Open Enrollment for Plan Year 2024

Consumer Choice Plan

The Consumer Choice Plan is designed for employees and retirees who like the financial benefit of a Health Savings Account (HSA) and lower monthly premiums.

Health Center Plan

The Health Center Plan provides free and unlimited primary care services to plan members at the three Health Center locations.

Employee Health Centers

Southwestern Health Resources, a collaboration between Texas Health Resources and UT Southwestern Medical Center, is working with the City of Fort Worth to provide an exceptional addition to health care benefits for employees, retirees and their dependents.

For 2024, there are no changes to the medical plan options offered by the City of Fort Worth, which means employees and non-Medicare (pre-65) retirees will have the same two medical plan options already provided: the Health Center Plan and the Consumer Choice Plan

Since the same plan choices are being offered, that also means that employees and retirees who are making no changes to their current plan elections do not need to take any actions this year. Current elections will automatically be rolled over to the 2024 plan year.

However, if an employee has a flexible spending account (FSA), then they must re-enroll in that part of the health plan every year. It does not roll over.

View a comparison chart.(PDF, 141KB) 

Begin your open enrollment October 9th, 2024!

Step 1


Go to and create a log in.

Step 2

Choose Your Plan: 

Option 1: Health Center Plan; or
Option 2: Consumer Choice Plan

Step 3

Confirm all your healthcare and benefits plan selections including:



Download a "How To Guide"(PDF, 5MB) to the City's new open enrollment site.

Download a Spanish Only "How To Guide"(PDF, 4MB) to the City's new open enrollment site.


City of Fort Worth Health Vendors

Learn more about health partners who work with the City of Fort Worth.


Airrosti is a health care group whose providers specialize in high quality, outcome-based musculoskeletal care. Learn more.








 Accolade provides city employees with personalized health and benefits support. Learn more.







Delta Dental provides four dental coverage options, which are limited to certain networks and zip codes. Learn more.


Health Equity manages the City of Fort Worth's ;Health Savings Accounts (Consumer Choice Plan)




OptumRX is the City of Fort Worth's pharmacy benefit manager (PBM).







Southwestern Health Resources manages and oversees all City of Fort Worth health centers and satellite locations. (Health Centers)







SurgeryPlus is a supplemental additional benefit with each plan. They offer top board certified surgeons for hundreds of non-emergency surgeries.






TIAA oversees the city's 457 Deferred Compensation Plan, and offers regular financial workshops to city employees.


 Meritain Health, an Aetna company is the medical insurance provider for the City of Fort Worth, offering a full spectrum of health benefits programs to city employees.







UNUM is responsible for the city's long-term disability coverage.





Securian oversees the city's life insurance. Learn More