Health Benefits

Open enrollment: The City of Hampton conducts an annual open enrollment period during which benefits-eligible employees can enroll in, make changes to, or waive their benefits.

Qualifying event: After open enrollment, you cannot make changes to your coverage during the year unless you experience a change in family status, such as: 

  • Loss or gain of coverage through your spouse.
  • Loss of eligibility of a covered dependent.
  • Death of your covered spouse or child.
  • Birth or adoption of a child.
  • Marriage, divorce, or legal separation.
  • Switch from part-time employment to full-time employment.

You have 30 days from a change in family status to make changes to your current coverage. 

Optima Health also offers machine-readable files (MRFs).

Read the FAQs on transparency and machine-readable files (PDF) from Optima Health.

For questions regarding any of the forms below, please contact the benefits staff at 757-727-6230 or email cohopenenrollment@hampton.gov.

Enrollment information

  1. City Manager's Open Enrollment Memo to Employees (PDF)
  2. 2023 Benefits Open Enrollment Introduction (PDF)
  3. City of Hampton Benefit Guide 2023 (PDF)
  4. Benefits Portal Quick Reference Guide (PDF)
  5. 2022 All Benefit Rates for Employee Insurance (PDF)
  6. Anthem Vision Benefit Summary 2022 (PDF)
  1. Accident Insurance Information (PDF)
  2. Critical Illness Insurance information (PDF)
  3. Optima Health Insurance Benefit Summary 2021 (PDF)
  4. Optima Health Frequently Asked Questions (PDF)
  5. Optima Health Benefits Information Guide (PDF)
  6. Optima Mobile App Information (PDF)

2022 & 2023 Enrollment Forms

  1. Benefit Option Election Form (Medical, Dental, Vision) (PDF)
  2. Optima Health Employee Health Enrollment Application 2022 (PDF)
  3. Delta Dental Enrollment Form 2022 (PDF)
  4. Waiver of Group Health Benefits (PDF)
  1. 457 Plans Express Enrollment Form (PDF)
  2. 457 Plans 2021 Contribution Change Form (PDF)
  3. Roth Application (PDF)

Prescription coverage

  1. OptumRx Preventive Care Medications (PDF)
  1. OptumRx - Select Standard Formulary (PDF)

Life insurance informational videos