
Open Enrollment for 2026 Benefits

The annual Open Enrollment period begins Wednesday November 12th and ends on Friday November 21st at 5 pm.

Changes made during Open Enrollment take effect January 1, 2026.

The forms have been formatted so that they are fillable. Once you have completed your documents please print, sign and return them to Human Resources in one of the following ways:

  1. Confidential Fax: 541-726-4614
  2. Inter Officer Courier – addressed to Human Resources/Open Enrollment
  3. Drop them off at Human Resources –
    If you do not work in City Hall, you will need to call in advance to schedule a time to drop off. (541-726-3788)
  4. US Post Office – City of Springfield, Human Resources/Open Enrollment, 225 5th Street, Springfield, OR 97477

We Must have the forms no later than 5:00 p.m. on Friday, November 21st. 

The following benefits, if elected, must be enrolled in during open enrollment for each benefit year:

  • Flexible Spending Account (FSA)- Pre-Tax earnings that can be used to pay for medical expenses and dependent care –
    2026 FSA Enrollment Form
  • HRA funding for waived dependent(s)- Employees who enroll in single medical coverage and waive coverage on an eligible dependent(s) are eligible to receive the 2-party/full family HRA amount with proof of dependent relationship and proof of other medical coverage- HRA Waived Dependent Form

Medical & Dental changes are optional- if you are not making changes to your medical/dental enrollment, no action is needed. Dependent enrollment must be the same for Medical and Dental

Resources: