WP2018 Retiree Index

WP-2018 Retiree Index

2018 INFORMATION FOR

 

 

The information provided herein is a summary of a portion of our benefits plans.  Should there be a discrepancy between this information and the Medical Summary Plan Description (SPD) or specific contracts for benefits, the SPD or contracts prevail.

 

 

If you cannot find the answers to your questions after reviewing the items below, please contact Lucas.Deborah@brevardschools.org  or call (321)-633-1000, extension 648.   

 

To review your benefits at any time, click here: www.easybenefits.com

 

The information provided herein is a summary of a portion of our benefits plans.  Should there be a discrepancy between this information and the Summary Plan Description (SPDs) or specific contracts for benefits, the SPDs or contracts prevail.

 

 

PLANS INFORMATION MISCELLANEOUS INFORMATION

Medical 

 

Pharmacy 

 

Dental  *Note New Dental Company for 2017

 

Vision 

 

Life Insurance

 

  

 

FORMS

 

Authorization for Release of Health
Information
 
 

 

Benefits Enrollment Form 2018

 

Benefits Enrollment Form 2017

 

Life Enrollment Form

 

Affidavit for Spouse

 

Affidavit Age 26-30 Dependent for OE 2018

 

Affidavit Age 26-30 Dependent for OE 2017

 

Retiree Beneficiary Change Form

 

Retiree FRS - TASC Deduction Authorization Form

 

 

 

Medical Appeal Process

 

Benefits Guidebook

 

CMS (Medicare) Secondary Payer to CIGNA

 

Creditable Coverage Disclosure Notice - Medicare

 

Flu Vaccination Participating Pharmacies

 

Preferred Health Centers Listing

  

Procedures for Retiring Employees

 

Retiree Benefit Rates

 

Vendor Phone Numbers & Websites

 


FSRBC - 65 AND OVER

UNDER 65 WITH MEDICARE

If you are a retireee who is 65 and over,

please contact FBMC at 1-855-443-7722

Monday-Friday 7 a.m - 7p.m. OR visit them online at www.myfbmc.com.

 

 

 NOTE: 

Humana Dental Group Number 35974   

  

Each of the items below were discussed in the

Retiree Open Enrollment briefing as part of the

overall presentation.  

 

 

 

 

United Healthcare Plans

 

  

 

Health First Plans

  

 

 

MAIL OUTS 2018

 

Retiree Postcard Mailed

Open Enrollment Password and Instruction Letter

Retiree Enrollment Form

Affidavit - Dependent 26-30 (non-disabled)

Spousal Affidavit

 

 

 

2018 INFORMATION 

New Requirements for Reduced Calander-Year Deductible in the BPS Health Plan

 

 

"NEW" for 2018 Benefit Guide book

 

 

  

 

 

 

  

 

 

 

 

Benefits Homepage