On July 1, 2026, retiree supplemental life insurance premium rates are increasing from $0.56 per $1,000 of coverage to $0.82 per $1,000 of coverage. For more information, read our notice of this change.

• Retiree Insurance Program Handbook
• Early Retiree Benefits Guide FY27 (July 1, 2026-June 30, 2027)
• Medicare Retiree Open Enrollment Guide FY26 (January 1-December 31, 2026)

If you are turning age 65 soon, please contact Medicare to apply for Medicare Parts A&B. Enrollment in Medicare Parts A&B makes you eligible to enroll in one of the City’s Medicare Advantage Plans with United Healthcare or Kaiser Permanente, which will lower your monthly premiums. If you are interested in comparing the various Medicare options, find additional resources. For more information, please contact DHR.Benefits@alexandriava.gov.

Health Insurance for Early Retirees (those under age 65)

• Kaiser HMO for Retirees Summary of Benefits and Coverage FY27
• Kaiser DHMO for Retirees Summary of Benefits and Coverage FY27
• Kaiser CDHP for Retirees Summary of Benefits and Coverage FY27
• UnitedHealthcare Choice Summary of Benefits and Coverage FY27
• UnitedHealthcare Choice Plus Summary of Benefits and Coverage FY27
• UnitedHealthcare CDHP Summary of Benefits and Coverage FY27
• UnitedHealthcare Prescription Drug List May 2026
• UnitedHealthcare Overview Video

Dental and Vision Insurance for Early Retirees (those under age 65)

• Aetna Dental and Vision Plan Overview

Life Insurance

• Group Life Insurance Certificate

All forms should be submitted to the Department of Human Resources Benefits Division by mail at 2331 Mill Road, Suite 301, Alexandria, VA 22314 or by email at DHR.Benefits@alexandriava.gov

• Early Retiree FY 2027 Open Enrollment Forms
• Retiree Information Form (Fillable):  Complete this form to update your address and contact information on file with the City
• Retiree Medical Insurance Reimbursement Statement ("the blue form"):  Complete this form to request reimbursement for premiums you pay for non-City sponsored medical insurance
• Banking Form:  Complete this form to allow the City to debit your bank account for health and/or life insurance premiums and/or credit your account for medical insurance reimbursements.  NOTE:  You must send a voided check along with this form.
• Life Insurance Retiree Beneficiary Form:  Complete this form to change/update the beneficiaries of your City life insurance
• Life Insurance Termination Form:  Complete this form to terminate your supplemental and/or dependent life insurance coverage
• Life Insurance Claim Form:  If a retiree who had life insurance coverage under the City's policy has died, the beneficiary(ies) should complete this form and submit it and the retiree's death certificate to the Department of Human Resources at the address below.

City of Alexandria Department of Human Resources Benefits Division

2331 Mill Road, Room 301
Alexandria, VA 22314
703.746.3777 - FAX: 571-867-9087 - TTY: 703.838.5035 - VA Relay Services 711
Email: DHR.Benefits@alexandriava.gov 

HIPAA Notice of Privacy Practices

Transparency in Coverage:  Machine-readable files containing data from the City's self-insured plan (i.e., United Healthcare plans for pre-65 retirees), including in-network negotiated payment rates and historical out-of-network charges for covered items and services, including prescription drugs. Data in machine-readable files is updated monthly.