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:
 Employee Benefits



 




RISK: Benefits
(Administered by the RISK Management Division)

Health Coverage:  Blue Cross Blue Shield

Premiums Effective 10/1/2007

BlueChoice-PPO 
Benefit Information
 

Bi-Weekly Contributions

Monthly Premiums
Coverage Type Employee County Total Employee County Total
Employee Only $0.00 $223.70 $223.70 $0.00 $447.39 $447.39
Employee + Family $62.50 $501.78 $564.28 $125.00 $1003.56 $1128.56
Medical Claim Form
RX Claim Form
Medical FSA Reimbursement
Dependent Care FSA Reimbursement

www.bcbsfl.com

Dental Coverage: Ameritas Group Dental    
Benefit Information
 

Bi-Weekly Contributions

Monthly Premiums
Coverage Type Employee County Total Employee County Total
Employee Only $0.00 $8.32 $8.32 $0.00 $16.64 $16.64
Employee + Family $18.24 $8.32 $26.56 $36.48 $16.64 $53.12
Ameritas Dental Form

www.ameritasgroupdental.com



Life Insurance: The Standard
  Benefit Amount Employee County
Basic Life AD&D $20,000 $0.00 $5.00
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

  • Aflac

  • Allstate Workplace

  • Colonial

  • CompBenefits

  • EyeMed Vision Care

  • Long Term Care

  • Prepaid Legal Services

  • The Standard-LTD