Benefits
Important Dates
Flex Spending Plan
Don’t forget to use your Medical & Dependent Care Flex dollars! The deadline to accrue expenses towards balances from 2020-2021 is December 31, 2021 & the last day to submit claims is April 30, 2022.
Health & Dental Benefits
Open Enrollment May 24th-June 11th
Open enrollment for employee benefits is happening May 24th-June 11th, 2021. This is your chance to make changes to your benefit elections if you choose to. Review the Benefit Enrollment Guide below for more details on your plan options.
Other Benefits
Supplemental Benefits
The Supplemental Benefit Plans are changing from Aflac to Cigna/New York Life. Even if you are enrolled in an Aflac Plan, you must re-enroll in the new plans. You can do this at CBJBartlettBenefits.helloiris.com.
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.
2021-22 Benefits Enrollment Guide
City & Borough of Juneau Benefit Documents:
- CBJ Plan Comparison 2021-2022
- 2021-2022 CBJ Enrollment and Change Form
- 2021-2022 CBJ Flex Enrollment Form
- Hello Iris Enrollment Platform for Life Insurance & Supplemental Benefits
- Nationwide Pet Insurance Enrollment
- 457 Deferred Comp Plan Enrollment
Bartlett Hospital Benefit Documents:
Policy Notices:
*NEW* CBJ Medicare Creditable Coverage Disclosure Notice 2019
CBJ HIPPA Notice of Privacy Practices 2021
Premera Privacy Policy and Practices (External Link)
COBRA Continuation of Benefits Notice
Benefit Coverage:
2020-2021 Premera Health Plan Book
2020-2021 Premera Dental Plan Book
2020-2021 Economy Plan Summary of Benefits
2020-2021 Standard Plan Summary of Benefits
Health Coverage and Medical Terms Glossary
24-Hour NurseLine
Premera Teladoc Flyer
Medical Forms:
2021-2022 CBJ Enrollment and Change Form
2020-2021 Premera Health Enrollment 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
CBJ Life Insurance
CBJ Life Insurance Policies
Employee Information & Forms
- •CBJ Basic Life & ADD Summary
- •Cigna Life Enrollment Form
- •Cigna Life Evidence of Insurability Form
- Change of Beneficiary form
Additional Cigna Programs
- Cigna Healthy Rewards Program
- My Secure Advantage
- Cigna Secure Travel Program
- Cignassurance Program for Beneficiaries–program provides financial, bereavement & legal support for your loved ones during their time of need
For more information visit the Cigna website: Cigna Life Insurance
Flexible Spending Account (FSA)
Flexible Spending Plan Information
- FSA Summary Plan Description
- CBJ-Enrollment Guide – Not sure if you want to participate in an FSA? Read this handout.
Flexible Spending Plan Information & Forms
Group Voluntary Benefits
Watch the following videos for more information:
- Critical Illness Video
- Accidental Injury Video
- Short Term Disability Video
- Enroll at: CBJBartlettbenefits.helloiris.com
- 2021 Group Short-Term Disability Benefit Summary
- 2021 Group Accident Insurance
- 2021 Group Critical Illness Insurance
How to File A Claim
Nationwide Pet Insurance
PERS (Public Employers Retirement System)
PERS Tiers I-IV Plan Comparison Chart
PERS Tiers I-III Defined Benefit Plan Information
PERS Tier IV Deferred Compensation Plan Information
PERS Tiers I-III Beneficiary Designation Form
PERS Tier IV Designate or change your beneficiary online here
PERS Voluntary Saving Plan Information–for Tiers I-III
PERS Voluntary Savings Plan Enrollment Form
457 Plan (Deferred Comp & Roth)
Get To Know Your 457
ICMA – Enrollment is now online here