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 2019-2020 is December 31, 2020.
Health & Dental Benefits
Linking Health & Dental Benefits
Effective July 1, 2020, members will have a Premera ID card for Health and a separate ID card for Dental. The two plans can be linked on the Premera.com portal so members are able to access information for either the health or dental plan. Follow these steps to link the plans: Linking Health & Dental Plans
Other Benefits
2020-2021 Employee Benefit Changes
Effective July 1, 2020, there are some important changes happening to your employee benefits. Health Insurance-- Click HERE for the BRH Plan Comparison or HERE for the CBJ Plan Comparison. Hearing Coverage--The hearing benefit through the CBJ [...]
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.
Benefits Enrollment Guide
City & Borough of Juneau Benefit Documents:
- CBJ Health Plan Comparison
- Premera Enrollment/Change Form
- BAC Flexible Spending Plan Enrollment Form
- Cigna Life Insurance Plan Summary
- Cigna Life Insurance Enrollment Form
- Evidence of Insurability Form
- Aflac Enrollment
- 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
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:
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
AFLAC Group Voluntary Benefits
- AFLAC Enrollment Form
- AFLAC Booklet 2018
- AFLAC Group Disability Insurance
- AFLAC Group Accident Insurance
- AFLAC Group Critical Illness Insurance
AFLAC Claim Forms
- AFLAC Accident Claim form
- •AFLAC Accident Wellness Benefit Claim Form
- •AFLAC Critical Illness Claim Form
- •AFLAC Critical Illness Wellness Benefit Claim Form
- •AFLAC Short Term Disability Claim Form
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 Beneficiary Designation Form
PERS Voluntary Saving Plan Information–for Tiers I-III
PERS Voluntary Savings Plan Enrollment Form
