City of Jacksonville

2025 Rates for COJ Employees and Retirees

• Florida Blue/UF Health Plans for COJ Full-Time Employees & Tricare Supplemental Plan for Military only
• Florida Blue/UF Health Plans for COJ Part-Time, Former Elected Officials & Retirees
• COBRA - TASC Plans for Terminated Employees only
• Humana Dental Plans for COJ Full-Time Employees only
• Humana Dental Plans for COJ Part-Time, Former Elected Officials & Retirees
• VSP Vision Plans for COJ Full-Time, Part-Time, Former Elected Officials & Retirees
• MetLife Term Life / Supplemental Life Benefits for Full-Time, Part-Time & Retirees

2025 Rates for EXTERNAL AGENCIES Employees

• First Coast Workforce Development Consortium (FCWFDC) Health, Dental, and Vision Plans for Full-Time Employees only
• Jacksonville Housing Authority (JHA) Health, Dental, and Vision Plans for Full-Time Employees only
• Northeast Florida Regional Council (NEFRC) Health, Dental, and Vision Plans for Full-Time Employees only
• COBRA - TASC Plans for Terminated Employees only

Flexible Spending Account (FSA)

Breakdown Per Payroll Deduction:

• Medical Care or Dependent Care

Health and dental plan rates are determined by the specific bargaining unit assigned by Employee Services.
Please note: not all part-time employees are eligible for benefits.

Health Advocate Employee Assistance + Worklife Services

The Employee Assistance Program (EAP) is a free benefit for City of Jacksonville employees provided by Health Advocate. It is a high-quality EAP firm specifically selected for their experience and responsiveness.

The EAP is a 24-hour confidential counseling, coaching, and consulting service that helps employees resolve personal problems that could interfere with work and productivity. The focus is on improving health and performance and providing a hassle-free way for employees to access professional, objective help. The program is based on the understanding that everyone experiences problems that can cause stress, conflict, or difficulty concentrating, affecting both quality of life and work focus.

Help Is Only a Phone Call Away 24/7!

Phone: 1-877-240-6863
Email: Answers@HealthAdvocate.com
Website: HealthAdvocate.com

What to do if someone you know is suicidal? Please call the National Suicide Prevention Lifeline at 1-800-273-8255.

EAP at a Glance

Download the Health Advocate Flyer

• Confidential Assistance
• Diverse EAP Professionals
• Multiple Locations
• Problem Resolution Focus
• Referrals to Community Resources
• Balancing Work & Family Life
• Financial Problems & Legal Difficulties
• Workplace Conflicts
• Alcohol/Drug Abuse
• Managing Stress
• Coping With Grief or Loss
• Childcare and Eldercare Concerns
• Parenting Issues
• Depression

Website: https://www.floridablue.com/ Benefits & Coverage

• COJ Employee Health and Welfare Plan - Summary Plan Description & General Wellness Guidelines

Florida Blue HMO BlueCare Plan 48
Benefits & Coverage
Schedule of Benefits
BlueCare Booklet for Covered Plan - HMO 48
BlueCare Rx Pharmacy Program Plan HMO

Florida Blue HMO - High Deductible Plan 65
Benefits & Coverage
Schedule of Benefits
BlueCare Booklet for Covered Plan - HD HMO 65
BlueCare Rx Pharmacy Program Plan HD HMO

Florida Blue PPO BlueOptions Plan 05782
Benefits & Coverage
Schedule of Benefits
BlueOptions Booklet for Covered Plan - PPO 05782
BlueScript Pharmacy Program - PPO Plan
BlueScript Pharmacy Program Endorsement

Florida Blue EPO UF HEALTH Plan 03768
Benefits & Coverage
Schedule of Benefits
BlueOptions Booklet for Covered Plan - UF Health 03768
BlueScript Pharmacy Program - UF Health Plan
BlueScript Pharmacy Program Endorsement

• Blue Medicare SB Elite PPO with DHV Plan
• FAQ regarding the Blue Medicare PPO Plan
• Get Active with SilverSneakers Fitness Program for Medicare participants only
• Blue For Me Care Team - No-Cost Teladoc Registration Instructions
• Amazon Pharmacy - New Amazon Mail Order Drug Program
• Amazon Pharmacy Frequently Asked Questions
• UF Health Provider Directory
• UF Health Statewide Urgent Care Provider Directory
• UF Health ER & Urgent Care Under One Roof. Emergency & Urgent Care Center open 24/7
• UF Health JAX website
• UF Health JAX North website
• UF Health JAX East website

