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:

1. Who is currently receiving health insurance from the City;
2. And was enrolled and receiving City health insurance for the entire period of the previous fiscal year (July 1st through June 30th, inclusive);

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