For your convenience, all benefit forms are now available online. Each form comes in an easy to read and use pdf format.

The forms maybe completed in one of two ways:

  1. Print the form and complete by hand, OR;
  2. Complete the form on your computer, then print and sign.

Send completed forms via interoffice mail, postal service, or in person, to the County’s benefits staff representative listed in the Contact information of this website. FORMS MAY NOT BE ELECTRONICALLY TRANSMITTED


IF YOU NEED ASSISTANCE WITH A HEALTH COVERAGE OR A CLAIM ISSUE, CONTACT 850-266-7939 at 850-266-7939.



Benefits Information and Forms


BCBS Florida

Florida Blue forms and benefit summary

Forms

Cafeteria Plan

Enhance your benefits through flexible spending accounts, and save money

Forms

Life Insurance

To elect new coverage through Florida Combined.

Forms

Vision

Vision Insurance is essential to any benefits package.

Forms

Dental

Complete benefits package with Dental Insurance.

Forms

Supplemental

Complete benefits with Supplemental Insurance.

Links

Deferred Comp

Plans are a great way to take advantage of federal tax credits.

Links

Contact

We are available to answer any questions you may have pertaining to your benefits and health insurance

Call, Fax or Email Us


HealthiestYou Registration and Info


Registration

If you are not insured by the county register here.

Every dependent and spouse needs to be registered as well.

Registration

What is HY

Learn how we make it easy for you.

How to use HY

How to use the HY App

How you save with HY

How to request a consultation


Download HY App here:

Download Nudge App Here: