Employment Benefits

Employee Benefits 

2025 Open Enrollment : May 1st - 16th, 2025

IMPORTANT FAQS:

• If you are NOT making changes to your benefits, no action needs to be taken UNLESS 
  you cover a spouse on your medical plan - see spousal coordination of benefits section below. 
• No documents will be accepted after May 16th, 2025 
• All documents should be returned to humanresources@dover.de.us or the drop box 
  located in the lobby at 5 E. Reed St.  

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Memo to Active Full-Time and eligible Part-Time Employees and 2025 Rates (PDF) 

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Medical Open Enrollment (Highmark or Aetna)

Summary of Benefits - Highmark BCBS - First State Basic (PDF)

Summary of Benefits - Highmark BCBS - Comp PPO (PDF)

Summary of Benefits - Aetna HMO and CDH Gold  (PDF)

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Spousal Coordination of Benefits - Medical Only

Employees who cover spouses on any State of Delaware medical plan is required to complete 
the spousal coordination of benefits each year.

Spousal Coordination of Benefits Form (PDF)

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Dental Open Enrollment (Delta Dental) 

Summary of Benefits - Delta Dental (PDF)

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 Vision Open Enrollment (Vision Benefits of America

  Summary of Benefits - Vision Benefits of America (PDF) 

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Supplemental Life Insurance (UNUM and/or TransAmerica)

Summary of Benefits - TransAmerica (PDF)

Summary of Benefits - UNUM (PDF)

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457 Changes - DOE and IBEW Employees ONLY 

Per the DOE, AFSCME, & IBEW Union Contracts: 

"Each May during Open Enrollment, employees will have the opportunity to change their 
contribution to the 457 plan. The change will be effective July 1st, 2025 and irrevocable until the 
following July 1st, 2026. " 

All Non-Bargaining and AFSCME Employees can change their 457 contributions during this open enrollment 
period. 

Effective 7/1 all Non-Bargaining Employee's 401 contribution plan will change to 6%. 
THIS WILL BE MANDATORY.  

If you are interested in changing your contribution to the Mission Square or Nationwide 457 plans, 
please complete the forms below. 

*DOE Union Contract July 1st, 2024 - June 30, 2027, Section 25. 401 Retirement Contribution

*IBEW Union Contract July 1st, 2024 - June 30, 2027; Section 42.  401a Money Purchase Plan

*AFSCME Union Contracts July 1st, 2024 - June 30, 2027; Article 34. 401 Retirement Contribution (Deferred Income) 

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Documents can be returned in-person, email: humanresources@dover.de.us  
or the drop box located in the lobby at 5 E. Reed St. 

 If you would like to make changes to your benefits please complete the required forms below.

 If adding a spouse a copy of the marriage certificate and social security card is required.

 If adding a child/dependent a copy of the birth certificate and social security card is required.

DOCUMENTS

 Highmark Enrollment/Disenrollment Form (PDF)

 Aetna Enrollment/Disenrollment Form (PDF)

 Delta Dental Enrollment/Disenrollment Form (PDF)

Vision Benefits of America Enrollment/Disenrollment Form (PDF)

TransAmerica Life Insurance Enrollment/Disenrollment Form (PDF)

UNUM Life Insurance Enrollment/Disenrollment Form (PDF)

Mission Square 457 Enrollment/Changes Form (PDF)

Nationwide 457 Enrollment Form (PDF)

2025 HOLIDAY SCHEDULES BY UNION

2025 AFSCME, DOE, NB Holiday Schedule (PDF)

2025 FOP Holiday Schedule (PDF)

2025 IBEW Holiday Schedule (PDF)