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2023 Benefits

Annual Enrollment for the 2023 Plan Year will be held October 13 to October 21, 2022.

2023 Benefits Overview Guide

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Your benefits will remain the same in 2023 unless you make changes, except for Flexible Spending Accounts. If you would like a Medical, Limited, or Dependent Care FSA in 2023, you must enroll online during Annual Enrollment.

Dependent Matrix

HSA Contribution Calculator

2023 IRS Maximums
Employee Only Employee + Spouse Employee + Child(ren)
$3,850.00 $7,750.00 $7,750.00


Life Insurance Beneficiary Change
Beneficiary Change Form

Verification of employer-sponsored coverage - for newly-elected waiver plans:
Verification of Employer Sponsored Health Coverage Form

Paper forms if unable to enroll online or if married to another County employee:
MC Enrollment Form 2023
ADAMHS Enrollment Form 2023
Public Health Enrollment Form 2023
DDS Enrollment Form 2023

All forms including verification forms and dependent eligibility documentation for newly-added dependents (view dependent eligibility) must be received by the Benefits team by 5:00 pm on October 21, 2022. Forms can be submitted via email at, or delivered to HR at the Administration Building, 9th floor.

For questions about your benefits, please contact the Benefits Office at (937) 225-4018 or by email at