Virtual Open Enrollment FY22                                           

Open Enrollment Period:  

Monday,  April 26th  - Friday, May 14th, 2021 

Benefit elections are effective July 1, 2021

During open enrollment, benefit eligible employees may enroll or make changes to benefits for FY22.  The following benefits are available for you to enroll and/or change: For more detailed information regarding coverage options, visit our Benefits page here.

  • Health Insurance - Harvard Pilgrim Health Care, Inc.
  • Dental Insurance - Delta Dental & DMS/CIGNA
  • Flexible Spending - Cafeteria Plan Advisors, Inc. (CPA) - Medical & Dependent Care


  • Enrollment forms must be submitted to HR Benefits Department by May 14, 2021.
  • Tip - if you have a family dental plan, make sure all children are enrolled.  
  • Employees who are enrolled in the Delta Dental Premier Plan should review the Comparison Chart to upgrade coverage to the PPO Plus Premier Plan
  • Flex Spending re-enrollment is not automatic.  You MUST re-enroll each plan year.  
  • For employees with Boston Mutual Life Insurance, it is important to review your beneficiaries to ensure your assets will be distributed according to your wishes. Major life events, such as a change in marital status or the birth of a child, are especially important times to review and consider changing your beneficiaries
  • Harvard Pilgrim microsite to access more Open Enrollment information and to login into your account can be found here which includes the Calendar of Events for health and wellness programming.
  • You MUST complete this year's Wellness Program (2020-2021) by June 30th, 2021. To participate and earn your full $500 HRA incentive login into your Wellness account

Completed enrollment forms can be submitted to the City Human Resources Department at or

To add dependent(s) to medical insurance refer to the Dependent Checklist, required document(s) must accompany your enrollment form along with Social Security number(s). 

If you are selecting an HMO you MUST provide your Primary Care Provider's (PCP) full name and city/town of practice.

Click on the below benefit icons for Enrollment Forms:

Delta Logo1
CPA Logo