Documents

Benefits Documents

Use these guides to maximize your benefits.

Employees may make qualified benefit changes in Workday during the plan year and open enrollment.

Adding or removing a spouse or domestic partner from coverage? Make the change in Workday and download one of the completed forms below. 

Change/Enrollment Forms:

Claim Forms

File a reimbursement claim using the appropriate form below, or online through your plan account.

Vision out-of-network reimbursement: Log into your account at VSP.com or complete the form here. 

Medical Summaries of Benefits and Coverage

MOST

2026 Aetna Preventive Most

2026 Aetna Traditional Most 

2026 Kaiser Permanente Most Standard

2026 Kaiser Permanente Most Deductible 

SPOG

2026 Aetna Preventive SPOG

2026 Aetna Traditional SPOG

2026 Kaiser Permanente SPOG Standard 

2026 Kaiser Permanente SPOG Deductible

Local 77

2026 Aetna Preventive Local 77

2026 Aetna Preventive Local 77-Most

2026 Aetna Traditional Local 77

2026 Aetna Traditional Local 77-Most

2026 Kaiser Permanente Local 77 Standard

2026 Kaiser Permanente Most/Local 77 Standard

Legal and Other Notices

                -  Current Vendor List  (Privacy Notice)

Policies

These policies answer commonly asked questions about benefits eligibility, benefits exceptions, and enrollment deadline exceptions. Talk to your department's Benefits Representative about your situation and how to apply these Exceptions.

Rates

Find plan rates, including premium costs and health benefits coverage values to cover a non-IRS tax dependent.

Rate Tables

Retiree Rate Tables

Human Resources

Kimberly Loving, Director
Address: 700 5th Ave, Suite 5500, Seattle, WA , 98124
Mailing Address: PO Box 34028, Seattle, WA, 98124-4028
Phone: (206) 684-7999
Fax: (206) 684-4157
SHR_Info@seattle.gov

The Human Resources Department provides human resource services, tools, and expert assistance to departments, policy makers, employees, and the public so that the City of Seattle's diverse work force is deployed, supported, and managed fairly to accomplish the City's business goals.