Florida Blue City of Jacksonville Local Representative: Denis Woods
Location: City Hall, Employee Benefits, Suite 150
Phone Number: 904-255-5570
Email: denis.woods@bcbsfl.com
Hours: Monday - Friday, 7:00am - 4:00pm
Customer Service: 1-800-664-5295 (All HMO and PPO Plans Group # B3267)
TTY: 1-800-664-5295 #711
NEW TRANSPARENCY REQUIREMENTS FOR GROUP HEALTH PLAN

The Department of Health and Human Services, Labor and Treasury released final transparency in coverage regulations for group medical plans and health insurance issuers on October 29, 2020. The intent of the final transparency regulations is to provide a consumer with access to information on the cost of health care services before that consumer receives health care services, rather than after care is received.

• Florida Blue Health Provider

Tricare Supplemental Plan

Tricare Supplemental is a voluntary employee benefit for City of Jacksonville employees (Military only).

SelmanCo is the administrator of the TRICARE Supplement Insurance plan.

More Information

Visit: info.selmanco.com/coj
Customer Service: 1-800-638-2610
Fax: 1-800-310-5514

Helpful Documents and Resources

• What is Tricare & Tricare Reserve Select
• Tricare Supplement Insurance Plan
• Tricare Supplement Insurance for Employee FAQ
• Tricare General Information
• SelmanCo Contact Information

Humana Dental Contact Information

Website: Humana.com
Representative: Jacqueline Camacho
Office: 813-288-6337
Fax: 813-313-5842
Email: JCamacho@humana.com
Customer Service: 1-800-233-4013 (Group #773983)

*Note: When searching for a dentist, select HS205 DHMO/Prepaid network for DHMO plans and PPO/Traditional Preferred network for PPO plans.

Humana Dental Resources

• Rates for Humana Dental Plan for COJ Full-Time Employees only
• Rates for Humana Dental Plan for COJ Part-Time, Former Elected Officials & Retirees only
• Humana Dental Plan Comparison
• Humana Silver PPO Plan
• Humana Gold PPO Plan
• Humana Platinum PPO Plan
• Humana Find a Dentist
• Humana Mobile App
• Humana Dental ID Card
• Humana DHMO Plan

VSP Vision Benefits

Website: cityofjacksonville.vspforme.com
Customer Service: 1-800-877-7195
Group Number: 30099995
Employee Verification: Basic/Premier Plan ID with Group Number

VSP Plan Resources

• VSP Rates
• Vision Benefits Summary
  • Click here to find your benefit information.
  • Click here to create your VSP account.
• VSP Basic Plan
• VSP Premier Plan
• VSP Access Information

MetLife / Hartford Life Insurance

MetLife Group Number: 261599
MetLife Customer Service: 1-866-492-6983

Plan Documents and Forms

• Rates for MetLife Term Life / Supplemental Life Benefits for Full-Time, Part-Time & Retirees
• MetLife Statement of Health Form (EOI)
• Plan Today to Protect Their Tomorrows: How to Calculate the Right Life Insurance for You

MetLife Insurance Certificates by Bargaining Unit

• BU 11 MetLife Insurance Certificate
• BU 40 (Excluding Flight Officers, Sergeants & Bomb Squads)
• BU 23 & BU 83 MetLife Insurance Certificate
• BUs 30, 42, 141 & 5555 MetLife Insurance Certificate
• BU 40 Flight Officers, Captains & Bomb Squads MetLife Insurance Certificate
• BU 41 (Excluding Flight Officers, Captains & Bomb Squads)
• BU 104 MetLife Insurance Certificate
• BU 179 MetLife Insurance Certificate
• BU 41 Flight Officers, Captains & Bomb Squads MetLife Insurance Certificate
• BU 190 MetLife Insurance Certificate
• BU 1111 MetLife Insurance Certificate
• BU 2222 MetLife Insurance Certificate
• BU 4444 MetLife Insurance Certificate
• BUs 10, 12, 13, 45, 46, 70, 90, 120, 130, 240 & 279 MetLife Insurance Certificate
• BUs 37 & 140 MetLife Insurance Certificate
• BUs 81, 82, 83, 86, 87 & 89 (Excluding Bomb Squads) MetLife Insurance Certificate
• BUs 7, 21, 22, 23, 24, 25, 26, 27, 28, 29, 84 & 88 MetLife Insurance Certificate
• Retirees Policyholder (Excluding Those Previously Employed Under BU 70)
• Retirees Policyholder (Previously Employed Under BU 70)
• Policyholder on Waiver of Premium (Disabled Prior to January 1, 2025)

