Online Enrollment - Current City Employees Only
The 2023 Annual Employee Benefits Enrollment has ended.
- All elections are final and will remain in effect from January 1, 2023 through December 31, 2023, unless you experience a change in status as defined by the Internal Revenue Service (IRS) regulations.
- New deductions will appear on the January 6, 2023 paycheck.*
* For benefits that require insurance carrier approval, no new premiums will be deducted until such time the carrier approves coverage.
- All forms due back December 31, 2022.
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
Statement of Health Registration Help Guide
Capital Health Plan
Overage Dependent Form
Domestic Partnership
Affidavit of Domestic Partnership