Retiree
Important Enrollment Information:
Under 65 and/or non-Medicare eligible.
- This is a Mandatory enrollment for the Cigna healthcare plan (non-Medicare). Your and/or your dependent’s current Cigna healthcare plan will terminate December 31, 2024.
- Effective January 1, 2025, the School Board will introduce two new Cigna healthcare plans, OAP Extended Network and LocalPlus Focused Network, which will replace the OAP High and OAP Standard plans. We will continue to offer the SureFit Network plan.
- To enroll in a Cigna healthcare plan, please log in to the Retiree Self-Service Platform. Your online enrollment must be completed by the December 6, 2024 enrollment deadline.
Over 65 and/or Medicare eligible.
The current Medicare healthcare plans and Prescription Drug Plans (PDP) will continue to be offered. Centers for Medicare & Medicaid Services (CMS) has implemented changes impacting the 2025 Medicare Prescription Drug (Part D) benefit. These changes included lowering the annual out-of-pocket limit to $2,000, which eliminates the coverage gap phase (also known as the donut hole). All of the CMS implemented changes will result in a slight increase in premiums.
The current Flexible Benefits will continue to be offered for the 2025 plan year with no plan design changes. There will be rate increases for the 2025 plan year.
If you do not enroll, the following will occur:
- If you and your dependent are currently enrolled in a Medicare sponsored healthcare plan and do not wish to make any changes, your benefit will continue for the 2025 plan year; however, plan design and premium changes will apply. You can make changes to your Medicare plan by logging in to the Retiree Self-Service Platform.
- If you are currently enrolled in Flexible Benefits and do not wish to make any changes, your current benefits will continue for the 2025 plan year; however, premium changes will automatically be applied. You can make changes to your current Flexible Benefits by logging in to the Retiree Self-Service Platform.
ADULT CHILD (AGES 26-30) CIGNA HEALTHCARE:
Your current adult child’s healthcare coverage will terminate on December 31, 2024. If you wish to continue their participation in a sponsored group healthcare plan, you must enroll them for the 2025 plan year. Please log in to the Retiree Self-Service Platform by the enrollment deadline. As a reminder, dependent eligibility must be verified annually, and you and your dependent must be enrolled in the same healthcare plan.
Dependent Verification:
Retirees covering a dependent in their medical, dental, vision, and/or hospital indemnity must submit dependent eligibility documentation (i.e., marriage certificate for spouse, birth certificate for natural children) for each covered dependent upon request.
- Dependent Social Security Numbers are required for each covered dependent.
- Failure to submit this required documentation will result in termination of your dependent coverage.
Please click on the link below for dependent eligibility requirements.
Dependent Documentation Requirements
Domestic Partner Eligibility
Affadavit of Domestic Partner
For questions and/or additional information about your 2025 benefits, please use the below contact information.
Medicare Companies (Retirees age 65+ - OR - under 65 & Medicare eligible.) | |
AvMed Medicare Access HMO: (Miami-Dade County Only and Broward County Only)AvMed Medicare Choice HMO: (Miami-Dade County Only and Broward County Only)AvMed Medicare Circle HMO: (Miami –Dade County Only and Broward County Only)AvMed One | Member Engagement Center: 1-800-782-8633 (TTY 711) |
Humana Zero Premium HMO (Miami-Dade, Broward and Palm Beach Counties), Humana Passive PPO and Humana Traditional PPO | Customer Service: 1 (866) 396-8810Monday - Friday, 8am - 9pm (EST) (TTY 711) |
UnitedHealthcare (UHC): Medicare Advantage PlansMedicare Supplement PlansPrescription Drug Plans (PDP) | Customer Service:Medicare Advantage and PDP: 1-888-867-5548 Medicare Supplement: 1-800-523-58008 am – 8 pm (EST), 7 days a week |
Cigna Healthcare (Retirees under age 65 - OR - over 65 & non-Medicare eligible.) | |
Cigna Healthcare | Cigna Retiree Specialists: 305-995-4287 or 305-995-7157; Monday – Friday, 8:00 am – 4:30 pm (EST)1-800-806-3052; 24 hours, 7 days a week |
Flexible Benefits | |
ARAG Legal | 1-800-360-5567; Monday – Friday, 8:00 am – 8:00 pm (EST) |
Delta Dental | Customer Service: 305-995-2487Monday – Friday, 8:00 am – 4:30 pm (EST)1-800-693-2589; Monday – Friday, 8:00 am – 9:00 pm (EST) |
EyeMed | Customer Service: 305-995-1952Monday – Friday, 8:00 am – 4:30 pm (EST)1-866-804-0982; Monday – Friday, 7:30 am – 11:00 pm (EST)Sat 8:00 am – 11:00 pm (EST) |
ID Watchdog | Customer Service: 1-800-970-5182 24 hours/Seven days a week: 1-866-513-1518 |
MetLife: Hospital Indemnity | Customer Service: 305-995-7029 Monday – Friday, 8:00 am – 4:30 pm (EST) Claims: 1-800-GET-MET8 (1-800-438-6388) Monday – Friday, 8:00 am – 8:00 pm (EST) |
MetLife Legal | Customer Service: 305-995-7029 Monday – Friday, 8:00 am – 4:30 pm (EST) 1-800-821-6400; Monday – Friday, 8:00 am – 8:00 pm (EST) |
MetLife: Life and AD&D | Customer Service: 305-995-7029 Monday – Friday, 8:00 am – 4:30 pm (EST) Claims: 1-800-638-6420, option #2 |
UnitedHealthcare (UHC) Dental | Monday – Thursday, 8:00 am – 8:00 pm (EST) Friday, 8:00 am – 5:00 pm (EST) Customer Service: 305-995-7454 Monday – Friday, 8:00 am – 4:30 pm (EST) |
DHMO Dental | 1-800-955-4137; Monday – Friday, 7:00 am – 10:00 pm (CDT) |
PPO Dental | 1-877-816-3596; Monday – Friday, 7:00 am – 10:00 pm (CDT) |
Additional Information | |
FBMC Service Center(General Questions, Enrollment Assistance and Technical Support) | 1 (833) MDC-PS4U (1-833-632-7748)Monday – Friday, 7:00 am – 7:00 pm (EST) |
Florida Retirement System (FRS) | 1-866-446-9377 |
Office of Risk and Benefits Management | 305-995-7129; Monday – Friday, 8:00 am – 4:30 pm (EST) |
FAQs
Retiree FAQs
Do I have to enroll during the 2025 Plan Year Open Enrollment Period?
