Benefits

You can download the current Contract by clicking on the links below:

2021 Dental HMO Plan ( 674.06 KB)

2021 Dental PPO Plan ( 626.83 KB)

2021 Medical Plan ( 2876.47 KB)

2021 Summary of Benefits Coverage ( 329.23 KB)

2022 Accident and Hospital Indemnity Brochure ( 8681.54 KB)

2022 Group Accident Insurance Certificate ( 725.58 KB)

2022 Group Hosp Indemnity Certificate ( 625.72 KB)

2022 HIPAA OPT-OUT NOTICE ( 89.22 KB)

2022 Medical Plan ( 1256.44 KB)

2022 Summary Plan Description ( 331.06 KB)

EAP Provider List ( 681.46 KB)

Humana Vision Plan ( 2421.99 KB)

List of Lab Tests Performed in Wellness Center Laboratory ( 86.42 KB)

List of Medications from Wellness Center ( 164.44 KB)

New Health Insurance Marketplace Coverage Notice ( 269.70 KB)

Notice of Privacy Practices ( 47.75 KB)

Recommended Annual Health Guidelines ( 640.95 KB)

RSL Bereavement Support Services ( 334.07 KB)

RSL Group Accident Policy Description ( 154.07 KB)

RSL Group Life Insurance (Employer Paid) ( 101.48 KB)

RSL Group Vol Term Life ( 552.17 KB)

SavRx Mail Order Form ( 433.80 KB)

SavRx Medication Formulary List ( 278.92 KB)

Wellness Center Services ( 134.27 KB)

Last updated: Jan. 08, 2021

 

*Please Note*: You must have Adobe Acrobat Reader installed to view the pdf file.
(Click the image to download Acrobat Reader.)

-
  • Palm Beach County Fire Fighters Employee Benefits Fund

    Copyright © 2022. All Rights Reserved.

    Powered By UnionActive



  • Top of Page image