Employee Benefits

Effective 1/1/2011

The EPO Option (Catastrophic HMO) is the only medical plan option for newly hired or rehired employees. Enrollment into a different plan type is limited to the annual enrollment period after a minimum of 12 months of continuous active employment.

Employees who fail to make a plan election will be enrolled into this plan with Employee Only coverage.

MEDICAL PLAN INFORMATION

Plan Description (SPD)	Benefit Schedule	Provider Network	Customer Service
Exclusive Provider Organization (EPO) Effective 1/1/2011 - Plan of Choice for new or rehired employees. Default Enrollment Plan	EPO Choice	Choice/Choice Plus	(866) 633-2446
HMO Choice 39	HMO Choice 39	Choice/Choice Plus	(866) 633-2446
Preferred Provider Organization (PPO)	PPO	Options PPO	(866) 633-2479

Register at myuhc.com for 24/7 access to claim information and other resources.

UnitedHealthcare On-site Representatives

Matt Jarsen

Stacey Brooks

(561) 434-8092 (PX 48092)

(561) 357-7564 (PX 47564)

Special Programs & Services

Diabetes Health Plan	The Diabetes Health Plan provides incentives to empower diabetics and pre-diabetics to take charge of their health and well-being.
Tobacco Cessation	The time to break the tobacco habit is 2011! Click here to find resources to help you! All new employees should complete and turn in a paper Tobacco Affidavit at the completion of the New Hire Orientation. If a form is not received, a $50 per month Tobacco Surcharge will be added to the 2012 medical plan premium.
Health Kiosk	The Health Kiosk makes it easy for you to “Know your Numbers”. The Health Kiosk is for the benefit of the School District Employees. The Kiosk will be placed at 4 different District locations throughout the year.
Half Tablet Program	Request a pill splitter for select medications. Read more about the program by clicking here.	(877) 471-1860
Prescription Mail Order (90-day Supply)	Order maintenance medication through mail order. 90-day supply for two co-payments!	Customer Service Number
NurseLine	Have questions, get answers - 24/7 access	(888) 229-9322
Behavioral Health	Counseling and support just a phone call away	Customer Service Number
Healthy Pregnancy	Expecting a new arrival! Sign up for great benefits and resources. Simply call UHC Customer Service!	Customer Service Number

Other Related Links

Benefits Reference Guide - 2011 Flexible Benefits Plan

Benefit Forms

Domestic Partner Enrollment Guidelines

Eligibility

Florida Adoption Benefit Program

Retiree Benefits

Section 125 Plan Document

VISION PLAN

Benefit Schedule	Provider Network	Customer Service
Vision Benefits	866-299-1358	866-723-0514

EyeMed Vision Care

Register at www.eymedvisioncare.com to access your plan information and find network providers

LIFE INSURANCE CERTIFICATES

Life Insurance Certificate

CIGNA Assurance Program

CIGNA Assurance Program provides counseling services to help you during difficult times.

Basic grief counseling, legal and financial guidance

Will Preparation Assistance

Identity Theft Assistance

Term Life Insurance Company of North America, a CIGNA company
www.cigna.com

Member Services Phone: 800-423-1282

CIGNA Assurance Program Phone: 800-570-3778

Identity Theft Hotline Phone: 888-226-4567
www.cigna.com\idtheft

For life insurance forms, please click on the link below and then "Life"

Life Insurance Forms

DISABILITY

Short Term Disability Certificate	Long Term Disability Certificate
Need to file a claims? It's as simple as making a phone call. Follow the easy step by step instructions for Paperless Claims Contact Information for Disability Income Protection Plans The Hartford Phone: (800) 741-4306 www.thehartfordatwork.com

FLEXIBLE SPENDING ACCOUNTS

Flexible Spending Accounts provide a tax-favored means for you to stretch your health care and dependent child/elder care dollars.

Flexible Spending Accounts (FSAs) features:

IRS approved reimbursement of eligible expenses tax-free
pre-tax deposits are made each pay period
savings on income and Social Security taxes
pay for anticipated expenses with your FSA funds

You may only be reimbursed for expenses incurred while you are actively enrolled and making contributions. Also, be conservative when you estimate your annual contribution amount. IRS regulations state that any unused funds cannot be returned to you or carried forward to the next plan year. To read more about Flexible Spending Accounts, click below.

Flexible Spending Accounts

Health Care Dependent Care (Day care/Elder care)

Links to other related information:

myFBMC CardSM Leave of Absence - how does it affect my FSA

FSA Claim Form (pdf) Getting FSA Answers

Direct Deposit Form

NEW ONLINE FSA CLAIMS SUBMISSION:

FBMC is pleased to announce online FSA claims submission through www.myFBMC.com. This process allows FSA participants the opportunity to submit, via the Web, a scanned image of a completed claim form along with scans of supporting documentation.

Submitting claims online gets reimbursement requests to FBMC faster than traditional mail, thus expediting the release of reimbursement funds back to participants. Further details and instructions are available here.

FBMC Customer Care Center (800) 342-8017 - Extended Service Hours until April 2011

Automated Service (800)865-FBMC (3262)

FBMC On-site Representative - Noileen Richardson (561) 434-7442

Claims Fax (866) 440-7145

EMPLOYEE ASSISTANCE PROGRAM - EAP

EAP has moved to our Wellness Events and Programs page or you may click on the link below.

Employee Assistance Program - EAP