Benefits

Important Dates

Flex Spending Plan Important Dates

Don’t forget to use your Medical & Dependent Care Flex dollars!  The deadline to accrue expenses towards balances from July 1, 2021-June 30, 2022 is September 15th, 2022 & the last day to submit claims is October 31, 2022.

To set up your account and track your spending, click HERE

To set up the BAC Mobile App, click HERE

Health & Dental Benefits

Open Enrollment May 23rd-June 10th, 2022

Open enrollment for employee benefits is happening May 23rd-June 10th, 2022.  This is your chance to make changes to your benefit elections if you choose to.  Watch for more information!

Other Benefits

Open Enrollment May 23rd-June 10th, 2022

Open enrollment for employee benefits is happening May 23rd-June 10th, 2022.  This is your chance to make changes to your benefit elections if you choose to.  Watch for more information!

Benefits Information

This page contains forms and information about the various employee benefits offered by the City and Borough of Juneau.  If you have any questions, please contact the Human Resources department.

Transparency in Coverage – Public Access Requirement

The Public Access Requirement is a rule that requires group health plans and issuers to provide certain price information accessible to plan participants and other stakeholders.  The files must be updated monthly and include the following detailed pricing information:

  • In network: Negotiated rates for all covered items and services between the plan or issuer and in-network providers.
  • Out of network: Historical payments to, and billed charges from, out-of-network providers. Files are not required if there are fewer than 20 claims for a service for a provider.
  • Prescription drugs: In-network negotiated rates and historical net prices for all covered prescription drugs at the pharmacy location level (this requirement is delayed pending further rulemaking).

These files can be found here: https://premera.sapphiremrfhub.com

Policy Notices:

CMS Creditable Coverage Disclosure Notice
CBJ HIPAA Notice of Privacy Practices 2021
Premera Privacy Policy and Practices (External Link)
COBRA Continuation of Benefits Notice

Benefit Coverage:

2021-2022 Premera Medical Plan Book
2021-2022 Premera Dental Plan Book
CBJ Plan Comparison 2021-2022
CBJ Plan Comparison 2020-2021

2021-2022 Economy Plan Summary of Benefits
2021-2022 Standard Plan Summary of Benefits

Health Coverage and Medical Terms Glossary

24-Hour NurseLine
Premera Virtual Care Services

Medical Forms:

2021-2022 CBJ Enrollment and Change Form
Medical Reimbursement Form
Travel Reimbursement Form
Travel Benefit Advisory Form

Prescription Claim Forms:

Express Scripts Mail Form – for Employee’s Use
Prescription Reimbursement Form
Secondary Insurance RX Claim Form

Other Employee Information:

CBJ Life Insurance

Enroll in your Optional Life with AD&D coverage at HelloIris!

CBJ Life Insurance Policies
Employee Information & Forms
Additional Cigna Programs

For more information visit the Cigna website: Cigna Life Insurance

Flexible Spending Account (FSA)

Flexible Spending Plan Information
Flexible Spending Plan Information & Forms