2022 Open Enrollment (City of Gallup Employees Only)

Open Enrollment is here! The City of Gallup has opened a limited Open Enrollment period from August 1 to August 31, allowing you to make certain changes to your benefits. Completed forms must be turned in by 5 p.m. on Wednesday, August 31, 2022, in one of three ways: 

  1. via HR inbox at the Clerk's office
  2. email to Annie Davis at ADavis@GallupNM.gov or Marla Chavez at MChavez@GallupNM.gov.
  3. mail to the Human Resources Department 110 West Aztec Avenue, Gallup, NM 87301

 Please don't miss this opportunity if you:

  • Want to enroll in the group health, dental, vision, or life plan
    **Life Insurance is available for new employees during this enrollment period. 
  • Would like to explore benefit coverage options 
  • Want to know more about the Cafeteria Plan Healthcare Reimbursement
  • Want to make changes to existing coverage
  • Want to add/remove dependents to/from existing coverage
  • Have questions on existing plans, or are in need of any general information.

View 2022-2023 Insurance Rates

What's new

  • Sick Leave Bank Enrollment for qualified employees. 

Take Advantage!

  • Rate changes for health, dental, life, and vision insurance
  • Cafeteria plan health savings

Reminders

  • All Open Enrollment changes are due by 5:00 PM on Wednesday, August 31, 2022
  • Enrollment Changes are effective 10/01/2022
  • Payroll Deductions for October coverage begin in September 2022

OPEN ENROLLMENT PHONE INQUIRIES & SUPPORT

We encourage you to use telephone, email, and online resources if you are unable to attend. Insurance representatives for health, dental, and AFLAC will be onsite to answer all your enrollment questions. 

For BCBS Medical/Dental/Life and Cafeteria Plan inquiries, contact:

Medical (800) 432-0750
Dental (877)723-5697

Employees who are not covered by BCBS and want more information, contact:
Lori Bell, Blue Cross Blue Shield
(505) 301-5974
Monday - Friday, 8:30 AM - 5:00 PM

Janice Welch, Bubany Insurance Agency
(505) 863-9936
Monday - Friday 8:30 AM - 5:00 PM 

For Aflac inquiries, contact:
Elizabeth Coleman, Pino & Associates
(505) 488-2888
Monday - Friday 8:30 AM - 5:00 PM

OPEN ENROLLMENT EVENT

Insurance representatives for health, dental, and AFLAC will be available for enrollment questions. COVID-19 safe practices will be implemented. Contact Human Resources for more information at 863-1215 or ext. 11278.

Friday, August 19, 2022
9:00 AM - 4:00 PM

For more information or to schedule an appointment contact Human Resources at (505) 863-1215 or email: MChavez@GallupNM.gov or ADavis@GallupNM.gov.

Electronic forms are provided below or visit our Forms Center at Human Resources for paper copies.

Blue Cross Blue Shield

  1. City of Gallup BCBS EPO Plan_500 with Rx_100120
  2. City of Gallup BCBS Life Benefit Summary
  3. City of Gallup BCBS Life Benefit Summary - Police
  4. BCBS Health Enrollment/Change Form
  5. BCBS LIfe Enrollment/Change Form
  6. City-of-Gallup-BCBS-Dental-Benefit-Highlights

VSP

  1. VSP Benefits Summary
  2. VSP Enrollment/Change Form

Aflac

  1. Aflac Accident Brochure
  2. AFLAC Cancer Protection Assurance
  3. Aflac Critical Care Protection
  4. Aflac Plus Rider
  5. Aflac-CIty of Gallup Rates
  6. Aflac Payroll Deduction Authorization Form
  7. Aflac Salary Redirection Agreement Form

Cafeteria Plan

  1. City of Gallup Cafeteria Plan Enrollment Form

Voya

  1. Voya Enrollment Form
  2. Voya Payroll Election Change Form
  3. VOYA Online Enrollment Process

Sick Leave Bank

  1. Sick Leave Pool Enrollment Form rev.08.10.21