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Boone County Benefit Information

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

Open Enrollment is Here!

You may elect your 2018 benefits from now until November 9, 2017.  Please be sure to complete a Health, Dental, and Vision Insurance Plan Election Form (even if you do not want to change anything).  This form is located below under benefit information.


Open enrollment meetings will be at the following locations and times:


Tuesday, October 24

1:00-3:00 pm

Sheriff’s Department Training Room


Wednesday, October 25

9:00-11:00 am

Government Center Commission Chambers


Thursday, October 26

9:00-11:00 am

Sheriff’s Department Training Room


Thursday, October 26

1:00-3:00 pm

Government Center Commission Chambers


Friday, October 27

9:00-11:00 am

Public Works Training Room


Note: We will record the open enrollment meetings for those who are unable to attend.  We anticipate having the video ready to view on Monday, October 30.


Once 2018 begins, the next opportunity for benefit changes will be during the 2019 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 573-886-4128 or hr@boonecountymo.org to request more information.

Boone County Benefit Overview and Notices

Benefit Information

Benefit Bulletin

(Summary of all Boone County Benefits)

Health, Dental, and Vision Insurance Plan Election Form
Open Enrollment Checklist
Insurance Premiums
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
Health Plan Option Summary
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
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
ASI Flexible Spending Account and Dependent Care Account Overview
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 2018 costs.
ASI Over-the-Counter Expenses Information
ASI Mobile App Information
ASI Claim Form
(For fax, mail, or drop-off only.)

Sun Life Financial Dental Insurance
Dental Benefit Summary
Dental Add or Remove Dependent Form
Sun Life Financial In-Network Dental Provider Listing (as of 10/15/2017)
Sun Life Financial Website

Sun Life Financial Vision Insurance
Vision and Voluntary Life Insurance Benefit Book
Vision and Voluntary Life Election or Change Form
VSP Provider Directory
VSP's Website

Sun Life Financial Voluntary Life Insurance
Vision and Voluntary Life Insurance Benefit Book
Vision and Voluntary Life Election or Change Form
Voluntary Life Insurance Beneficiary Form

Sun Life Financial Life/AD&D and Long-Term Disability
County-Paid Life Insurance Benefit Summary
County-Paid Life Insurance Beneficiary Form
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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Questions or Comments? Email Human Resources and Risk Management

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