Benefit Reference Guide - The School District of Palm Beach County

Enrollment Information and Deadlines
Important Dates to Remember
Your Annual Enrollment dates are:
October 31, 2011 through November 18, 2011
Enrollment Counselor on campus
October 31, 2011 through November 11, 2011
(Check schedule for actual dates for your location)
Your Period of Coverage dates are:
January 1, 2012 through December 31, 2012
Newly eligible employees must enroll online within
30 calendar days of their hire or rehire date. Medical plan
options are limited to electing coverage in the Low Option
HMO plan for a minimum of 12 months OR Waiving
medical plan coverage.
New employees must also declare their tobacco status by
completing a paper Tobacco Affidavit form during their
New Hire Orientation session.
If elections are not made within 30 days, enrollment will
default to the Low Option HMO single medical plan and
basic life insurance. All other coverage options will be
waived.
Did you read about...
• The plan and benefit changes?
• The important reminders?
• The Annual Enrollment and Plan Year
dates?
Paperless Enrollment
Special NOTE: This is a paperless enrollment. You may
view your 2012 enrollment confirmation online after
December 1, 2011.
Log onto www.palmbeachschools.org and click on
the Employees tab. Click on Self Service under the Quick
Link on the right of the web page. Select Benefits/Benefit
Summary.
Please make sure that you enter 1/1/2012 to view your
2012 benefit elections. You have until December 9, 2011,
to submit a written appeals directly to FBMC Benefits
Management, Inc. (FBMC).
Appeals
FBMC reviews and makes the final determination for all
enrollment appeals based upon established guidelines.
All annual enrollment appeals must be submitted, in
writing, directly to FBMC no later than December 9,
2011. Reported issues may not result in changes, but
will be reviewed and a determination will be made. All
appeal determinations made by FBMC are deemed final.
www.myFBMC.com
7