The Town of Davie offers a competitive and comprehensive benefits package for eligible employees.
The Town’s group insurance plan year is January 1st through December 31st.
Premiums for medical, dental, vision and certain supplemental insurance policies and contributions to FSA & HSA accounts are deducted through a Cafeteria Plan established under Section 125 if the Internal Revenue Code and are pre-tax to the extent permitted. Under Section 125, changes to your pre-tax benefits can be made ONLY during the Open Enrollment period unless you or your qualified dependents experience a qualifying event, and the request to make a change is made within 30 days of the qualifying event.
Under certain circumstances, you may be allowed to make changes to your benefits elections during the plan year, if the event affects your own, your spouse’s, or your dependent’s coverage eligibility. An “eligible” qualifying event is determined by the Internal Revenue Service (IRS) Code, Section 125.
Examples of qualifying events include the following:
• Gain or loss of eligibility for Medicaid or CHIP coverage (60 day notification period)
• An increase or decrease in your work hours cases eligibility or ineligibility
• A covered dependent no longer meets eligibility criteria for coverage
• You, your spouse, or dependent(s) terminate or start employment
• You have a child, gain legal custody or adopt a child
• A child gains or loses coverage with an ex-spouse
• Your spouse and/or other dependent(s) die(s)
• Gain or loss of Medicare coverage
• You get married or divorced
Important
If you experience a qualifying event, you must make the changes to your coverage within 30 days via BenTek or by contacting Human Resources. Beyond 30 days, requests will be denied, and the employee may be responsible both legally and financially for any claim and/or expense incurred as a result of the employee or a dependent who continues to be enrolled but no longer meets eligibility requirements. If approved, changes will take place on the first of the month following the qualifying event, except for newborns, which are effective on the date of the birth. Any cancellations will be processed at the end of the month, except coverage terminates on the date following a death. You are required to provide valid documentation supporting a change in status or “Qualifying Event.”
Medical
Resource |
Resource Summary |
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United Health Care | This is a great tool that can assist you in many ways. This site allows you to view your claims, look up benefits, find a doctor, refill a prescription, look up health topics, chat with a nurse, and much more. |
UHC Coverage Information | United Healthcare transparency in coverage. |
Side By Side Plan Comparison (PDF) |
This document compares all three health plan options side-by-side. |
EPO (PDF) | Plan Summary |
EPO Plan (PDF) | Plan Summary - Medicare, Retirees Excluded from Stop Loss |
EPO Plan (PDF) | Summary of Benefits and Coverage |
Choice Plus POS Plan (PDF) | Plan Summary |
Choice Plus POS Plan (PDF) | Plan Summary - Medicare, Retirees Excluded from Stop Loss |
Choice Plus POS Plan (PDF) | Summary of Benefits and Coverage |
HSA-HDHP Plan (PDF) | Plan Summary |
HSA-HDHP Plan (PDF) | Plan Summary - Medicare, Retirees Excluded from Stop Loss |
HSA-HDHP Plan (PDF) | Summary of Benefits and Coverage |
Pharmacy Management
Resource |
Resource Summary |
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OptumRX Mail Order Form (PDF) | View or download this Mail Order Form. |
POS Plan Prescription Summary (PDF) |
Medical Choice Plus Plan POS - Benefit Summary |
HSA-HDHP Plan Description Summary (PDF) | Medical Choice Plus Plan POS - Benefit Summary |
Dental
Resource |
Resource Summary |
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Humana Dental Member Services | By registering, you gain online access to a wealth of information including benefit eligibility, claims status, history, and more! Registration only takes a few moments. |
HS205 Plan (PDF) |
Fee Schedule |
Advantage Plus Plan (PDF) |
Fee Schedule |
PPO - Low (PDF) |
Fee Schedule |
PPO - High (PDF) |
Fee Schedule |
Vision
Resource | Resource Summary |
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Humana Vision | This website contains information regarding the Town's supplemental VisionCare plan. |
Humana Vision Plan (PDF) |
Benefit Summary |
Employee Assistance Program (EAP)
Resource | Resource Summary |
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United Healthcare (Care24) - EAP | Your work-life balance employee assistance program - provided at no additional charge through your company's insurance benefit plan - can help you find solutions for everyday challenges of work and home as well as for more serious issues involving emotional and physical well-being. |
Sanvello | This app offers clinical techniques to help dial down the symptoms of stress, anxiety and depression anytime from any device. |
Talkspace | Something on your mind? With Talkspace online therapy, you can regularly communicate with a therapist safely and securely from your phone or desktop. No office visit required. |
Virtual Visits | Behavioral health virtual visits provide quick and easy access to behavioral health professionals from your phone, tablet or computer. |
Standard - EAP | Employee assistance program which includes WorkLife services and is available to you and your family. You and your dependents (including children to age 26) and all household members can contact master's-degreed clinicians 24/7 by phone, online, live chat, email and text. Receive referrals to support groups, a network counselor, community resources or your health plan. |
Aflac
Resource | Resource Summary |
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Accidental Injury Claim Form (PDF) | For information on any of your AFLAC plan benefits please contact one of our Aflac representatives: Gloria Schulze, (954) 755-7904, email or Gene Villa, (561) 714-4224, email |
Hospital Indemnity Claim Form (PDF) |
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Wellness: Accident Claim Form (PDF) | View or download the Wellness Accident Claim Form. |
Wellness: Cancer Claim Form (PDF) |
View or download the Wellness Cancer Claim Form. |
Wellness: Hospital Claim Form (PDF) | View or download the Wellness Hospital Claim Form. |
Flexible Spending - Wage Works
Short Term Disability, Long Term Disability, Life and AD & D Benefits
Resource | Resource Summary |
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Short Term Disability Policy (PDF) | Standard Short Term Disability Insurance Policy Overview |
Long Term Disability (PDF) |
Standard Long Term Disability Insurance Policy Overview |
Short Term Disability Claim Form (PDF) |
Disability Claim Form |
Life and AD & D (PDF) |
Group Insurance Policy/Enrollment and Beneficiary Documents |
Police Class I Life (PDF) | Basic Life Class I Police Benefit Summary |
Employee Class 2 Life - Non-Police (PDF) | Basic Life Class 2 Employee Benefit Summary |
457 VOYA (formerly ING)
Resource | Resource Summary |
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www.voyaretirementplans.com | VOYA Website |
Erik Sherman, (786) 423-2800 | Representative |
Office: (800) 584-6001 | VOYA Customer Service |
Legal Service
Resource | Resource Summary |
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US Legal Information (PDF) |
Information Sheet |
US Legal Endorsement (PDF) |
Endorsement 7 US109A Senior Defender |
Legal Shield | Legal Shield Website |
Other Benefits
Resource | Resource Summary |
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VPI Pet Insurance (PDF) |
Affordable Pet Healthcare Coverage |
VPI Pet Insurance Enrollment (PDF) |
Summary of how to apply for this benefit. |
Standard Travel Assistance (PDF) |