Eligibility Guidelines and Required Documents
Section 1557 Notification: Discrimination is Against the Law:
2019 FLORIDA BLUE HEALTH INSURANCE*
2019 UF HEALTH DIRECT CARE INSURANCE*
2019 DELTA DENTAL INSURANCE*
2019 EYEMED VISION INSURANCE*
*Rates are based on the Bargaining Unions/Units. Not all part-time employees are eligible for benefits. Benefits are based on the Bargaining Unit/Occupational Code which is determined by the Employee Services Department.
2019 STANDARD INSURANCE:
Basic, Supplemental & Dependent Life
WHO is your BENEFICIARY? In the event that a claim is to be filed, a current beneficiary on file will help expedite the claim process. Update your beneficiary by completing a new beneficiary form below to ensure that your beneficiary information on file is current. Print the form and hand deliver to Employee Benefits.
Life Insurance Beneficiary Forms:
2019 FLEXIBLE SPENDING ACCOUNT:
Medical, Dependent Care, Qualifoed Transportation & Parking
2019 TRICARE SUPPLEMENTAL PLAN
for MILITARY ONLY
2019 BENEFITS for EXTERNAL AGENCIES:
First Coast Workforce (FCW)
Jacksonville Housing Authority (JHA)
NorthEast Florida Regional Council (NEF)
2019 COBRA/HIPAA MANDATED BENEFITS
TASC is the COBRA administration for the City of Jacksonville. If you have any questions about your rights to COBRA continuation coverage, please contact TASC Customer Care by phone at (800) 422 4661, or by e-mail at COBRAService@TASConline.com
Customer service hours: 8:00AM to 5:00PM, Monday-Friday.
EMPOWER RETIREMENT PLANS
Plan Features and Highlights:
Summary Plan Descriptions:
HEALTH ADVOCATE EAP + WORK/LIFE PROGRAM
We have all experienced some type of personal problem or emotional crisis at one time or another. The Health Advocate EAP+Work/Life program is offered to all City of Jackonville employees at no cost. This program gives you access to a Licensed Professional Counselor or Work/Life Specialist for help with personal, family and work issues.
Help is Only a Phone Call Away 24/7!
EAP at a Glance: 24-hour Helpline: (904) 296-9436
• Confidential Assistance
• Diverse EAP Professionals
• Multiple Locations
• Problem Resolution Focus
• Referrals to Community Resources
• Balancing Work & Family Life
• Financial Problems & Legal Difficulties
• Workplace Conflicts
• Alcohol/Drug Abuse
• Managing Stress
• Coping With Grief or Loss
• Childcare and Eldercare Concerns
• Parenting Issues
What to do if someone you know is suicidal? Please call the National Suicide Prevention Lifeline at 1-800-273-8255
The Go365 program under HUMANA is designed to reward you for making healthy choices. You could be rewarded for a range of fitness, prevention, and education activities—anything from participating in 5k to completing a routine dental exam..
Bailey’s Powerhouse Gym is officially the City of Jacksonville's sponsored gym services with new plans/rates effective May 30, 2019.
* Add-on MUST be 15 years old and must enroll in the same package as the Employee/Retiree..
PLANS BASIC+ PLATINUM PLATINUM+
Employee Only $21.39 $32.39 $48.51
* First add-on $21.69 $21.59 $32.34
* Per additional add-on $16.04 $16.19 $26.95
BASIC PLUS Membership: Includes Access to all Bailey’s Gym Locations, 24-hour / 7 Days Per Week Access, Unlimited Cardio and Weight Equipment, 3 Guest Privileges per Month, Introductory Orientation Sessions, Sauna, Steam Room, Women’s Only Area and Stretch Room.
PLATINUM Membership: Includes Access to all Bailey’s Gym Locations, 24-hour / 7 Days Per Week Access, Unlimited Cardio and Weight Equipment, 6 Guest Privileges per Month, Introductory Orientation Sessions, Sauna, Steam Room, Women’s Only Area, Stretch Room, Basketball Court, Unlimited Group Fitness Classes, Children’s Play Area (ages 1-12), Unlimited Indoor Cycle Classes, Access to Athletic Training Room, and Unlimited Tanning.
PLATINUM PLUS Membership: Includes Access to all Bailey’s Gym Locations, 24-hour / 7 Days Per Week Access, Unlimited Cardio and Weight Equipment, 9 Guest Privileges per Month, Introductory Orientation Sessions, Sauna, Steam Room, Women’s Only Area, Stretch Room, Basketball Court, Unlimited Group Fitness Classes, Children’s Play Area (ages 1-12), Unlimited Indoor Cycle Classes, Access to Athletic Training Room, Unlimited Tanning, Unlimited Hydrotherapy Massage, and Unlimited Team Training Classes (Red Zone/Chaos).
The Enrollment or Cancellation form must be completed by the employee or retiree and emailed to the Employee Benefits office at email@example.com no later than the 25th of the month for the enrollment/cancellation to start/end on the 1st of the next month.
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