Health Insurance Opt-Out Program

For those employees who are eligible for and choosing the Health Insurance Opt-Out Program, please ensure you review the policy and complete the following forms:

• Opt-Out Program Policy
• Opt-Out Program Voluntary Waiver of Insurance
• Health Insurance Responsibility Disclosure (HIRD) form
   

In order to be eligible, an individual must be an employee who is eligible for health insurance benefits and who is currently receiving health insurance from the City.

The City will pay an employee covered by this program no less than the following annual amounts, based on twelve (12) months of participation in the program:

1. Single Plan: $2,000.00
2. Family Plan: $4,000.00

Note: For those employees currently enrolled in the Health Insurance Opt-Out program, annual re-enrollment is no longer required; however employee must complete the HIRD form annually.
 

Retiree Health Insurance Opt-Out

For those retirees who are eligible for and choosing the Health Insurance Opt-Out Program, please review the policy and ensure you complete the following enrollment form:

• Health Insurance Opt-Out Program Policy
• Opt Out Voluntary Waiver of Health Insurance Form