2020 Open Enrollment
Open Enrollment is May 1, 2020 - May 15, 2020 for the plan year starting July 1, 2020.
During Open Enrollment, you can make changes to your health plan and enroll in flexible spending accounts (FSAs). Be sure to make your decisions carefully.
No action is required if you have no health plan-related changes.
• Enroll in or change your health plan.
• Waive coverage.
• Add or remove eligible family members.
Flexible Spending Accounts (FSAs):
- Enroll in a FSA.
- Update personal information.
Please see the attached flyer for more information.
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 by the close of business on Friday, May 15th. 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.
YComplete the enrollment form. Don't forget to print it, sign it, and submit to Human Resources by the close of business on Friday, May 15th. 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.
Open enrollment forms must be submitted to HR by 5:00 pm. on Friday, May 15th.