Human Resources Department - 2017 Summary Of Employee Benefits

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This page contains information about the various benefits available effective April 1, 2017. If you have specific questions concerning your benefits, please contact the Human Resources Department at 608-7800.

2017 Benefit Booklet

2017 City of Melbourne Benefits Election Form

 

MEDICAL

http://www.health-first.org/

Health First Enrollment/Change Form

Health First Quick Start Guide 2017

Health First HMO

Health First HMO Summary of Benefits and Comparison 2017

Health First HMO Contract 2017

Health First PPO

Health First PPO Summary of Benefits and Comparison 2017

Health First PPO Contract 2017

 

DENTAL

www.deltadentalins.com

Choose Your Plan
Delta Dental Enrollment Form
Find a Dentist
Keep Your Smile
Get the Most From Your Delta Care USA Plan
Delta Dental PPO
Where's My ID Card?

 

FLEXIBLE SPENDING

www.tasconline.com

Flexible Spending Account (FSA)
Flexible Spending Account (FSA) Enrollment Form
Eligible Expenses
TASC Card Tips
Mobile Tools

 

457 PLANS

Nationwide 457 Overview
Nationwide 457 Plan Loan
Nationwide 457 Enroll Now

Nationwide Enrollment/Change Form

 

SHORT TERM DISABILITY

Madison National Enrollment Form
Benefit Summary
Evidence of Insurability
Rate Calculation

 

LIFE INSURANCE

Madison National Enrollment Worksheet
Life Insurance Certificate
Life Insurance Overview
Evidence of Insurability Application
Beneficiary Designation
Benefit Extras
     Legacy LifeSuite
     Legal LifeSuite
     Travel LifeSuite

 

LONG TERM DISABILITY

Long Term Disability Evidence of Insurability Application
Long Term Disability Overview
LTD Certificate - Non Safety
LTD Certificate - Safety

 

FAMILY MEDICAL LEAVE ACT (FMLA)

Certification of Health Care Provider - Employees
Certification of Health Care Provider - Family Members
Employee Rights and Responsibilities