Human Resources Department - 2019 Summary Of Employee Benefits

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This page contains information about the various benefits available effective April 1, 2019. If you have specific questions concerning your benefits, please contact the Human Resources Department at 608-7800.

2019 Benefit Booklet

Children’s Health Insurance Program (CHIP) Notice


Health First Website 
Health First Quick Start Guide
Health Insurance Opt-Out Incentive Form
Prescription Formulary
Vision Care Rider
Nurse24 Program
Active & fit Program

Health First HMO

Health First HMO Schedule of Benefits
Health First HMO Summary of Benefits and Coverage
Health First Health Plans HMO Contract

Health First POS

Health First POS Schedule of Benefits
Health First POS Summary of Benefits and Coverage
Health First Health Plans POS Contract


Delta Dental Website

Choose Your Plan
Find a Dentist
Delta Dental PPO - Get the Most From Your Delta Care USA Plan
Where's My ID Card?
Keep Your Smile Connected
Why Get Dental Coverage
Estimate Your Costs
How to Sidestep Dental Dangers
Keep your Breath Fresh
You and Your Gums
What You Should Know About Oral Cancer

Flexible Spending

TASC Website
Flexible Spending Account (FSA)
Eligible Expenses
Flexible Spending Change of Election Form
FSA Sample Deductions
Dependent Care Sample Deductions
TASC Card Tips
Mobile Tools

457 Plans

Nationwide 457 Plan Loan
Nationwide 457 Plan Brochure
Nationwide Roth 457 Info Sheet
Nationwide 457 Enrollment Form with Roth Option
Nationwide Deferred Compensation Plan Participation Agreement & Service Request
Nationwide Retirement Solutions - Name, Address, Beneficiary Change form

Short-Term Disability

Benefit Summary Evidence of Insurability Rate Calculation Short Term Disability Claim Form

Life Insurance

Life Insurance Online Evidence of Insurability (EOI) Completion (Policy #: 34074 | Access Key: Melbourne)
Life Insurance Certificate
Plan Summary - Group Term Life and AD&D Insurance
Beneficiary Designation

Benefit Extras

Legal, Travel, Legacy and Beneficiary Financial Counseling

Long Term Disability

Long Term Disability Evidence of Insurability Application
Long Term Disability Overview
Long Term Disability Certificate - Non Safety
Long Term Disability Certificate - Safety
How to file a Long Term Disability Claim

Florida Retirement System

Ready. Set. Retire!
Florida Retirement System Orientation Brochure
Florida Retirement System Benefit Comparison Summary
Resource Flyer
DROP Guide
Reemployment Tables
Florida Retirement System State University System SUSORP - Eligible Employees
Pension Plan Member Handbook
Investment Plan Handbook

Family Medical Leave Act (FMLA)

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

Employee Assistance Program