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:
- Print the form and complete by hand, OR;
- 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
Florida Blue forms and benefit summary
Enhance your benefits through flexible spending accounts, and save money
To elect new coverage through Florida Combined.
Vision Insurance is essential to any benefits package.
Complete benefits package with Dental Insurance.
Complete benefits with Supplemental Insurance.
Plans are a great way to take advantage of federal tax credits.
We are available to answer any questions you may have pertaining to your benefits and health insurance
Call, Fax or Email Us