The Wellness department is now scheduling the Health Screenings & Personal Health Assessment.
Please review the short video link discussing education on heart conditions.
Keyword for this page: Insurance
Click here to view or print this list of important numbers.
Section 125 of the IRS code allows employees to use pretax dollars to pay the premiums on certain group insurance products. These deductions are taken prior to Social Security and Federal Income Taxes being deducted from your paycheck, which can lead to significant savings. Benefits elections must remain in effect until the next Open Enrollment Period unless you experience a qualifying event. A qualifying event is a change in status to your life that meets IRS approved definitions.
If you need to make a change to your coverage due to a Qualifying Event, you must submit the Change of Status Form along with required documentation no more than 31 days after the qualifying event has taken place.
Benefit Guides
Employee
2012
| 2012 Open Enrollment Guide | 2012 Traducciones |
2011
| 2011 Open Enrollment Guide | 2011 Open Enrollment Guide - Spanish Translations |
| 2009 - 2010 Open Enrollment Booklet | 2008 - 2009 Open Enrollment Booklet |
Retiree
2012
2011
| 2011 Retiree Open Enrollment Guide | ||
| BlueMedicare Summary of Benefits | 2011 BlueMedicare Group PPO Health Plan | 2011 BlueMedicare Group Rx |
2010
| 2010 Retiree Benefits Booklet | 2009 Retiree Benefits Booklet |
|---|
Service team members are available to accept PCSB employee calls from 10:00-8:00
| May 2011 Edition | June 2011 Edition | July 2011 Edition |
| August 2011 Edition | September 2011 Edition | October 2011 Edition |
| November 2011 Edition | December 2011 Edition |
| January 2012 Edition | ||
New employees can view and print the New Hire Booklet below for details on your PCSB insurance options. Please print the New Hire Enrollment Form and the Checklist. You can return the completed form by courier to the Employee Benefits Department, Route E.
For any questions, please call us at 863-519-3858. We are also available to meet with you if you would like further assistance.
If you choose to waive health coverage, and you do not want to elect any supplemental plan options offered, please mark the Health Plan Waiver box and complete the Group Term Life Beneficiary section.
DON'T FORGET TO FILL OUT YOUR BENEFICIARY INFORMATION ON YOUR ENROLLMENT FORM!

Customer Service 1-800-322-2808
BlueCross BlueShield Saturday Service Hours
Service team members are available to accept PCSB employee calls from 10:00-8:00
Better You from Blue
| November newsletter 2010 | June 2011 Newsletter | August 2011_Newsletter | September 2011 Newsletter |
| October 2011_Newsletter | November 2011 Newsletter | December 2011 Newsletter |

Exciting News: Medco is pleased to announce a new toll-free dedicated phone number to better service the School Board of Polk County members – 1-800-476-6819. Please call Medco member services for assistance with any of your prescription drug questions.
Customer Service 1-800-711-0917
The following prescription copays will be effective October 1, 2009
| Generic | Preferred Brand | Non-Preferred Brand | |
|---|---|---|---|
| Retail 30 | $8 | $30 + 10%(max $60) | $50 + 10%(max $100) |
| Retail 90 | $8 | $90 + 10%(max $180) | $150 + 10%(max $300) |
| Mail 90 | $8 | $75 | $125 |
Remember: There are a number of generic drugs available through Wal-Mart pharmacies for $4. A list can be obtained at your Wal-Mart pharmacy or on their website.
Publix pharmacies also offer certain generic antibiotics for free. This list can be obtained at your Publix pharmacy or on their website.
VERY IMPORTANT: If you receive one of these free or reduced prescriptions remind the pharmacy NOT to use your prescription coverage through Medco.
FAQ: I noticed I did not receive my $25 pharmacy incentive with Medco for participating in a disease management program, can you tell me why?
In order to be eligible for the above incentive, you must be identified as having one of the five chronic health conditions (CAD, CHF, COPD, Diabetes or Asthma) AND make contact with one of the BCBSF health coaches (either inbound call to, or an outbound call from a health coach) on a quarterly basis. Contact must be made each quarter in order to continue to qualify.
If you have been contacted by a health coach either via mail or phone and would like to contact them, please call them at 1-877-789-2583.
Monthly Medco Newsletter
Customer service 800-521-2651
Delta Dental group number for School Board of Polk County: #FL15247

Customer Service 1-800-638-3120
Optional & Dependent Life and Short & Long Term Disability

Customer Service 1-800-325-5757 ext. 0286
Claim Forms
In order to file a disability claim with The Standard you will need to download both Step 1 and Step 2 below:
Step 1: PCSB Claim Form Completion Instructions
If you have any questions or need assisance completing this claim form, please contact Employee Benefits at 863-519-3858 or by email at RiskManagement-AllStaff@polk-fl.net
Forms
Portability: https://www.standard.com/eforms/9178.pdf
Conversion: https://www.standard.com/eforms/9563.pdf
Certificates & Guidelines
- Standard Group Life Insurance
- Standard Long Term Disability
- Standard Short Term Disability
- Standard Maternity Claim Guidelines
There is a Guarantee Issue for life insurance up to the amount of $150,000 for new hires. If you did not elect additional life insurance, short term disability or long term disability the first time it was available to you, or for the 10/01-12/31/09 Plan Year, and you choose to enroll at a later date you will be considered a late entrant and be subject to medical underwriting. Medical underwriting is also required for life insurance amounts in excess of $150,000. If you are required to undergo medical underwriting, please follow the link below to the Medical History Statement.
Group number: 625950

Customer Service 1-800-422-4661

To verify the balance on your DirectPay HRA debit card please use the following link. The Employer ID number (Client ID#) is TASCR52. Your personalized Employee ID number (Participant ID#) was sent to your home address in a mailing separate from your debit card. If you did not receive this mailing, please contact TASC/Cornerstone at 1-800-422-4661.
AIG, Allstate/American Heritage & American Fidelity
Risk Management & Employee Benefits Department Social Security Number Collection Policy
INFORMATION ABOUT IRS PERMITTED Election Changes
Employees starting an account with American Century or Waddell & Reed are required to provide a copy of the account application they will send to the company when they turn in their initial Salary Reduction Agreement to the Risk Management Department. Please find the necessary Salary Reduction Agreements for these companies below. Salary Reduction Agreements for all other Authorized Annuity Companies must be obtained through and signed by an authorized agent for that company.
All TSA hardship withdrawals, loans and transfers will require verification and a Plan Administrator Signature. Paperwork should be faxed to our Third Party Administrator, TSA Consulting, for processing at 1-866-741-0645.