Ameriflex Flexible Spending Account (FSA) Services

Website: myameriflex.com
Company Number: AMFCIJACK
Customer Service: 1-888-868-3539
Hours: Monday – Friday, 7:00 AM – 8:00 PM CST | Saturday, 9:00 AM – 1:00 PM CST
Email: ameriflex@myameriflex.com

Helpful Resources

• Cafeteria Plan Document
• Ameriflex Flexible Spending App
• How to Use Your Benefits Presentation
• Flexible Spending Account Presentation
• Dependent Care Account Presentation
• Commuter Reimbursement Account Presentation

Better You Wellness Program by Florida Blue

Earn 100 points in the Better You Wellness Program for each webinar you register for and attend below:

Contact for Questions

Representative: Denis Woods
Phone: 904-255-5570
Email: denis.woods@bcbsfl.com

Wellness Program Resources

• Better You Strides by Florida Blue (Video)
• FL Blue Better You Strides Wellness Program Overview
• Better You Strides Member Registration Instructions (Florida Blue Members)
• Better You Strides Registration (Non-Members)
• Individualized Health Coaching with a Registered Nurse
• Better You - Quest Diagnostics Biometric Screening Flyer
• General Wellness Guidelines

Quit Smoking with Tobacco Free Florida

• Nicotine Replacement Therapies

TASC – COBRA Administrator for the City of Jacksonville

TASC is the COBRA Administrator for the City of Jacksonville.

Account Access and Customer Service

Login to your account: COBRA Account Online
Customer Service: 1-800-422-4661
Email: COBRAService@TASConline.com
Hours: Monday – Friday, 8:00 AM – 5:00 PM EST

Helpful COBRA Resources

• COBRA Initial Notice
• FAQs on COBRA Continuation Health Coverage (U.S. Department of Labor)
• Health Insurance Portability and Accountability Act (HIPAA) Notice

Firefighter Cancer Benefits – Florida Statute 112.1816

Florida Statute 112.1816 – This bill was signed into law on May 3, 2019, and became effective on July 1, 2019.

This law ensures benefits only for Firefighters diagnosed with specific types of cancer occurring on or after July 1, 2019.

Read the Summary of SB 426 – Firefighter Cancer Benefits.

Firefighter Cancer Forms

• GC-1301082 Medical Certification
• GC-1300950 Claim for Benefits Form
• GC-1300952 Affidavit for Benefits (Current Employee)
• GC-1301001 Affidavit for Benefits (Retiree or Former Employee)
• GC-1301086 Reimbursement Request Form

Empower Retirement Services

Login: Access your COJ Empower Account Online or Download and Use the Empower Mobile App.

Customer Service: 1-855-265-4570
TTY (Hearing Impaired): 1-800-766-4952
Hardship Application: Call 1-866-360-1192 (Option #2)
Disclosures and Product Info: Click here.

Local Retirement Plan Advisors

Location: Employee Benefits Office
Hours: Monday – Friday, 8:00 AM – 4:00 PM
Virtual or in-person appointments encouraged. Walk-ins may experience wait times.


Christina Jamieson, CRPC
Retirement Plan Advisor
christina.jamieson@empower.com
(904) 242-4741 (cell)
(904) 255-5568 (Office)
Schedule a meeting with Christina

COJ Empower Plan Resources

• FAQs Related to COJ 457/Deferred Compensation
• Checklist for Retiring or Separating with Leave Deferrals
• Eligibility for 3-Year Catch-Up (Deferred Plan)
• Fillable  Application to Participate in the 3-Year Catch-Up Provision 
• Application to Participate in the 3-Year Catch-Up Provision
• Steps on How to Sign the Fillable PDF Form
• Fillable Participant Action Form for Leave Payout Deferral
• Participant Action Form for Leave Payout Deferral
• Retirement Plan Fee Schedule
• Contribute Through Two Plans and Save More
• Consolidate Your Retirement Accounts
• Long-Term Investing in a Volatile Market

Plan Features and Highlights

• 98460-01 COJ/JHA 457(b) Deferred Compensation Plan
• 98460-03 COJ General Employees Defined Contribution Plan
• 98460-04 COJ OBRA Plan
• 98460-05 COJ 401(a) Public Safety Employees Defined Contribution Plan

Summary Plan Descriptions

• 98460-01 COJ/JHA 457(b) Deferred Compensation Plan
• 98460-03 COJ General Employees Defined Contribution Plan
• 98460-04 COJ OBRA Plan
• 98460-05 COJ 401(a) Public Safety Defined Contribution Plan