July is Open Enrollment for Alachua County employees; this is the time to review your benefits, make changes to your insurance elections for the upcoming plan year and enroll or re-enroll in the flexible spending accounts.
The benefit elections you make continue through the plan year (October 1 - September 30), and cannot be changed unless you experience a qualified life or family status change.
Open enrollment meetings will be held over Zoom. You do not need to register to attend a meeting.
Key Changes and Highlights for 2022
The current BlueOptions 05770 and
Blueoptions 05781 plans will not change although there will be a premium increase.
|Employee + 1
Flexible Spending Accounts Enrollment
Employees who wish to participate or continue to participate in either the medical or dependent care FSA plan must enroll annually during Open Enrollment. Please go online to Prime Pay to register (if enrolling for the first time) and make a plan election. Board employees who are currently participating need to log into their account and make a new election. Library, Sheriff, Property Appraiser and Clerk employees need to register as a new user. Please follow the Prime Pay instructions to make your plan election.
Dependent Verification documents are required to enroll or add dependents to your health insurance coverageEmployees who are newly enrolling dependents in the health insurance will have to provide copies of the required dependent verification documents and complete the dependent verification form. A list of eligible dependents and accepted documents can be found here. If required documents are not provided, you will not be able to enroll your dependents. A 30 day grace period will be allowed to provide the dependent verification documents.
Summary of Benefits and Coverage
The summary of benefits and coverage is a health plan informational document required under the Affordable Care Act and will help you understand your benefits and coverage.
The summary of benefits and coverage can be viewed online after July or you can request a paper copy by contacting Risk Management at 374-5297 or 337-6180.
Open Enrollment Document and Plan Summaries
Open Enrollment Document - important open enrollment information - Please read and share this information with your spouse and/or dependents
Florida Blue Health Plan Summaries
Summary of Benefits and Coverage (SBC) will be posted when available.
Florida Combined Life Dental Plan Summaries
BlueDental Care PS220
BlueDental Choice - High Option
Humana Vision Summary
Enrollment and Change Forms
All Forms are due back to Risk Management by July 31, 2022
Florida Blue Health Insurance
Florida Blue Change form - add or drop dependents, cancel coverage
Florida Combined Life Dental Insurance
Dental Enrollment Form - enroll in the dental plan
Bluedental Choice PPO high or low option change form - change form for PPO dental plan, use this form to add or drop dependents, cancel your dental plan, change from high to low, or low to high option.
Humana/CompBenefits Vision Insurance
Vision change form - change form to drop coverage or add/delete dependents
UsableLIfe Insurance - Life Insurance and AD&D
Life Change Form
- use this form to decrease or cancel life insurance coverage, or to increase AD&D coverage.
Prime Pay Flexible Spending Accounts Enrollment
Employees must enroll in the flexible spending accounts with a new dollar amount each year. You must go online to the Prime Pay portal to enroll. Please follow the step by step instructions, there are instructions for new participants and also for current participants.
Prime Pay enrollment instructions
Prime Pay guide
Voluntary Supplemental Benefits (Board employees only)
Critical Illness, Accident (Standard)
Legal and ID Theft Protection (Legalshield)
Medicare D Creditable Coverage Notice
This creditable coverage notice is for retirees, employees or covered spouses who are eligible for Medicare.