Manager:
Al Delaparte

Employee Benefits Coordinator:
Debbie Sellers

Address:
P.O. Box 1366
477 Houston Street
Green Cove Springs FL
32043

Phone:
(904)529-4718
(904)278-4718
Fax: (904)278-3611

RISK Links:
Comparative Survey of Health Insurance Contributions

Employee Benefits

Retiree Benefits

 




RISK: Benefits
(Administered by the RISK Management Division)

Special Enrollment Information

HSA


Medical
Benefits (www.bcbsfl.com)

BlueChoice-PPO 

 
Benefit Information

Health/Dental Provider Search
 

Claim Forms: Medical     RX
   
FSA Reimbursement: Medical  HSAFSA Qualified Expenditurs Dependent Care

Bargaining Unit Contributions (Effective 10/01/2009):

Prior to 10/01/08 Hire Date    
    Monthly Premiums
  Employee County Total
Blue Choice PPO 716      
Single $0.00 $491.06 $491.06
Family $140.00 $1,099.56 $1,239.56
       
After 10/01/08 Hire Date Employee County Total
Blue Choice PPO 716      
Single $50.00 $441.06 $491.06
Family $350.00 $889.56 $1,239.56

Non-Bargaining Unit Contributions (Effective 01/01/2010):

  Monthly Premiums
  Employee County Total
Blue Choice PPO 716      
Single $139.27 $351.79 $491.06
Family $621.55 $618.01 $1,239.56
Blue Options PPO      
Single $50.00 $416.51 $466.51
Family $350.00 $827.58 $1,177.58
Health Savings Account (Blue Options Network)  
Single $25.00 $351.79 $376.79
Family $225.00 $618.01 $843.01

Dental Coverage: FCL/Blue Cross Blue Shield     
Benefit Information

 Locate a Dentist: http://myportal.bcbsfl.com/wps/portal/opd

Dental Coverage: FCL/BCBS

 

LOW

 

HIGH

EE

County

EE

County

SINGLE

0

12.11

5.17

12.11

FAMILY

26.51

12.11

43.02

12.11

 

www.bcbsfl.com


Life Insurance: The Hartford 
  Benefit Amount Employee County
Basic Life AD&D $20,000 $0.00 $3.80
Additional Life $10,000-$150,000 $3.00 per $10,000 $0.00
Dependent Life $10,000 Spouse
$4,000 Child(ren)
$1.76 $0.00
Beneficiary Form


Section 125 Plan: 
Provides health and life insurance benefits on a non-taxable basis.


Optional Benefits
Optional Benefits are at the cost of the employee