Open Enrollment

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.

There will be two in person open enrollment meetings this year, as well as six meetings held over Microsoft Teams. You do not need to register to attend a meeting. Open Enrollment Calendar

Key Changes and Highlights for 2024

Health Insurance

There will be a decrease in the employee premiums for both health plans BlueOptions 05770 and Blueoptions 05781.

The annual in-network deductible on the 05770 plan is decreasing from $500 to $300 and the in-network advanced imaging copayment is decreasing from $200 to $100.

Biweekly Premium	PPO Plan (05570)	per pay period decrease	HDHP (05781)	per pay period decrease
Employee	$39.19	$8.16	$9.28	$8.16
Employee + 1	$186.49	$39.82	$114.98	$39.82
Family	$262.90	$56.16	$162.08	$56.16

Flexible Spending Accounts Enrollment
- The Flexible Spending Account Adminstrator is Chard Snyder. 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 Chard Snyder to register and make a plan election. Please follow the registration instructions to make your plan election.
Dependent Verification documents are required to enroll or add dependents to your health insurance coverage
- Employees 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 copy by contacting Risk Management at (352) 337-6180

Open Enrollment Document and Plan Summaries

Overview
- Open enrollment document - important open enrollment information - Please read and share this information with your spouse and/or dependents
  
  Open Enrollment Meeting Schedule
  
  Rate Sheet 2024-25
Florida Blue Health Plan Summaries
- Alachua County Employees 2024 Benefit Summary.pdf
  
  Summary of Benefits and Coverage (SBC) will be posted when available.
  Plan 05770
  Plan 05781
Florida Combined Life Dental Plan Summaries
- BlueDental Care PS220 summary
  
  BlueDental Choice - Low Option summary
  
  BlueDental Choice - High Option summary
Humana Vision Summary
- Humana Vision Plan Summary
  
  Humana Provider Directory

Enrollment and Change Forms

All Forms are due back to Risk Management by July 31, 2024

Florida Blue Health Insurance
- Florida Blue Change form - add or drop dependents, change plans or cancel coverage
  
  Florida Blue Enrollment form - enroll in the health insurance plan
  
  Dependent Verification requirements - this form must be completed along with the required documents to enroll dependents in the health insurance plan
Florida Combined Life Dental Insurance
- Dental Enrollment Form - Use this form to enroll if you don't currently have dental insurance or if enrolling in PPO plan and canceling PS220 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. Use this form to change from high to low, or low to high option (please write this on form under remarks).
  
  Bluedental Care (PS220) change form - change form for managed care dental plan, use this form to add or drop dependents, or cancel your current PS220 dental plan.
Humana/CompBenefits Vision Insurance
- Vision Enrollment form - enroll in vision plan
  
  Vision change form - change form to drop coverage or add/delete dependents
UsableLIfe Insurance - Life Insurance and AD&D
- Beneficiary Change Form
  
  Life Change Form - use this form to decrease or cancel life insurance coverage, or to increase coverage without underwriting (this year only).
Chard Snyder 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 Chard Snyder portal to enroll. Please follow the step by step instructions, there are instructions for new participants and also for current participants.
  
  Chard Snyder registration and enrollment instructions
  
  Understanding your FSA
  
  FSA summary
Florida Blue
- eLearning Tool
Voluntary Supplemental Benefits (Board employees only)
- Voluntary Benefits Summary booklet
  Critical Illness, Accident (Standard)
  Legal and ID Theft Protection (Legalshield)
  Pet Partners Pet Insurance
  Pet Partners webinar - 7/10/24 at 1pm
  
  Standard enrollment form
  Standard Insurance Company change form
  Legalshield enrollment form
  Legal shield coverage termination form
Medicare D Creditable Coverage Notice
- This creditable coverage notice is for retirees, employees or covered spouses who are eligible for Medicare.
  
  Medicare D Creditable Coverage Notice

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Risk Management

Open Enrollment

Key Changes a​nd Highlights for 2024

Open Enrollment Document and Plan Summaries​

Enrollment and Change Forms

Key Changes and Highlights for 2024

Open Enrollment Document and Plan Summaries