
- Your spouse or civil union partner
- Children up to age 26
Important Notes
Documentation will be required to enroll a dependent in medical, dental or vision coverage. Please see the chart below for acceptable documents. Documents should be submitted to Human Resources at the time of enrollment. If documents are not submitted timely, dependent coverage may be dropped.
Spouse
Two documents are required, one from “Document A” and one from “Document B” below:
Document A
Government-issued marriage certificate: Proof of marriage must be a government-issued marriage license or marriage certificate, including the date of your marriage.
Document B
Federal tax return within last 2 years listing your spouse: Send only the first page of your prior year federal tax return (Form 1040) that shows your dependents, and black out all financial information and Social Security numbers.
Proof of joint ownership issued within the last six months: Proof of joint ownership issued within the last six months include mortgage statements, bank statements, credit card statements, rental/lease agreements or property tax statements with both parties’ names as co-owners.
Child
Biological child: Government-issued birth certificate; must include all parent names.
Adopted child: Government-issued birth certificate, adoption certificate, placement agreement or petition.
Step-child: Government-issued birth certificate AND documents to verify spouse as outlined above. Birth certificates must be government-issued and must include parents’ names.
Legal guardianship: Legal documentation from the state or federal government documenting the legal guardianship status.
New Hires: You must complete the enrollment process within 30 days of your date of hire. If you enroll on time, coverage is effective on the first of the month following your date of hire. If you fail to enroll on time, you will NOT have benefits coverage (except for City-paid benefits).
To enroll for benefits, login to Benefit Connector. There you will find detailed information about the plans available to you and instructions for enrolling.
Required Information
When you enroll, you will be required to enter a Social Security number (SSN) for all covered dependents. The Affordable Care Act (ACA), otherwise known as health care reform, requires the company to report this information to the IRS each year to show that you and your dependents have coverage and are not subject to a federal tax penalty. This information will be securely submitted to the IRS and will remain confidential.
Choose Carefully!
Due to IRS regulations, you cannot change your elections until the next annual Open Enrollment period, unless you have a qualified life event during the year. Following are examples of the most common qualified life event:
- Marriage or divorce
- Birth or adoption of a child
- Child reaching the maximum age limit
- Death of a spouse, RDP, or child
- Change in child custody
- Change in coverage election made by your spouse/RDP during his/her employer’s Open Enrollment period
- You lose coverage under your spouse’s/RDP’s plan
Making Changes
To make changes to your benefit elections, you must contact Human Resources within 31 days of the qualified life event (including newborns). Qualifying event changes must be done through Benefit Connector. Instructions on submitting a qualifying event change through Benefit Connector can be found here (PDF). Be prepared to show documentation of the event such as a marriage license, birth certificate or a divorce decree. If changes are not submitted on time, you must wait until the next Open Enrollment period to make your election changes.