Boone County Benefit Information
Benefits Section
- Open Enrollment Dates
- Boone County Benefit Overview & Notices
- Benefit Information & Forms
- Pension & Retirement Information Forms
Please see below for information and forms related to Boone County's benefits.
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.
2023 Open Enrollment
Open enrollment will be from October 31- November 18, 2022. During this time, you may elect or change benefits for the 2023 calendar year.
Please use the information below to learn more about open enrollment and benefit changes and offerings for 2023.
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Boone County Benefit Overview & Notices
Benefit Information for 2023
- Benefit Bulletin (summary of all Boone County benefits)
- Insurance Plan Election Form
- Open Enrollment Checklist
- Insurance Premiums
- COBRA and Early Retiree Premiums
Annual Notices
- Notice Regarding Employer-Sponsored Benefits
- Notice of Privacy Practices
- Affordable Care Act Market Exchange Notice
- COBRA General Notice
- Summary of Benefits - PPO Plan
- Summary of Benefits - High Deductible Health Plan
- CHIP Notice
- Prescription Drug and Medicare Notice
Benefit Information & Forms
Anthem Blue Cross/Blue Shield Health Insurance Plans
- Anthem's Website
Create an account and log-in to find claim information, get a temporary card, find a doctor, and more! - LiveHealth Online Website
- Anthem Virtual Care Options
- Health Plan Option Summary
- Anthem Open Enrollment Booklet
- Anthem Wellness Incentive Program
- Anthem Formulary
- Anthem Formulary (Searchable)
This information applies to both plans and is subject to change - PreventiveRx Plus Plan (High Deductible Plan Only)
- ACA Preventive Care Drug List (PPO and High Deductible Plans)
- How to Check Medication Prices
- Home Delivery Instructions
- IngenioRx Home Delivery Form
- Anthem Add or Remove Dependent Form
Complete this form if you wish to add dependent(s) to your health plan.
Health Savings Account Information
- HSA Central Website
- Central Bank of Boone County HSA Site for Boone County Employees
- 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 Enrollment Form
- ASI Expense Worksheet
Use this worksheet to estimate your 2023 costs. - ASI Over-the-Counter Expenses Information
- ASI Mobile App Information
- ASI Claim Form (for fax, mail, or drop-off only)
- Eligible Expense List (for both FSA and HSA)
Guardian Dental Insurance
- Guardian Website
- Dental Benefit Book
- Dental Election or Change Form
- Guardian In-Network Dental Provider Listing
Guardian Vision, Life, and Long-Term Disability Insurance
- VSP's Vision Website
- Vision, Life, and LTD Benefit Book
- Vision and Voluntary Life Election or Change Form
- Life Insurance Rates
- Voluntary Life Evidence of Insurability Form
- VSP Vision Provider Directory
Please contact Human Resources if you would like to submit a life insurance or long-term disability claim.
Employee Assistance Programs
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 & Retirement Information Forms
County Employees Retirement Fund (CERF Pension)
CERF Savings Plan
- Empower Retirement's Website
- CERF 401a & 457(b) Enrollment Form
- CERF 457(b) Change Form
- CERF 457(b) Beneficiary Form
- CERF 401a Beneficiary Form
Nationwide Retirement Services
- Nationwide 401(a) Website
- Nationwide 401(a) Enrollment Form
- Nationwide 401(a) Beneficiary Form