Benefits

2021 Benefits Guide for Non-Union City Employees

2021 Benefits Guide for BPOA City Employees

2021 Benefits Guide for BMEA City Employees

2021 Benefits Guide for IAFF City Employees

HSA Enrollment Form

Life Event Benefits Change Form

Mid-Year Benefits Change Form

Post Tax Form

Benefit Enrollment - Temp/Seasonal

Common Law Spouse Affidavit for Benefits

Domestic Partner Affidavit for Benefits

Cigna $1,250 Deductible Plan

Cigna $2,000 Deductible High Deductible Health Plan (HDHP)

Cigna Standard Formulary Prescription Drug List

Delta Dental Plan Summary - Low Plan

Delta Dental Plan Summary - High Plan

VSP Vision Plan Summary - Base Plan

VSP Vision Plan Summary - Buy Up Plan

VSP Visions Plan - Hearing Aid Discount

Health Savings Accounts (HSAs) allow employees to set aside pre-tax money from their paychecks to pay for eligible out of-pocket healthcare expenses. HSAs must be paired with a High Dedcutible Health Plan (HDHP). The City of Boulder also contributes funds to eligible employee's HSAs. 

Flexible Spending Accounts (FSAs) allow employees to set aside pre-tax money from their paychecks to pay for eligible out-of-pocket expenses for healthcare and dependent care. Because the money put into these accounts is not considered taxable, employees save by paying less Federal, State and FICA taxes. Depending on personal circumstances, these plans can mean a significant tax savings. Healthcare Flexible Spending Accounts cannot be paird with a High Dedcutible Health Plan (HDHP).

24HourFlex Healthcare FSA

24HourFlex Dependent Care FSA

24HourFlex Mobile App

Eligibility:

Seasonal & Temporary employees’ benefits eligibility is determined on an average of 30 hours worked per week during the city measurement period, November 1st – October 31st. All seasonal & temporary employees that meet the eligibility requirements may participate in medical, HSA, 401K, 457, voluntary accident, critical illness, hospital indemnity and wellness benefits.

• Seasonal & Temporary employees that do not meet the minimum number of 30 hours worked per week are eligible for 401K, 457, and wellness benefits.

Open Enrollment for Seasonal/Temporary Employees:

All seasonal & temporary employees currently enrolled in benefits will need to enroll by completing the enrollment form during the Open Enrollment period, October of each year. If your position is ending in November or December, you too should complete the enrollment form to ensure you receive the proper COBRA paperwork if you wish to continue your benefits into the next year.

To enroll in medical benefits, complete the enrollment form and return all paperwork to [email protected]

If you are continuing your employment into the next year, you can sign up for available voluntary benefits during the Open Enrollment period. To enroll in these voluntary benefits, fill out the necessary forms associated with each benefit.

If your position terminates in the current year and you return to work for the City of Boulder the following year, you will have the opportunity to reenroll in medical and voluntary supplemental benefits upon rehire.

2021 Benefits Guide for Non-Union City Employees

Benefit Enrollment - Temp/Seasonal

Aflac Enrollment Form

Accident Plan

Accident Plan Rate Sheet

Critical Illness Brochure

Critical Illness Rate Sheet

Hospital Indemnity Brochure

Hospital Indemnity Rate Sheet

ACA Presentation Handout

Retirement Process Timeline

Employees are eligible for retirement pension benefits through the Colorado Public Employees' Retirement Association (PERA). Visit Colorado PERA for more information.

Supplemental retirement plan options include a 401(k) plan through PERA and a 457 plan through ICMA-RC. Visit Colorado PERA and ICMA-RC for details.

Cobra & Retirees Benefits Enrollment-Change Form

Cobra & Retirees Benefits Life Event Change Form

Accident Plan

Critical Illness Insurance

Hospital Indemnity Insurance

LegalShield/IDShield

PetsBest Flyer

As a part of Boulder County, a wide range of resources are available to the LGBTQIA+ community and can be found here. The City of Boulder is committed to supporting LGBTQIA+ employees and their families are part of our rich benefit offerings. Highlights include:

• Medical Benefits:
  • Domestic Partner/Common Law Spousal coverage
  • The City of Boulder offers transition-related health care benefits, including gender confirmation surgery, hormone therapy, and mental health counseling, among other transition-related procedures, as it relates to treating gender dysphoria according to the World Professional Association for Transgender Health Standards of Care (2011).
• Paid Parental Leave which includes foster placement and adoption benefits

The City of Boulder has selected MDLive to provide you with 24/7/365 access to board-certified primary care doctors and pediatricians by secure video, phone or e-mail if you are enrolled in one of the City’s medical plans.

Whether you are at home, work, traveling or in need of a convenient way to visit a doctor without having to sit in an office, MDLive is easy and convenient to use. If you are enrolled in the $1,250 Deductible Health Plan you will only pay your copay. If you are enrolled in the $2,000 High Deductible Health Plan (HDHP), you will pay a consult fee.

• When to use MDLive

​If you are considering going to the Emergency Room or Urgent Care for a non-emergency medical issue because your primary care doctor is unavailable, if you have sick kids at home, are traveling or are at work and cannot make it to the doctors office, MDLive is very useful.

• What can be treated through MDLive?

  • Allergies
  • Asthma
  • Bronchitis
  • Colds and Flu
  • Ear Infections
  • Sinus/Respiratory Infections
  • Joint Aches and Pains
  • More

• How to use MDLive

​Signing Up is Easy! Set up and create an account at www.MDLive.com/cob or by calling 888-726-3171.

• Enter your name, gender, date of birth and your Cigna ID (from your ID Card)
• Complete your medical history using MDLive "virtual clipboard"
• Download the MDLive app to your smartphone/mobile device

Learn more about 24/7 Care with MDLive

2021 City of Boulder Annual Notices

Notice of Marketplace Coverage Options

Notice of Special Enrollment Rights

Annual Compliance Rider

Cigna Policy Amendment

Uniform Glossary

Cigna Certificate 1

Cigna Certificate 2

Cigna Certificate 3

Cigna Certificate 4

Cigna Certificate 5