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


Medical
Benefits (www.bcbsfl.com)

BlueChoice-PPO 

2009 Clinical Preventive Care Guidelines
Benefit Information

BlueChoice Network (PPO) or BlueOptions Network Blue: http://myportal.bcbsfl.com/wps/portal/opd

Claim Forms: Medical RX
   
FSA Reimbursement: Medical Dependent Care

Contributions:

Date of Hire Prior to 10/1/08

Bi-Weekly

Monthly Premiums

Coverage Type Employee County Total Employee County Total
Employee Only $0.00 $223.45 $223.45 $0.00 $446.89 $446.89
Employee + Family $70.00 $494.03 $564.03 $140.00 $988.06 $1128.06
   
Date of Hire After 10/1/08

Bi-Weekly

Monthly Premiums

Coverage Type Employee County Total Employee County Total
Employee Only $25.00 $198.45 $223.45 $50.00 $396.89 $446.89
Employee + Family $175.00 $389.03 $564.03 $350.00 $778.56 $1128.06

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