Over 65 and/or Medicare eligible and/or Flexible Benefits
No, this is a changes only enrollment. If you do not re-enroll your current benefits will continue for the 2025 plan year; however, plan design and premium changes will apply.
Under 65 and/or non-Medicare eligible.
Yes, this is a Mandatory enrollment for the Cigna healthcare plan (non-Medicare). Your and/or your dependent’s current Cigna healthcare plan will terminate December 31, 2024.
Can I make a change to my benefits after I have completed my enrollment?
Throughout the Open Enrollment period, you can make changes to your enrollment. No changes will be accepted after the deadline unless you experience a qualifying event.
Can I add my dependents during this enrollment period?
Yes. You can add your eligible dependents during this enrollment period. All retirees selecting medical, dental, HIC and/or vision coverage for family must submit dependent eligibility documentation for all covered dependents.
Can I enroll my eligible dependent(s) and not cover myself in healthcare benefits plan?
No. You must cover yourself to cover your eligible dependent(s).
What if my eligible dependent is Over 65 and I am Under 65 or vice versa?
The Medicare eligible recipient must enroll in an offered Medicare plan and the non-Medicare eligible must enroll in one of the Cigna under 65 (not Medicare eligible) healthcare plans being offered.
If my dependents and I are both Medicare eligible, can we enroll in different healthcare plans?
Yes. You and your dependent(s) can be enrolled in any of the School Board sponsored Medicare healthcare and Prescription Drug Plans (PDP). Participants currently enrolled in a Prescription Drug Plan (PDP) only may enroll in any of the sponsored Medicare Group Healthcare plans.
Can I cancel my dependents during this enrollment period?
Yes. You can terminate your dependent coverage, but you will not be eligible to re-enroll until the next open enrollment, unless you have experienced a qualifying Change in Status (CIS) event, provided you have maintained your enrollment in a School Board sponsored Healthcare plan.
If I cancel my healthcare coverage could I enroll at a later date?
No. If you cancel your healthcare enrollment, you will never again be offered the opportunity of enrolling in a School Board sponsored Healthcare plan.
Do I need to complete a new Florida Retirement System (FRS) Payroll Authorization Form?
If you are currently having FRS deductions and you are not making any changes to your benefits, your deductions will continue and premium changes, if applicable, will be automatically applied. If you are making changes to your benefits or want to enroll in this payment method, you must complete an FRS Payroll Deduction Authorization Form.
If I am Medicare eligible, can I choose to decline Medicare and remain enrolled in a Cigna Plan?
No. If you and/or your eligible dependents are Medicare eligible, you cannot elect not to enroll in Medicare. Not enrolling in Medicare while being Medicare eligible means a dis-enrollment of your Cigna plan.
What happens to my medical plan if I become Medicare eligible during calendar year?
To enroll in Medicare Part B, contact your local Social Security office. According to CMS guidelines, you are required to enroll in a Medicare Product. The Office of Risk and Benefits Management will send you an Over 65 Benefits Package, 60 days prior to the birth month in which you reach age 65 to provide you with the opportunity to enroll in an offered Medicare healthcare plan. You will be automatically dis-enrolled from your Cigna healthcare plan.
It is your responsibility to notify us of Medicare entitlement awarded before age 65, if not, this will result in an automatic termination of your Cigna plan.
Do I have to submit dependent documentation for my covered dependents?
Yes. All retirees selecting dependent coverage must submit dependent eligibility documentation for all covered dependents, if not previously submitted. Failure to submit the required dependent eligibility documentation may result in the termination of your dependent’s coverage.