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2022 Florida Blue Wellness Guidelines
Florida Blue has Wellness Guidelines to help you with your health!
Preferred Benefits Administrators – Setting Up Your Account
This flyer will assist you with setting up your account with PBA online.
2023 Open Enrollment Newsletter
The 2023 Open Enrollment Newsletter contains information that will help you with getting organized for Open Enrollment.
2022 October On-Site & Virtual Consultations Calendar – Open Enrollment 2023
The October 2022 calendar shows the on-site and virtual consultations open to all benefits-eligible employees for Open Enrollment 2023.
Family Status Change Form 2022-2023
If you have a family status change, use this form to complete the change with the HR Benefits Department.
Spousal Surcharge Affidavit Form 2022-2023 – Open Enrollment
If you are planning on adding a spouse during Open Enrollment to the SJCSD Self-Funded Medical Plans, please fill out this form to determine if the Spousal Surcharge will impact you.
Voya Additional Term Life Insurance Enrollment Form
If you want to enroll in Voya Additional Term Life Insurance, use this form.
Vision Claim Form – Preferred Benefit Administrators
Need to file a vision claim? Use this form to file directly with Preferred Benefit Administrators (PBA).
Marathon Wellness Provider & Center Info
Want to meet the staff at Marathon Wellness Centers and find out more about the services offered?
Voya Additional Term Life Employee Rates
You can find rates for the Voya Additional Term Life Insurance for employee coverage using this flyer.
Voya Additional Term Life Spouse & Child Rates
Refer to this document for Voya Additional Term Life Spouse & Child Rates.