Enrollment Materials for Employees

The following enrollment materials will assist you with your enrollment decisions. You may also obtain an Enrollment Guide, Medical Plans Comparison chart and enrollment/change forms from your HR liaison.

Win for Life Enrollment Guide (pdf)

SMART Guide for Healthcare Flexible Spending Account (pdf)

HFSA Worksheet (pdf)

HFSA Medical Necessity form (pdf)

HFSA Direct Deposit form (pdf)

HFSA Claim form (pdf)

HFSA Expense Tracking form (xls)

Win for LIfe Comparison Chart (pdf)

Win for LIfe Comparison Chart (doc)

Enrollment Materials for Retirees

The following enrollment materials will assist you with your enrollment decisions. You may also obtain an Enrollment Guide, Medical Plans Comparison chart and enrollment/change forms from the benefits division.

Win for Life Enrollment Guide (pdf)

Win for LIfe Comparison Chart (pdf)

Win for LIfe Comparison Chart (doc)

Medicare Advantage Plan Materials

 

 

 

Employee >> Health Rates ll Dental Rates ll Supplemental ll Section 125 ll Things to Consider ll Rules to Know ll HR Liaisons
Retiree >> Health Rates ll Dental Rates ll Things to Consider ll Rules to Know ll Contacts
Both >> Mayor's Letter ll Health Plan Highlights ll Dental Plan Highlights ll Home ll Human Resources
Medicare Advantage Plans >> Plan Highlights ll Rates ll Things to Consider ll Rules to Know ll Contacts