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Employee Resources

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Open Enrollment 2024

Below is our open enrollment video and forms.

Forms are due by the end of the day, Friday, December 8th

to Kim Newton at knewton@cityofoxford.org or by interoffice mail.

Open Enrollment Live Stream Video

Presentation Materials

Open Enrollment Brochure

Open Enrollment PowerPoint

Forms

Required for all FT staff:

Required for staff with spouse on our plan:

Coordination of Benefits (COB) Form for Spouses
Copy of 2022 IRS 1040 form (with sensitive information blocked out)

Optional Forms:

Flexible Savings Account (FSA) Enrollment Form
Health Savings Account (HSA) Enrollment Form
- The City will provide start-up funds in 2024 of $250 for individuals and $500 for families.
- The City will also match your contribution of up to $250 for individuals and $500 for families.
Equitable-AXA Life Insurance Enrollment Form
Equitable-AXA Premiums Table
VSP Supplemental Vision Form

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