Flexible Spending Account

Flexible Benefits Program.

  • Home
  • Flexible Spending Account

Flexible Spending Forms

To change your benefit election, you must notify your benefit coordinator within 30 days of the qualifying event. 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.


Must be completed each year in order to pre-tax your premiums

Flexible Benefits Worksheet

Reimbursement Claim Form

Flexible Account Plan Document

For Cafeteria Plan Information please contact: 90° Benefits Ashleigh Ehlers and Christie Martin: 1-228-762-2500


What is an FSA??

an FSA, or Flexible Spending Account is a health care fund used to set aside pre-tax dollars for out-of-pocket healthcare expenses.

video image

Get in Touch with Us

Do not hesitate to call or email us with any issues.

Please contact Steve Manning of JO Services Insurance if you need any assistance with health or dental benefits, claims and general inquiries.

Steve Manning
Steve Manning

Client Advocate

850-266-7939 ext. 1


As your HR Benefits Coordinator, I'm excited to help you navigate your employee benefits package with ease. From healthcare to retirement, we've got you covered. Let's make the most of your benefits together!.

Judi Bishop
Judi Bishop

SRC Benefits Coordinator



Santa Rosa County has one of the best Benefit Packages in the Region. Take advantage of all that is offered.

Nealon Starr
Nealon Starr

Princial Agent

850-266-7939 ext.2


Need Help? Send Us a Message

Our support team will get back to you ASAP via email or phone.

Subscribe to receive future updates

We promise we will not spam your inbox with unnecessary e-mails.

Thank you for your subscription we will keep our emails short and useful!