• Retiree Insurance Program Handbook
• Early Retiree Benefits Guide FY27
• Early Retiree Benefits Guide FY26
• Medicare Retiree Open Enrollment Guide FY26

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 Open Enrollment 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
• Standard Life Insurance Retiree Beneficiary Form:  Complete this form to change/update the beneficiaries of your City life insurance
• Standard 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.

• July 1, 2025 - The City's carrier for life insurance, The Standard, has issued a graduated increase to retiree supplemental life insurance premium rates. Your monthly premium rates have increased from $0.40 per $1,000 of coverage to $0.56 per $1,000 of coverage, effective July 1, 2025. Click here to view the full letter.

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