Flagler County Public Schools

Benefits
Quick Links: Dental/Vision Retirement/FSA Life Ins/LTD/TSA Wellness/FMLA Contacts

Health Insurance Forms & Information
BCBS Change Form BCBS Enrollment Form BCBS Prescription Mail Order Form BCBS Provider Directory FHC Enrollment Form FHC Prescription Mail Order Form Florida Healthcare Website Health Benefit Rates (2008-09) Benefit Deduction Schedule (2008-09)	FHC Classic Plan Summary FHC Premium Plan Summary FHC High Deductible Plan Summary BCBS Plan Comparison BCBS Health Savings Information IRS Health Savings Account Information Dental Co-Pay Plan Summary Dental PPO Plan Summary

Dental	Vision
Dental Enrollment Form Dental Claim Form Dental Change Notice Form Provider Directory Dental Rates (2008-09)	Vision Benefit Booklet Vision Enrollment Form Vision Care Website Certificate of Benefits Out of Network Claim Instructions Lasik

AFLAC Benefits
Cancer Insurance Cancer Screening Claim Form Cancer Insurance Claim Form Personal Accident Insurance Personal Accident Claim Form Hospital Insurance Hospital Insurance Claim Form	Flex One Reimbursement Form Short-term Disability Insurance AFLAC Cancelation Notice AFLAC Contacts AFLAC Website

Retirement	Tax Shelter Annuity - 403(b)
FRS Website Retiree Health Benefit Rates (2008-09)	Payroll Authorization for 403(b) 403(b) and 403(a) Product Disclosure Link to TSA Information TSA Contacts American Century TSA

Wellness	Family Medical Leave
Employee Assistance Program (EAP) Belle Terre Swim & Racquet Newsletter (December 2008)	FMLA Application Packet

Life Insurance & Disability	Other Discounts
Standard Life Coverage Highlights Standard Enrollment/Change Form Standard Medical History Form Standard LTD Highlights Beneficiary Designation Change Form	Wireless Discounts AAA Discount

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