Documents

On This Page

Printed Forms and Templates

• City Anthem Medical Insurance Documents
  Anthem Medical Insurance plan information and enrollment forms for City employees.
• City Long-Term Disability Insurance Documents
  Long-term disability insurance information and documents for City employees
• COBRA Documents and Forms
  Documents and forms for City of St. Louis employees, Police Department employees and retirees interested in continuation of coverage through COBRA.
• Legal Insurance
  Legal insurance for employees is offered through MetLife.
• Life Insurance Beneficiary Information and Change Forms
  Information about choosing a beneficiary for your life insurance.
• Police Anthem Medical Insurance Documents
  Anthem Medical Insurance plan information and enrollment forms for Police Department employees.
• Police Long-Term Disability Insurance Documents
  Long-term disability insurance information and documents for police employees
• Police Retiree Documents
  Enrollment forms for police retiree plans
• The Standard Life Insurance Documents
  Documents pertaining to Life and Accidental Death & Dismemberment Insurance offered through The Standard Company.
• United Healthcare Medicare Advantage Plan Documents
  Documents and forms related to the United Healthcare Medicare Advantage Plan for retirees

Laws Bills and Policies

• Employee Assistance Program
  BJC Employee Assistance Program is here to help you gain the balance you need to overcome and succeed in life.
• HIPAA Privacy Notice
  This notice describes how health information about you may be used and disclosed and how you can get access to this information.

Informational Pages

• Anthem Certificate of Coverage
  The Anthem Health Certificates of Coverage provide information on your rights and obligations, how to get medical care, what services are covered and not covered and what portion of costs you will be required to pay.
• Anthem Summary of Benefits
  Summary of benefits for Anthem health insurance plans.
• City of St. Louis Benefit Premium Only Plan (POP)
  Information Regarding the Premium Only Plan, A Section 125 Cafeteria Plan
• Copay Assistance Benefit Drug List
  SaveOnSP is contracted by Express Scripts to administer drug manufacturer’s copay assistance programs.
• Creditable Coverage Notice Prescription Drug Coverage and Medicare Part D
  2025 Creditable Coverage Notice – City of Saint Louis Pharmacy Plans
• Delta Dental Plan Documents
  Schedule of benefits for employees enrolled in Delta dental insurance plan.
• Documents for New Employees
  Benefit information documents for new employees, including the new hire benefit enrollment packet
• Employee Benefits Domestic Partnership Information and Affidavits
  City employees’ domestic partners are eligible for enrollment in certain insurance plans provided by the City of St. Louis. Find documentation and affidavits (establishment and termination) here.
• Evernorth EnGuide Pharmacy Support
  Evernorth EnGuide Pharmacy Support Documents focused on meeting GLP-1 needs
• Express Scripts Formulary: Preferred Drug List Exclusions
  List of certain brand-name medications and compound drugs that may not be covered under the Express Scripts Plan
• Express Scripts User Guides
  Information on Express Scripts mobile app and user portal, home delivery and generic prescriptions.
• How to Review Your Benefits in Oracle
  Guide for City Employees on how to review their benefits in the Oracle ERP environment.
• Important Notices and Disclosures
  Important notices and disclosures about Employee Benefits
• Meeting Materials and Procurement
  Meeting materials and procurement documents pertaining to the Employee Benefits Section
• Mobile Apps and Online Services for Insurance Benefits
  Information for employees about using mobile apps and online services to get the most out of their insurance plans.
• Premium Assistance Under Medicaid and the Children’s Health Insurance Program Notice
  If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs.
• Premium Only Plan Documents
  Document Pertaining to the Premium Only Plan Information
• The Standard Portability Options
  Please see the attachments for The Standard Insurance Portability Options along with the application.
• Women's Health and Cancer Rights Act
  The Women’s Health and Cancer Rights Act (WHCRA) provides protections for individuals who elect breast reconstruction after a mastectomy,

RFPs Bids and Notices

• Employee Benefits Consulting Services Request for Proposals
  The City of St. Louis (“City”), acting by and through the City Health Insurance Committee (“Committee”), seek proposals from interested parties (hereafter referred to as (“Respondents”) to provide employee benefits consulting services.

