Department of Management Services

Resources

Health Benefits Summary Plan Descriptions, Summaries of Benefits and Coverages, and Premium Table

Premium Rates - January 2020 (Adobe PDF Document 70.78 KB)
 

Premium Rates - July 2019 (Adobe PDF Document 70.75 KB)
 

Premium Rates - January 2019 (Adobe PDF Document 9.75 KB) 

  
BCBS PPO Plan

PPO Group Health Insurance Plan Booklet and Benefits Document - Effective 1/1/19 (Adobe PDF Document 1.28 MB)

PPO Group Health Insurance Plan Booklet and Benefits Document [SPANISH] - Effective 1/1/19 (Adobe PDF Document 663.72 KB)

Summary of Clarification - Effective 3/9/18 (Adobe PDF Document 272.06 KB)

Summary of Material Modifications - Effective 1/1/18 (Adobe PDF Document 90.50 KB)

PPO Group Health Insurance Plan Booklet and Benefits Document - Effective 1/1/17 (Adobe PDF Document 1.16 MB)

2020 PPO Plan Brochure (Adobe PDF Document 938.39 KB)

2019 PPO Plan Brochure (Adobe PDF Document 1.23 MB)

2020 PPO Standard SBC [English] (Adobe PDF Document 539.62 KB)

2019 PPO Standard SBC [English] (Adobe PDF Document 530.27 KB)

2020 PPO HDHP SBC [English] (Adobe PDF Document 532.98 KB)

2019 PPO HDHP SBC [English] (Adobe PDF Document 945.16 KB)

2020 PPO Standard SBC [Spanish] (Adobe PDF Document 488.77 KB)

2019 PPO Standard SBC [Spanish] (Adobe PDF Document 493.44 KB)

2020 PPO HDHP SBC [Spanish] (Adobe PDF Document 487.28 KB)

2019 PPO HDHP SBC [Spanish] (Adobe PDF Document 837.11 KB)

Aetna HMO Plan Aetna Standard and High Deductible Summary Plan Description 2019 (Adobe PDF Document 3.80 MB)
Aetna Standard and High Deductible Summary Plan Description 2018 (Adobe PDF Document 1.41 MB)
2019 Aetna Standard HMO SBC  (Adobe PDF Document 624.85 KB)
2019 Aetna HDHP HMO SBC (Adobe PDF Document 621.13 KB) 

2020 Aetna HMO Benefit Guide (Adobe PDF Document 1.23 MB)

2019 Aetna HMO Benefit Guide (Adobe PDF Document 2.80 MB)

AvMed HMO Plan AvMed Standard and High Deductible Summary Plan Description 2019  (Adobe PDF Document 3.54 MB)
AvMed Standard and High Deductible Summary Plan Description 2018 (Adobe PDF Document 1.31 MB)

2020 AvMed Standard HMO SBC (Adobe PDF Document 213.29 KB)

2019 AvMed Standard HMO SBC  (Adobe PDF Document 214.79 KB)

2020 AvMed HDHP HMO SBC (Adobe PDF Document 213.51 KB)

2019 AvMed HDHP HMO SBC  (Adobe PDF Document 198.28 KB)

2020 AvMed HMO Benefit Guide (Adobe PDF Document 2.98 MB)

2019 AvMed HMO Benefit Guide (Adobe PDF Document 2.92 MB)

Capital Health Plan HMO CHP Standard and High Deductible Summary Plan Description 2019 (Adobe PDF Document 3.05 MB)
CHP Standard and High Deductible Summary Plan Description 2018 (Adobe PDF Document 1.43 MB)
2019 CHP Standard HMO SBC  (Adobe PDF Document 431.72 KB)
2019 CHP HDHP HMO SBC  (Adobe PDF Document 433.24 KB)
2019 CHP Medicare Standard SBC  (Adobe PDF Document 432.02 KB)
2019 CHP Medicare HDHP SBC  (Adobe PDF Document 435.14 KB)

2020 CHP HMO Benefit Guide (Adobe PDF Document 843.84 KB)

2019 CHP HMO Benefit Guide (Adobe PDF Document 460.54 KB)

UnitedHealthcare HMO UHC Standard and High Deductible Summary Plan Description 2019 (Adobe PDF Document 3.02 MB)
UHC Standard and High Deductible Summary Plan Description 2019 [Spanish] (Adobe PDF Document 1.14 MB)
UHC Standard and High Deductible Summary Plan Description 2018 (Adobe PDF Document 1.41 MB)
2019 UHC Standard HMO SBC  (Adobe PDF Document 871.37 KB)
2019 UHC Standard HMO SBC [Spanish] (Adobe PDF Document 841.28 KB)
2019 UHC HDHP HMO SBC (Adobe PDF Document 831.53 KB)
2019 UHC HDHP HMO SBC [Spanish] (Adobe PDF Document 809.49 KB)

