This page provides updates and information regarding the year's Open Enrollment changes, activities and helpful links for learning about your benefit options. Check back for information on upcoming 2019 changes.
My Florida My Benefits website
The Florida Department of Management Services (DMS) has updated their website with new information regarding the changes for Open Enrollment. Visit the My Florida My Benefits website >
2018 Plan Year Benefits Guide
The following is a Summary of the Changes for the 2018 Plan Year
- Your HMO Plan option for 2018 may have changed. If enrolled in the HMO, please be aware that you may be automatically defaulting to a new HMO provider based on your county of residence unless you make a designation during Open Enrollment. Look up your HMO provider by county.
- Assurant is now Sun Life. This name change does not impact the coverage offered.
- Dental Options have changed. Several dental plans are ending. Employees enrolled in
plan that will no longer be available for the 2018 plan year must actively elect a
new plan. Employees will NOT be moved into a comparable plan.
- Dental Plans No Longer offered:
- Humana Network Plus - Prepaid dental plan (4004)
- Humana Preferred Plus - PPO dental plan (4054)
- UnitedHealthcare Solstice S700 - Prepaid dental plan (4014)
- Ameritas Preventive Plus (4064)
- New dental plans will be available through Ameritas and MetLife. Each company will
offer three different levels of PPO coverage. The plans were designed to ensure open
network access and a range of coverage options for state employees and their eligible
dependents. View a comparison of the new dental plans available >
- Ameritas: Indemnity w/PPO (4021), Standard PPO (4022), Preventative PPO (4023)
- Metlife: Indemnity w/PPO (4031), Standard PPO (4022), Preventative PPO (4033)
- Cigna: Cigna Dental (4034) - Prepaid Dental plan
- Sun Life (formerly Assurant): Sun Life Freedom Advance (4074) - Indemnity PPO, Sun Life Prepaid (225) - Prepaid Dental Plan
- Humana: Humana schedule B (4084) - Indemnity Dental Plan, Humana Select 15 (4044) - Prepaid Dental Plan
- Dental Plans No Longer offered:
- Vision Premiums have changed.
|Coverage||New 2018 Monthly Premium|
|Employee Only||$6.96 (Increase of $.64)|
|Employee + Spouse||$13.74 (Increase of $1.26)|
|Employee + Child(ren)||$13.60 (Increase of $1.26)|
|Family [EE, Spouse, Child(ren)]||$21.36 (Increase of $1.98)|
- Occupational Therapy services are a covered benefit beginning January 1, 2018. Services must be for conditions resulting from a physical or mental illness, injury, or impairment. For the State Employees’ PPO Plan, coverage is limited to 21treatment days during any six-month period; for the State Employees’ HMO Plan, coverage is limited to 60 visits per injury.
- Medication Synchronization (Med Sync) allows you to save time and reduce the number of trips to your retail pharmacy by requesting that your retail pharmacist “synchronize” all your medication refills so you can pick them all up on the same day. Med Sync is optional, not required and allowed once per year.
- At the end of 2018, members will be allowed to carryover up to $500 of unused healthcare flexible spending account (FSA) and limited purpose FSA money into the next plan year. The “Grace Period” for incurring claims into the next calendar year will be eliminated for the healthcare FSA and limited purpose FSA. Please note that the change to allow a carryover does not apply to the dependent care FSA, and the dependent care FSA will still have the “Grace Period” for incurring claims into the next calendar year.
- For 2018, the health savings account (HSA) contribution maximum for employees enrolled in single coverage is $3,450, including the state’s contribution. The family coverage HSA contribution is $6,900. That is an increase of $50 for individual limits and $150 for family limits for the 2018 plan year.
- New Live Chat feature is available in the FSA & HSA Information Portal in People First. Now, with a click of your mouse you can chat with a Chard Snyder customer service representative, who are available to chat 8 a.m. to 5 p.m. Easter time Monday through Friday.
- OPS employees (must be benefits eligible) are now eligible to enroll in the healthcare FSA and the limited purpose FSA.
- The Division of State Group Insurance (DSGI) is contracting with a private company to perform a Dependent Eligibility Verification Audit (DEVA) to determine whether dependent(s) are eligible to participate in the State Group Insurance Program. The audit will begin on December 1, 2017, and will require subscribers to respond to any requests for documentation to verify dependent(s) eligibility. Enrollees may remove ineligible dependents at any time prior to December 1, 2017, by calling People First at 866-663-4735 or online during Open Enrollment.
- Beginning January 1, 2018, DSGI will begin a Weight Management Pilot for eligible members of the Florida Blue, AvMed, Aetna, and UnitedHealthcare plans. This year-long pilot will enroll members in a wellness program and give them access to prescription drugs for chronic weight management.