Our City of Burlington employees are fortunate to have a two opportunities to assess their current healthcare needs for ourselves and/or their families.
Open enrollment allows employees to re-examine our medical and dental plans, life insurance plans, retirement benefit (457 plans) as well gym membership.
To learn more about each of our benefits refer to our Benefits Information page and select from the menu.
Below are the forms that are required to update your benefits:
- Cigna Medical Health Insurance Form
- If you are opting out of medical coverage and are eligible for the buyout, complete the Health Insurance Buyout Form
- Dental Enrollment/Change Form
- Domestic Partner Affidavit Form
- Domestic Partner Taxation Memo
- Life Insurance Beneficiary Change Form
- Supplemental Life Insurance Enrollment Form
- Supplemental Life Insurance Medical History Statement
- If you need to update your Retirement beneficiary information please contact Hooker & Holcomb directly.
- Retirement Programs 457 Deferred Compensation Plans
- ICMA-RC please contact Michael Savage, 1-888-803-2721
- Nationwide, please contact Paul Bertand, 1-877-677-3678
- Flexible Spending Form
- Discounted Gym Membership Payroll Deducation Form
- CanaRX Burlington Meds - CanaRX
-
Burlington Meds is a mail order prescription drug program available to employees and their dependents without co-pays.