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:
- Confidential Fax: 541-726-4614
- Inter Officer Courier – addressed to Human Resources/Open Enrollment
- 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) - 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.Â
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-Â 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
- Benefit Summary & Rates:
2026 Benefit Summary
2026 AFSCME, SEIU, NON-UNION Insurance Rates
2026 IAFF and SPA Insurance Rates
- Enrollment Guides/Summaries
MODA/DeltaDental Member Guide
MODA/DeltaDental Basic Summary 2026
MODA/DeltaDental Plus+ Summary 2026
2026 HRA Summary
- Add/remove dependents (including domestic partners) from your medical & dental plan:
Add Dependent(s)- PacificSource Medical, HRA & MODA Dental Forms
If adding dependents, please complete this form:Â Declaration of Marriage, Domestic Partnership & Child(ren) Relationship(s)
Remove Dependent(s)- PacificSource Medical, HRA & MODA Dental Forms
2026 HRA ONLY Remove Dependent
- Changes to dental plan:
MODA Basic Dental Plan to Dental Plus or Dental Plus to Basic
Resources:
