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Libby Schaaf
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Mayor Libby Schaaf
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Open Enrollment 2021
Open Enrollment 2021
Documents
Employee Benefit Record Form (enrollment form) (PDF)
2021 Open Enrollment Information (PDF)
2021 Medical Plan Rates - Full-Time (excludes Sworn Fire) (PDF)
2021 Medical Plan Rates - Sworn Fire (PDF)
2021 Health Plan Rates - Permanent Part-Time (PDF)
2021 Summary of Benefits Coverage Notice (PDF)
FSA Program Highlights (PDF)
FSA Enrollment Instructions (PDF)
Voluntary Life Insurance Enrollment Form (PDF)
Flu Shot Clinic (PDF)