Open Enrollment 2021

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)