New Employee Resources

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Welcome to the City of Salem! Here you will find everything you need to begin your employment with our organization.

All employees are required to adhere to the human resources rules.

For an overview of employee benefits, view the benefits overview course.

 

Forms are due to Human Resources within 30 days of new hire orientation.

2019 Flexible Spending Accounts (FSA) Enrollment or Waiver Form
Complete this form for enrollment or waiver to in the flexible spending accounts
200 KB
2019 Health Savings Account (HSA) Enrollment Form
Complete this form if you elect to enroll in the HDHP medical plan, or qualify for the Opt-Out Waiver Incentive and are HSA eligible per IRS rules.
180 KB
2020 Flexible Spending Accounts (FSA) Enrollment or Waiver Form
Complete this form for enrollment or waiver in the flexible spending accounts
142 KB
2020 Health Savings Account (HSA) Enrollment Form
Complete this form if you elect to enroll in the HDHP medical plan, or qualify for the Opt-Out Waiver Incentive and are HSA eligible per IRS rules
142 KB
457 Voya Automatic Enrollment Notice - AFSCME and Unrepresented only
Notice of automatic enrollment in the City of Salem
Deferred Compensation 457(b) retirement plan, administered by Voya Financial. AFSCME and Unrepresented employees only.
129 KB
Electronic Disclosure Form
Complete this form to acknowledge the City's intent to deliver plan documents and notices electronically.
135 KB
Health Hub Service Agreement Form
Complete this form to agree to the terms of use for the Health Hub employee health clinic.
159 KB
Health Insurance Coordination of Benefits
Complete this form to report that you or your dependents have other health insurance coverage.
137 KB
Health Insurance Enrollment, Waiver, Change Form
Complete this form to enroll or waive coverage of the City of Salem health insurance.
161 KB
Health Insurance Opt-Out Waiver Incentive Form
Complete this form to waive coverage on the City's health plans because you have other qualifying health insurance.  Documentation of enrollment in other qualifying coverage is required. AFSCME, PCEA, and Unrepresented only.
137 KB
Life and Long Term Disability Form
Complete this form to enroll in these plans and designate your life insurance beneficiaries.
314 KB
Additional AD&D Insurance Enrollment Beneficiary Form
Complete this form if you wish to enroll or update your beneficiary on your voluntary additional AD&D insurance policy.
164 KB
Additional AD&D Summary
Voluntary Additional Accidental Death and Dismemberment summary information.
36 KB
Additional Life Insurance Enrollment Beneficiary Form
Complete this form if you wish to enroll in coverage during your 31 days qualifying event guarantee issue deadline, or wish to update your beneficiary on your voluntary additional life insurance policy.
69 KB
Additional Life Summary
Voluntary Additional life insurance policy summary information, monthly rates, and online enrollment web link.
201 KB
Long Term Care Enrollment Flyer
Voluntary long term care online enrollment flyer
285 KB
Voya - EZ Enrollment Form
Complete this form to enroll and participate in the City of Salem Deferred Compensation Plan. Enrollment can be done at any time.
590 KB

 

​Benefits by employee group

View from City Hall

Contact us

Michele BennettHuman Resources ManagerCarrie WagnerHuman Resources SpecialistHuman Resources Department
Monday–Friday
8:00 a.m.–5:00 p.m.
555 Liberty ST SE RM 225
Salem OR 97301
Phone: 
503-588-6162Human Resources main line503-589-2085Carrie Wagner's direct line