New or Recently Updated

Fillable Vision Claim Reimbursement Form

Don't have access to a printer? Use this form to submit your vision claim reimbursements.

Summary of Benefits & Coverage – Plan 2 (Buy-Up)

This is the 2020 Buy-Up Summary of Benefits & Coverage for Plan 2.

Summary of Benefits & Coverage – Plan 1 (Standard)

This is the 2020 Standard Summary of Benefits & Coverage for Hospital Plan 1 (Standard).

Summary of Material Modification – COVID-19

Please review this summary of material modification regarding COVID-19 tests and treatment and your coverage.

10 Ways to Manage Respiratory Symptoms at Home

CDC flyer regarding how to manage your respiratory symptoms at home

2019-2020 SJCSD Insurance Rates

Updated rates increased 11/15/2019

Flexible Spending Account Quick Reference Guide

Here's a Quick Reference Guide for Flexible Spending Accounts!

MyAmeriflex Card – Flexible Spending or Dependent Care Card

Learn more about your MyAmeriflex Card.

Ameriflex Flexible Spending Accounts

Learn more about what a Flexible Spending Account is, and why it might work for you!

Florida Blue Mobile App

Florida Blue has a great mobile app for you to use!

Healthy Hygiene Packet

Stay healthy this cold and flu season with helpful tips!

Mutual of Omaha Conversion Application

Use this form to convert your Mutual of Omaha Life Insurance policy.