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.



Dental Insurance


Enrollment Form

Group Member Life & Dental Enrollment.

Download Form

Change Form

Changes to your existing BlueDental policy

Download Form

BlueDental ChoicePlus

Maintain your good oral health.

Dental Customer Service

By Mail: Dental Claims:P.O. Box 1047, Elk Grove Village, IL 6009-1187

Call Us: BlueDental Choice Products:1-888-223-4892 or BlueDental Care Products:1-877-325-3979