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Boone County Benefit Information

Benefit Overview | Benefit Information & Forms | Retirement Information & Forms

Once 2017 begins, the next opportunity for benefit changes will be during the 2018 Open Enrollment period unless you have a qualifying life event (marriage, divorce, birth, spouse changing jobs, etc.)

As a reminder, beneficiary updates and voluntary retirement plan enrollment/contribution changes may be completed at any time. Updated beneficiary forms and contribution change forms should be sent to Human Resources for processing.

Don’t see the information or forms you’re looking for? Contact Human Resources at 573-886-4395 or hr@boonecountymo.org to request more information.

Boone County Benefit Overview and Notices

Benefit Information
 

2017 Benefit Bulletin

(Summary of all Boone County Benefits)

 
2017 Health Insurance Plan Election Form
 
Open Enrollment Checklist
 
2017 Insurance Premiums
 
2017 COBRA and Early Retiree Premiums
 
Open Enrollment Meeting Schedule
 
Annual Notices
 
Notice Regarding Employer-Sponsored Benefits
 
Notice of Privacy Practices
 
Affordable Care Act Market Exchange Notice
 
Medicare Creditable Coverage Notice
 
COBRA General Notice
 
Summary of Benefits and Coverage - PPO Plan
 
Summary of Benefits and Coverage - High Deductible Health Plan/HSA Plan

Benefit Information and Forms

Anthem Blue Cross/Blue Shield Health Insurance Plans
 
2017 Health Plan Option Summary
 
2017 Anthem Open Enrollment Booklet
 
Anthem's Website
Create an account and log-in to find claim information, get a temporary card, find a doctor, and more!
 
Anthem Formulary
This information applies to both plans and is subject to change.
 
Preventive Rx List
This list is only for the HDHP and is subject to change.
 
How to Check Medication Prices
 
Home Delivery Instructions
 
Express Scripts Home Delivery Form
 
Anthem Add Dependent Form and Cover Page (Two forms)
Complete this form if you wish to add dependent(s) to your health plan.
 
Anthem Remove Dependent Form and Cover Page (Two forms)
Complete this form if you wish to remove dependent(s) from your health plan.

Health Savings Account Information
 
Central Bank of Boone County’s HSA Website
 
2017 HSA Guidelines (Summary)
 
HSA Eligibility Checklist
 
Health Plan Cost Estimation Worksheet
 
HSA Online Enrollment Instructions
 
Direct Deposit/Contribution Election Form
 
Central Bank of Boone County Locations and Hours of Operation

ASI Flexible Spending Account/Dependent Care Account
 
ASI's Website
 
2017 ASI Flexible Spending Account and Dependent Care Account Overview
 
2017 ASI Online Enrollment Instructions
Employees who wish to participate in ASI's FSA or Dependent Care Accounts must re-enroll each year.
 
ASI Expense Worksheet
Use this worksheet to estimate your 2016 costs.
 
ASI Over-the-Counter Expenses Information
 
ASI Mobile App Information
 
ASI Claim Form
(For fax, mail, or drop-off only.)

Assurant Employee Benefits Dental Insurance
 
2017 Dental Benefit Summary
 
Dental Add or Remove Dependent Form
 
Assurant In-Network Dental Provider Listing (As of 10/01/2016)
 
Assurant Employee Benefits Website

Assurant Employee Benefits Vision Insurance
 
2017 Vision and Voluntary Life Insurance Benefit Book
 
Vision and Voluntary Life Election or Change Form
 
VSP Provider Directory
 
VSP's Website

Assurant Voluntary Life Insurance
 
2017 Vision and Voluntary Life Insurance Benefit Book
 
Vision and Voluntary Life Election or Change Form
 
Voluntary Life Insurance Beneficiary Form

Assurant Life/AD&D and Long-Term Disability
 
2017 County-Paid Life Insurance Benefit Summary
 
County-Paid Life Insurance Beneficiary Form
 
2017 County-Paid Long-Term Disability Benefit Summary
Please contact Human Resources if you would like to submit a claim.

Employee Assistance Program
 
EAP's Website
 
EAP Brochure

Missouri's 529 College Savings Plan (MOST)
 
MOST's Website
If you would like to contribute to your MOST account through payroll, please make sure to print the payroll confirmation page and send it to Human Resources.
 
Vanguard College Savings Planner

Pension and Retirement Information and Forms

County Employees Retirement Fund (CERF Pension)
 
CERF $10,000 Death Benefit and Non-Vested Refund of Contributions Beneficiary Form
 
CERF Single-Vested Beneficiary Form
 
CERF's Website

CERF Savings Plan
 
CERF 401(a) Beneficiary Form
 
CERF 457(b) Beneficiary Form
 
CERF Savings Plan Contribution Change Form
 
Empower Retirement's Website

Nationwide Retirement Services
 
Nationwide 401(a) Beneficiary Form
 
Nationwide 401(a) and 457(b) Address Change Form
 
Nationwide 401(a) Website
 
Nationwide 457(b) Beneficiary Form
 
Nationwide 457(b) Contribution Change Form
 
Nationwide 457(b) Website

Any questions?  Feel free to contact us:


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www.ShowMeBoone.com Boone County, Missouri. 801 East Walnut Columbia, MO 65201 USA