• Enroll in or change your health plan.
• Waive coverage.
• Add or remove eligible family members.
Flexible Spending Accounts (FSAs):
- Enroll in a FSA.
Enroll/Change Health Benefits
Complete the fillable form located at: http://www.thelocalchoice.virginia.gov/planinfo/plans2020-21/TLCEnrollmentForm2020-21-fillable.pdf . Print it, sign it, and submit to Human Resources. Please remember to complete sections 1, 3, and 5 of the enrollment form. The form can be sent via email to email@example.com or dropped off in in the drop box in front of City Hall.
Complete the enrollment form. Don't forget to print it, sign it, and submit to Human Resources. The form can be sent via email to firstname.lastname@example.org.
No computer access? Contact HR at (757) 562-8508 to send you a form.