The annual Open Enrollment period begins Tuesday November 12th and ends on Friday November 22nd at 5 pm.

Changes made during Open Enrollment take effect January 1, 2025.

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 22nd.

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, dependent care & supplemental premiums-
2025 FSA Summary
2025 FSA Enrollment Form
Sick Leave Reserve Program- Income replacement program for Non-Union, SEIU and AFSCME employees- SLRP 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