Benefits Enrollment / Family Status Change
You can enroll in medical, dental, vision, short-term disablity, flex cash, and prepaid legal with the
benefits enrollment form.
The below dependents are eligible for coverage under our medical, dental, and vision plans:
- Spouse
- Child (eligible until end of month age 25, regardless of student status)
- Step-child (eligible until end of month age 25, regardless of student status)
Dental
Review Delta Dental benefit summary guides and copay lists, or print out ID Cards.
Vision
See the Supplemental Vision section for more information regarding the vision plans.
Disability
Short-Term Disability
Standard Insurance company is the carrier for short-term disability. This is a voluntary benefit, paid through payroll deductions by City employees.
Long-Term Disability
Standard Insurance is the carrier for the City and County of Denvers Long Term Disability plan. All benefit eligible employees are enrolled and premiums are provided to employees as part of their benefit package.
Flex Cash
Life Insurance
Basic
The city provides a basic life benefit to all benefit eligible employees of 2 times the employees annual salary to a maximum of $100,000 (reduced if a 1/2 or 3/4-time employee). Employees need only complete the following beneficiary designation form to ensure the benefit is appropriately distributed.
Additional
Standard Insurance Company is the carrier for Supplemental Additional Life and Accidental Death and Dismemberment coverage. Employees may elect to purchase up to $300,000 of Additional Life insurance for themselves and their spouses at group rates. Employees may also elect to purchase up to $500,000 of Accidental Death and Dismemberment coverage for themselves or their family.
Deferred Compensation Enroll/Change
Personal Total Compensation Statement
RTD Buss Pass
Common-Law / Domestic Partner Affidavit
Employees wishing to add their same sex partner or common law spouse to their medical, dental and/or vision coverage must complete this form along with a generic enrollment form.
If you add a common-law spouse, you must provide a divorce decree prior to adding a new spouse if previously married.
HIPAA Notices
The privacy rules under the Health Insurance Portability and Accountability Act (HIPAA) require the City and County of Denver (the “City”) to provide participants with Privacy Notices for the following Health Plans: the City’s Flex Cash Plan (administered by Denver Reserve Corporation) and the City’s Self-Insured Dental Plan (administered by Delta Dental Plan of Colorado). Each respective Privacy Notice explains participants’ rights under that Plan and the Plan’s legal duties with respect to protected health information (PHI) and how the Plan may use and disclose PHI.
