Decline - Employee On-Site Clinic Form
Open Enrollment May 15 - June 15th Form
You must be a regular full-time employee of the City of Clarksville to be eligible for most employee benefits. All regular full-time employees, or full-time equivalents are eligible for enrollment in the City’s health, pharmacy, dental, and life insurance plans on the first day of the calendar month following completion of one full calendar month of service. If the employee does not enroll in the plan when initially eligible, future enrollment is restricted to the result of a qualifying event or designated open enrollment periods.
A qualifying event is defined as:
- Change in spouse’s employment that affects their insurance
Adding or Deleting Dependents
If an employee experiences a life event and needs to add or delete dependents from his/her policies, he/she will have 31 days from the date of the event to come to the Human Resources office and make the change. If the employee delays past 31 days, he/she cannot make changes until the next open enrollment period. Also, the employee will need to provide proof of the event (marriage certificate, divorce papers, birth certificate, etc.) in order to make the change. Employees should call the Human Resources Benefit Office at 931-645-7421 for further information.
Benefits open enrollment occurs once a year. Specific information will be disseminated each year prior to open enrollment. Specific locations for the event will be announced closer to the open enrollment period.