Meeting Materials

• City Employee Assistance Program Selection Committee Meeting February 23, 2026
  Agenda for the City Employee Assistance Program Selection Committee Meeting February 23, 2026
• City Employee Assistance Program Selection Committee Meeting March 12, 2026
  Meeting materials for the City Employee Assistance Program Selection Committee Meeting March 12, 2026
• City Employee Assistance Program Selection Committee Meeting March 27, 2026
  Agenda for the City Employee Assistance Program Selection Committee Meeting March 27, 2026
• City Health Insurance Committee Meeting Agenda February 6, 2020
  Agenda for the February 6, 2020 Health Insurance Committee meeting.
• City Health Insurance Committee Meeting January 28, 2026
  Meeting materials for City Health Insurance Committee Meeting January 28, 2026
• City Health Insurance Committee Meeting Plan Renewal Agenda February 2, 2026
  Agenda for the February 2, 2026 City Health Insurance Committee Meeting Plan Renewal.
• City Health Insurance Committee Meeting September 16, 2026
  Meeting materials for the City Health Insurance Committee Meeting Medical and Pharmacy Plans Performance Review September 16, 2026
• City of Saint Louis Health Insurance Committee March 10, 2021 Meeting
  Agenda for the City of Saint Louis Health Insurance Committee Meeting on March 10, 2021
• City of Saint Louis Health Insurance Committee Meeting December 12, 2022
  Agenda and minutes for City of Saint Louis Health Insurance Committee Meeting December 12, 2022
• City of Saint Louis Health Insurance Committee Meeting December 15, 2020 Open Meeting Agenda
  City of Saint Louis Health Insurance Committee Meeting December 15, 2020 Open Agenda
• City of Saint Louis Health Insurance Committee Meeting February 10, 2022
  City of Saint Louis Health Insurance Committee closed meeting agenda for February 10, 2022
• City of Saint Louis Selection Committee for Bidding for City Legal Insurance Plan
  City of Saint Louis Selection Committee for Bidding for City Legal Insurance Plan Open Agenda
• City of Saint Louis Selection Committee Meeting for Dental Provider
  Meeting Agenda for The City of Saint Louis Selection Committee Meeting for Dental Provider
• City of Saint Louis Selection Committee Meeting for Fitness Equipment Maintenance and Repair Services 12/21/20 Agenda
  City of Saint Louis Selection Committee Meeting for Fitness Equipment Maintenance and Repair Services 12/21/20
• City of Saint Louis Selection Committee Meeting for Fitness Equipment Maintenance and Repair Services Meeting Agenda
  Agenda for City of Saint Louis Selection Committee Bidding for Fitness Equipment Maintenance and Repair Services Meeting on Friday, October 30, 2020 at 4:00 p.m.
• City of Saint Louis Voluntary Plan Selection Committee Meeting February 13, 2025
  Meeting materials for City of Saint Louis Voluntary Plan Selection Committee Meeting February 13, 2025
• City of Saint Louis Voluntary Plan Selection Committee Meeting February 6, 2025
  Meeting materials for City of Saint Louis Voluntary Plan Selection Committee Meeting February 6, 2025
• Fitness Equipment Maintenance Meeting Agenda
  City of Saint Louis Selection Committee for Bidding for Fitness Equipment Maintenance and Repair Services
• Health Insurance Committee Annual Plan Review Meeting November 18, 2024
  Agenda and minutes for City of Saint Louis Health Insurance Committee Annual Plan Review Meeting November 18, 2024
• Health Insurance Committee Annual Review Meeting October 20, 2020
  Meeting materials for Health Insurance Committee Annual Review Meeting October 20, 2020
• Health Insurance Committee Meeting Agenda 02/18/2020
  City Health Insurance Committee Meeting Agenda for Tuesday, February 18, 2020
• Health Insurance Committee Meeting February 12, 2024
  Agenda and minutes for City of Saint Louis Health Insurance Committee Meeting February 12, 2024
• Health Insurance Committee Meeting February 19, 2025
  Meeting materials for Health Insurance Committee Meeting February 19, 2025
• Health Insurance Committee Meeting February 5, 2025
  Meeting materials for Health Insurance Committee Meeting February 5, 2025
• Health Insurance Committee Meeting January 29, 2025
  Agenda and minutes for City of Saint Louis Health Insurance Committee Meeting January 29, 2025
• Health Insurance Committee Meeting October 30, 2024
  Agenda and minutes for City of Saint Louis Health Insurance Committee Meeting October 30, 2024
• Healthcare Committee Meeting Agenda 12/12/19
  Health Care Committee Meeting Agenda Document for 12/12/19
• January 23 2020 Wellness Vendor Selection Committee Meeting Materials
  Agenda for the January 23, 2020 Wellness Vendor Selection Committee Meeting
• Post Retiree Health Plan Selection Committee Meeting Agenda
  Post Retiree Health Plan Selection Committee Meeting
• Selection Committee Meeting for Administration of FMLA Program April 8, 2024
  Meeting materials for Selection Committee Meeting for Administration of FMLA Program April 8, 2024
• Selection Committee Meeting for Administration of FMLA Program January 19, 2024
  Meeting materials for Selection Committee Meeting for Administration of FMLA Program January 19, 2024
• Selection Committee Meeting for Employee Dental Plan RFP December 12, 2024
  Meeting materials for Selection Committee Meeting for Employee Dental Plan RFP December 12, 2024
• Selection Committee Meeting for Employee Voluntary Plan RFP November 21, 2024
  Meeting materials for Selection Committee Meeting for Employee Voluntary Plan RFP November 21, 2024
• Selection Committee Meeting for Life, Accidental Death and Dismemberment and Long Term Disability Plans RFP December 17, 2024
  Meeting materials for Selection Committee Meeting for Life, Accidental Death and Dismemberment and Long Term Disability Plans RFP December 17, 2024
• Selection Committee Meeting for Life, Accidental Death and Dismemberment and Long Term Disability Plans RFP December 24, 2024
  Meeting materials for Selection Committee Meeting for Life, Accidental Death and Dismemberment and Long Term Disability Plans RFP December 24, 2024