Open Enrollment
Each year, typically in October and/or November, employees will have the opportunity to participate in open enrollment for health insurance, dental insurance, vision insurance, and flexible spending. Changes made during open enrollment are effective January 1st of the following year. Pet Insurance has year-round open enrollment.
To save paper, we encourage employees to use this site for reference rather than printing this material. Enrollment forms are the only items that need to be printed and returned to Human Resources.
Health Insurance, Dental Insurance, Vision Insurance
Health, Dental, and Vision Insurance Open Enrollment for the 2020 calendar year is September 30, 2019 – October 25, 2019. During this time, employees may enroll in health insurance, dental insurance, and/or vision insurance for the upcoming plan year, change health insurance carriers, change coverage levels, add or remove eligible dependents, or cancel coverage. Open Enrollment changes for these benefits take effect January 1, 2020. Employees will receive Open Enrollment materials from their departments beginning on September 30, 2019 for each of the benefits for which they are eligible for the 2020 plan year.
Health Insurance - "It's Your Choice"
- Memo: It's Your Choice Open Enrollment for Health Insurance
- Health Insurance Application/Change Form
You do not need to complete this paper application if you have submitted an online change request. - ETF - It's Your Choice 2020
- ETF - It's Your Choice 2020 E-Learning
- ETF - Health Plan Search (includes provider directories for available plans)
- ETF - Vaccinations available at in-network pharmacies at no cost. Click for more information.
2020 Health Insurance Premium Rates
- General Employees
- Police, Fire and Transit
Compensation Groups 11, 12, 13, 14, 41 and 42
Dental Insurance
- Memo: Delta Dental Insurance Enrollment, Including Rates
- 2020 Dental Insurance Coverage Summary
- Delta Dental Application
This form must be printed and submitted to Human Resources. - Search for a Delta Dental in-network provider
Vision Insurance (New Benefit for 2020)
- Memo: DeltaVision Insurance Enrollment, Including Rates
- 2020 Vision Insurance Coverage Summary
- DeltaVision Application
This form must be printed and submitted to Human Resources. - Search for a DeltaVision in-network provider
Pet Insurance (New Benefit for 2020)
- Memo: My Pet Protection pet insurance from Nationwide
- 2020 Pet Insurance Coverage Summary
- Learn more about pet insurance and get a fast, no-obligation quote. Please note that premiums for Pet Insurance are unable to be paid through payroll deduction. Nationwide will directly bill eligible employees who enroll in this coverage. Open enrollment for Pet Insurance is year-round.
- If you have questions about pet insurance, please contact Nationwide at 877-738-7874.
Flexible Spending
Flexible Spending Open Enrollment for the 2020 plan year will be November 4, 2019 – November 15, 2019. To continue participation in Flexible Spending, a new enrollment form must be completed each year.
Eligible employees will receive hard copies of the Open Enrollment materials, to be distributed by their departments on November 4, 2019.