Contact Us

Micky Miller
Insurance Specialist
email: millermd
Phone: (352) 955-7579
Fax number 352 955 7443

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Lori Bolte
Benefits Coordinator
email: boltelk
Phone: (352) 955-7577
Fax Number: (352) 955-7443

Note: Email addresses are followed by @gm.sbac.edu

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Forms

Allstate My Benefits Flyer

Allstate MyBenefits Flyer.pdf 668.01 KB (Last Modified on February 27, 2019)

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Allstate Group Critical Illness Claim Form

Allstate Group Critical Illness Claim Form_FL.pdf 164.13 KB (Last Modified on February 27, 2019)

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Allstate Group Accident Claim form

Allstate AP6 Group Accident claim form.pdf 225.59 KB (Last Modified on February 27, 2019)

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Florida Blue Care Member Flier

Care Member Flier_English_New.pdf 97.17 KB (Last Modified on December 10, 2018)

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Employee Assistance Program (EAP)

Employee Assistance Program for 1 1 17.pdf 101.16 KB (Last Modified on October 31, 2018)

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Urgent Care Centers

Urgent_Care_Centers_and_Convenient_Care_Centers._revised.pdf 162.69 KB (Last Modified on August 14, 2018)

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Discovery Benefits Reimbursement Info

Out of Pocket Reimbursement form.pdf 58.34 KB (Last Modified on August 26, 2019)

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Beneficiary Form -- District Life

District Life Beneficiary Form.pdf 275.83 KB (Last Modified on July 11, 2019)

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Beneficiary Form -- Cigna Life

Beneficiary Form for Cigna Life.pdf 101.94 KB (Last Modified on July 26, 2018)

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Beneficiary Form for FRS Retired Employees

Beneficiary form for FRS retired and drop employees.pdf 241.39 KB (Last Modified on July 26, 2018)

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more

Additional Information

Dependent Rules(It is your responsibility to cancel children)
It is your responsibility to cancel these dependents ( children) during the open enrollment once they become ineligible.

Related Files
- Dependent Rules.docx
5 Ways to Save On Your Health Care Costs
1. Stay in-network
2. Use Quest Diagnostics for lab services
3. Use Generic Drugs
4. Use independent/free-standing diagnostic imaging centers
5. Use walk in clinics instead of the emergency room for non-emergencies
Qualifying Life Events must be reported within 30 days
Domestic Partner (post tax) Health only
Same Sex Marriage (eligible for all benefits)

Employee Benefits

Benefits Presentation -Video overview

If you are having trouble viewing the document, you may download the document.

Quick Links

Florida Blue (Blue Options)
For Doctors
www.floridablue.com
Florida Blue Care Member Flier
Blue 365 Discount Program Flier
Care Consultant Help Local Urgent Care Centers
Group ID: 78129
Customer Service: 1-800-352-2583

Teladoc
www.teladoc.com
Customer Service: 1-800-Tealdoc (835-2362)

Express Scripts
For Medication/Flu Shots
www.express-scripts.com
Group ID: ALACHUA
Customer Service: 1-866-581-5255

• Registration/Mobile App
• Print/View ID Cards
• Price a medication

Humana Dental
www.humana.com
Group ID: 789160
Customer Service: 1-800-233-4013

• Dental Plan at a Glance Book
• Search for Providers
• Advantage Plus Providers

Humana Vision
www.humana.com
Group ID: 100395
Customer Service: 1-877-398-2980

• Vision Plan at a Glance Book
• Search for Providers

Discovery Benefits (HRA/FSA)
www.discoverybenefits.com
Group ID: 25734
Customer Service: 1-866-451-3399

• How to submit a claim
• OOP reimbursement form
• Mobile app
• Flexible Spending Account (FSA)
• Cobra Mobile App
• Benefits Mobile App

Allstate (Accident, Critical Illness/Cancer)
www.allstatework.com/mybenefits
Group ID: v8873
Customer Care Center: 1-800-521-3535
Claims Customer Service: 1-800-348-4489
My Benefits Flyer
Group Accident Claim Form
Group Critical Illness Claim Form

Legal Shield
www.legalshield.com/info/alachuaschools
Group ID: 16374
Customer Service: 1-800-591-7311

Sun Life Financial (Basic Life & AD&D and Disability)
Group ID: 241965
Contact Employee Benefits

• District Life Beneficiary Form
• Assist America FAQs
• Assist America Emergency Travel and iD Theft Info
• ID theft FAQs
• Assist America Mobile App Info

Cigna (Voluntary Life Insurance)
Contact Employee Benefits

• Cigna Beneficiary Form

Bencor
www.bencorplans.com
Special Pay Easy Access Flyer
FICA Easy Access Flyer

2019 Annual Retirement Guide
Annual Guide
Plan Summary Information

RX Savings Solutions
1-800-268-4476
https://myrxss.com
Information Guide

Alachua County Public Schools

We are committed to the success of every student.

We are committed to the success of every student.

Contact Us

Forms

Allstate My Benefits Flyer

Allstate Group Critical Illness Claim Form

Allstate Group Accident Claim form

Florida Blue Care Member Flier

Employee Assistance Program (EAP)

Urgent Care Centers

Discovery Benefits Reimbursement Info

Beneficiary Form -- District Life

Beneficiary Form -- Cigna Life

Beneficiary Form for FRS Retired Employees

Additional Information

Dependent Rules(It is your responsibility to cancel children)

Related Files

5 Ways to Save On Your Health Care Costs

Qualifying Life Events must be reported within 30 days

Domestic Partner (post tax) Health only

Same Sex Marriage (eligible for all benefits)

Employee Benefits

Benefits Presentation -Video overview

Quick Links

Related Links