2020 UHC HMO Benefit Guide (Adobe PDF Document 5.14 MB)

2019 UHC HMO Benefit Guide (Adobe PDF Document 1.72 MB)

  

CVS Caremark Prescription Drug Plan

2020 CVS Caremark Brochure (Adobe PDF Document 382.74 KB)

2019 CVS Caremark Brochure (Adobe PDF Document 357.24 KB)

CVS Caremark Standard Control Formulary (Adobe PDF Document 46.63 KB)
CVS Caremark Prior Authorization Process Flow (Adobe PDF Document 48.22 KB)

2020 CVS Caremark Benefit at a Glance Standard PPO (Adobe PDF Document 178.02 KB)

2019 CVS Caremark Benefits at a Glance Standard PPO (Adobe PDF Document 187.57 KB)

2020 CVS Caremark Benefits at a Glance High Deductible PPO (Adobe PDF Document 231.24 KB)

2019 CVS Caremark Benefits at a Glance High Deductible PPO (Adobe PDF Document 238.80 KB)

2020 CVS Caremark Benefits at a Glance Standard HMO (Adobe PDF Document 251.97 KB)

2019 CVS Caremark Benefits at a Glance Standard HMO (Adobe PDF Document 261.82 KB)

2020 CVS Caremark Benefits at a Glance High Deductible HMO (Adobe PDF Document 193.06 KB)

2019 CVS Caremark Benefits at a Glance High Deductible HMO (Adobe PDF Document 202.04 KB) 

CVS Caremark Brochure 90 Day Supply (Adobe PDF Document 173.70 KB)
CVS Caremark Brochure Emergency Medication Plan (Adobe PDF Document 56.63 KB)
CVS Caremark Brochure Value of Generics (Adobe PDF Document 46.99 KB)
CVS Caremark Brochure Minute Clinic Lower Your Blood Pressure (Adobe PDF Document 2.75 MB)

  

Shared Savings Program
Healthcare Bluebook Healthcare Bluebook Plan Brochure (Adobe PDF Document 682.79 KB)
SurgeryPlus SurgeryPlus Plan Brochure (Adobe PDF Document 1.57 MB)

  

Life Insurance Resources/Publications/Certificates
State of Florida Wrapper Contract - Group Term Certificate + Wrapper = Complete Group Life Certificate (Adobe PDF Document 286.53 KB)

Employee Group Term Life Insurance - Effective 05/01/2019 (Adobe PDF Document 334.83 KB)

Employee Group Term Life Certificate of Insurance - Effective 01/01/2019 (Adobe PDF Document 334.83 KB)

Retiree Group Term Life Certificate of Insurance - Effective 01/01/2016 (Adobe PDF Document 162.65 KB)

Legislator Group Term Life Certificate of Insurance - Effective 05/01/2019 (Adobe PDF Document 315.06 KB)

Legislator Group Term Life Certificate of Insurance - Effective 01/01/2016 (Adobe PDF Document 205.00 KB)

2020 Group Life Benefits for Active Employees (Adobe PDF Document 386.58 KB)

Group Life Insurance Benefits Summary Brochure (Adobe PDF Document 438.66 KB)

2020 Life Insurance New Hire Book (Adobe PDF Document 472.59 KB)

Life Insurance New Hire Book - Effective 03/2019 (Adobe PDF Document 477.35 KB)

2020 Group Life Insurance Benefits for Retirees (Adobe PDF Document 129.05 KB)

Group Life Insurance Benefits for Retirees (Adobe PDF Document 157.86 KB)

  

Dental Plan Brochures
Coverage Available to Active Employees and COBRA Participants Only

Ameritas

People First Plan Codes:
4021, 4022, 4023

2020 Ameritas Dental Plan Brochure (Adobe PDF Document 1.50 MB)

2019 Ameritas Dental Plan Brochure (Adobe PDF Document 270.50 KB)

CIGNA

People First Plan Code:
4034

2020 CIGNA Dental Plan Brochure (Adobe PDF Document 784.55 KB)

2019 CIGNA Dental Plan Brochure (Adobe PDF Document 3.50 MB)

Humana

People First Plan Codes:
4044, 4084

2020 Humana Dental Brochure (Adobe PDF Document 6.57 MB)

2019 Humana Dental Brochure (Adobe PDF Document 2.30 MB)

MetLife

People First Plan Codes:
4031, 4032, 4033

2020 MetLife Dental Brochure (Adobe PDF Document 931.57 KB)

2019 MetLife Dental Brochure (Adobe PDF Document 457.16 KB)

Sun Life Employee Benefits

People First Plan Codes:
4025, 4074

2020 Sun Life Prepaid Dental Plan Brochure (Adobe PDF Document 440.65 KB)
2020 Sun Life PPO Dental Plan Brochure (Adobe PDF Document 1.76 MB)

