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.

2020 Flexible Spending Accounts (FSA) Enrollment or Waiver form
Complete this form for enrollment or waiver in the flexible spending accounts for 2020
144 KB
2020 Health Insurance Enrollment, Waiver, Change form
Complete this form to enroll or waive coverage of the City of Salem health insurance for 2020.
162 KB
2020 Health Insurance Opt-Out Waiver Incentive form
Complete this form to waive coverage on the City's health plans for 2020 because you have other qualifying health insurance.  Documentation of enrollment in other qualifying coverage is required. 2020 AFSCME, PCEA, and Unrepresented employees only
137 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 for 2020 enrollment
144 KB
2021 Flexible Spending Accounts (FSA) Enrollment or Waiver form
Complete this form for enrollment or waiver in the flexible spending accounts for 2021
176 KB
2021 Health Insurance Enrollment, Waiver, Change form
Complete this form to enroll or waive coverage of the City of Salem health insurance for 2021.
165 KB
2021 Health Insurance Opt-Out Waiver Incentive form
Complete this form to waive coverage on the City's health plans for 2021 because you have other qualifying health insurance.  Documentation of enrollment in other qualifying coverage is required. 2021 AFSCME, PCEA, SPEU, and Unrepresented employees only.
158 KB
2021 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 for 2021 enrollment
150 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 form
Complete this form to report that you or your dependents have other health insurance coverage.
137 KB
Standard Life, ADD, and LTD Enrollment Beneficiary form
Complete this form to designate or update your beneficiary on the City provided Life Insurance and AD&D policy.
314 KB
Commute Expense Reimbursement Account (CERA) Enrollment form
Complete this form if you wish to enroll in the voluntary Commute Expense Reimbursment (CERA) account for eligible van pool or mass transit costs. Enrollment can be done at any time.
92 KB
Hartford 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. Enrollment can be completed at any time.
164 KB
Standard 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
Voya Deferred Compensation 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