Employee Benefits

2009 Open Enrollment
(starts November 18 and ends Friday, December 5, 2008 at 4:30pm)
Open Enrollment Letter
Open Enrollment Guide
Employee Data Maintenance Form
Certification of Dependent Status
SuperiorUSA Election Form
City of Duluth - Certification of Dependent Status Policy
FAQ's - Certification of Dependent Status
2009 Minnesota Life Insurance Rate Sheet

Employee Benefits Handbook

Employee Wellness Handbook

In order to change your benefits coverage, use this form:

Employee Data Maintenance Form

Health Insurance

2009 Formulary

2008 City of Duluth Plan 3A Health Benefit

2008 City of Duluth Retiree Health Benefit

2008 Preventative Care Q&A

2007 Summary Health Care Benefit Plan

2006 Active City Employee Health Insurance Plan Comparison Grid

2006 Active Subgroup & City COBRA Employee Health Insurance Plan Comparison Grid

2006 Active Employee Health Insurance Rates

2006 Family Health Insurance Premiums

2006 Retired City Employee Health Insurance Plan Comparison Grid

Retired Employee Health Insurance Rates (Temporarily unavailable)

Health Insurance Group Numbers

BlueCross BlueShield of Minnesota Service Center

The Blue Cross and Blue Shield member service center gives you around-the-clock access to claims, online customer service, information about member health programs and more.

BlueCross BlueShield Claim Form 

Dental Insurance

2006 Delta Dental Summary Plan Description

2006 Dental Insurance Rates (Active Employees only)

2006 Dental Insurance Benefit Summary -- High Option

2006 Dental Insurance Benefit Summary -- Low Option

2006 Dental Insurance Benefit Summary -- Confidential Unit Low Option

2007 Delta Dental Summary Plan Description

Term Life Insurance

Term Life Insurance Benefits

Flexible Benefits (Flexible Spending Account) Program

Our Flex Program is administered by Superior USA Corporation, Duluth, and you can check your account at their web site any time!

Application Form

Claim Form

The IRS has just ruled that your account can be used for over-the-counter (OTC) Drugs.

Frequently Asked Questions about this new program benefit

List of medications covered under this new program benefit

Retirement

The City of Duluth participates in the State of Minnesota Public Employee Retirement Association. Please see their web site for details.

Retirement Benefits Summary Worksheet

Retirement Checklist

PERA Plan Handbook (for all employees other than Police and Fire members)

Police & Fire PERA Plan Handbook

PERA Forms and Publications

Worker's Compensation Insurance

Minnesota Worker's Compensation Q & A

First Report of Injury Form (City of Duluth specific form to be filled out by supervisor)

Deferred Compensation

Deferred Compensation Comparison Sheet

HIPAA Privacy Notice

Return to City of Duluth Human Resources Page

Return to the City of Duluth Main Page