2019 Sun Life Prepaid Dental Plan Brochure (Adobe PDF Document 809.88 KB)  
2019 Sun Life PPO Dental Plan Brochure (Adobe PDF Document 2.03 MB)   

  

Vision Insurance Plan Brochure

2020 Humana Vision Plan Brochure (Adobe PDF Document 2.34 MB)

2019 Humana Vision Plan Brochure (Adobe PDF Document 1.02 MB)

 

Other Supplemental Plans
Aflac

2020 Aflac Cancer/Hospital Intensive Care Insurance Plan Brochure (Adobe PDF Document 2.83 MB)

2019 Aflac Cancer/Hospital Intensive Care Insurance Plan Brochure (Adobe PDF Document 3.51 MB)

Cigna Health & Life Insurance Company (CHLIC)

2020 CHLIC Hospitalization Plan Brochure (Adobe PDF Document 1.17 MB)

2019 CHLIC Hospitalization Plan Brochure (Adobe PDF Document 1.17 MB) 

Colonial Life & Accident Insurance Company

2020 Colonial Life Accident/Cancer/Disability Insurance Plan Brochure (Adobe PDF Document 1.39 MB)

2019 Colonial Life Accident/Cancer/Disability Insurance Plan Brochure (Adobe PDF Document 1.46 MB)

New Era Life Insurance Company

2020 New Era Hospitalization Insurance Plan Brochure (Adobe PDF Document 1.73 MB)

2019 New Era Hospitalization Insurance Plan Brochure (Adobe PDF Document 4.38 MB)

  

Savings and Spending Accounts
HRA Standard SBC (Adobe PDF Document 222.09 KB)
HRA Retiree Standard SBC (Adobe PDF Document 225.07 KB)
HRA Post Deductible SBC (Adobe PDF Document 223.79 KB)
HRA Retiree Post Deductible SBC (Adobe PDF Document 223.86 KB)
Flexible Spending and Health Savings Account Publications and Videos
Mobile App (VIDEO) (Windows Media Video) Chard Snyder Benefit Card (VIDEO) (Windows Media Video) Flexible Spending Account (VIDEO) (Windows Media Video) Health Savings Account (VIDEO) (Windows Media Video)
Chard Snyder 2019 Savings and Spending Accounts Guide (Adobe PDF Document 863.53 KB)
Healthcare FSA Estimator: estimate your out-of-pocket health, dental and vision costs, and see the possible federal tax savings if you use this account to pay for those expenses with pre-tax dollars.
Limited Purpose FSA Estimator: estimate your tax savings from using the account for out-of-pocket dental, vision and over-the-counter medication costs if you are leaning toward enrolling in a High Deductible plan and a Health Savings Account (HSA).
Dependent Care FSA Estimator: estimate your possible tax savings when you use this pre-tax account for eligible dependent care expenses so that you can work.

  

Dependent Verification Additional Resources
Additional Member Resources (Adobe PDF Document 738.70 KB)
Additional Member Resources for Adults (Video) Additional Member Resources for Children (Video) Additional Member Resources for Medicare Population (Video)

  

Other Publications
State of Florida Employee New Hire Flyer (Adobe PDF Document 181.24 KB)
State of Florida Employee and Retiree Benefits Guide
State Group Insurance Benefits Package for New Retirees (Adobe PDF Document 830.87 KB)
Options to Continue Benefits for Laid Off Career Service Employees (Adobe PDF Document 285.77 KB)
Special Notice about Medicare Part D (Adobe PDF Document 80.57 KB)
State Group Insurance Privacy Notice (Adobe PDF Document 125.51 KB)
SMS and SES Disability Income Plan Certificate - Effective Jan 1, 2016 (Adobe PDF Document 363.21 KB)
Qualifying Status Change Event Matrix - Effective Jan 1, 2018
The Wellness Wire

  

Frequently Asked Questions (FAQ)
FAQs about Health Insurance FAQs about Flexible Spending Accounts (Adobe PDF Document 167.58 KB)
FAQs about Life Insurance FAQs about Health Reimbursement Accounts (Adobe PDF Document 160.47 KB)
FAQs about the Prescription Drug Plan FAQs about Health Savings Accounts (Adobe PDF Document 160.91 KB)
FAQs for Active Employees FAQs for IRS Reporting
FAQs for Retirees FAQs for Quality Assurance Review of Dependent Eligibility (Adobe PDF Document 217.47 KB)