Employee Open Enrollment


Welcome to the Annual Benefits Open Enrollment Website!

This page contains information about benefits and changes for 2023. Information about 2022 benefits may be found on the main Employee Benefits website.

Open Enrollment is an annual opportunity for eligible employees to review and make changes to their health benefits for the upcoming calendar year. 

During Open Enrollment, you may:

  • Change your health plan 
  • Add/remove dependents
  • Enroll HMO dependents on the GAP Plan (current dependent GAP coverage will continue)
  • Enroll or re-enroll in the Healthcare Flexible Spending Account and/or Dependent Care Flexible Spending Account
  • Apply for or change supplemental benefits
  • Enroll in a Health Savings Account if moving to the High Deductible Health Plan

*New employees hired on or after July 1, 2016 will be enrolled in the High Deductible Health Plan with a Health Savings Account for a minimum of two full plan years.

 2023 Health Plans

Please review the 2023 health plans completely to make an informed decision for you and your family.


We are pleased to announce, effective January 1, 2023, UMR will be the new administrator of our PPO, High Deductible, and Dental Plans. 
Who is UMR? Click HERE to learn more!
You can search for providers/facilities on UMR's network HERE. Simply follow the steps below:
1. Select "Find a Provider"
2. Select "UnitedHealthcare Choice Plus Network"
3. Scroll to the bottom of the page and select "View Providers"

High Deductible Health Plan

  • Premium change
  • Annual family deductible will increase from $2,950 to $3,000
  • Added out-of-network deductible $4,500 individual and $5,500 family
  • Reduced out-of-network benefit to 60% of usual and customary

PPO Plan

  • Premium change
  • Removed 4th quarter deductible carry over
  • Added out-of-network deductible $1,000 individual and $2,000 family
  • Reduced out-of-network benefit to 60% of usual and customary

 HMO (Point of Service) Plan

  • Premium change
  • Changed out of area network from Cigna to First Health

 Dental Plan

  • No plan changes 

Vision Plan

  • No plan changes

Health Insurance Premiums for 2023

Washoe County pays 50% of dependent coverage. For those employees who wish to cover their dependents, premiums are deducted each pay period on a pre-tax basis. Once you have elected coverage you will not be permitted to make a change until the next open enrollment period unless there is a qualifying event. The premiums shown below represent the employee’s share of dependent coverage cost per pay period.
*Domestic Partner premium is a post-tax deduction.

Health Savings Account

Washoe County will contribute annually $2,250 for employee only or $2,500 for employees with one or more dependents into a Health Savings Account for those who are enrolling or are currently enrolled in the High Deductible Plan.

What do you need to do?

  1. Discover your options and learn about the different health plans offered at Washoe County: Watch the High Deductible Health Plan/HSA presentation or the 2023 Health Benefits Overview presentation. 
  2. Consider the costs associated with each plan: Review the premium rates for 2023 and the Medical Plan Comparison.
  3. Compare plans by reviewing the Summary of Benefits for each plan offered: PPO, HDHP and HMO.
  4. Locate network providers on UMR's website (select the United Healthcare Choice Plus Network) for PPO and HDHP providers; Prominence Health Plan for HMO providers.
  5. Dental providers are with the Guardian Dental network; Dental Plan Summary
  6. Vision benefits are with Vision Service Plan (VSP); Vision Plan Summary.
  7. Review/update your life insurance beneficiary information in ESS: You may update your beneficiary designation at anytime, but open enrollment is a great time to review and update.
  8. Meet with American Fidelity: As a reminder, employees are required to meet with American Fidelity to enroll or re-enroll in Healthcare Flexible Spending Account and/or Dependent Care Flexible Spending Account; to enroll for voluntary dependent GAP coverage (HMO members); and enroll in the Health Savings Account if new to the HDHP.

    To make an appointment with an American Fidelity representative:  


  9. LAST STEP - ACTION REQUIRED: The Open Enrollment process is completed entirely online through ESS.

ALL employees must review their benefit plans and certify their enrollment status annually, even if you are not making a change.

For guidance, please access the ESS Open Enrollment Quick Reference Guide.





back to top