FAQs

Getting
Started

As an AFSCME Part-time Food Service employee, when do I become eligible for board-paid healthcare coverage?

Eligibility for Board-paid healthcare will be determined monthly after the last payroll in each month and will be based upon attaining 3,300 or more hours and five or more years of service in an applicable part-time food service job code. Coverage for eligible employees will begin on the first of the month following the determination of eligibility.

When I meet my eligibility for board-paid healthcare, is there a free healthcare option offered?

Yes. The Cigna SureFit Plan is being offered at no cost to all benefit’s eligible employees.

If I am enrolled in the Cigna SureFit healthcare plan, do I need to select a Primary Care Physician?

Yes, the selection of a Primary Care Physician (PCP) is required at the time of enrollment. If a PCP is not selected, Cigna will assign you a participating provider based on your zip code.

How would I pay for my dependent’s coverage?

The medical premiums for dependents will be deducted from your paycheck on a bi-weekly basis.

Employees who enroll a spouse or domestic partner in a medical plan are required to disclose at the time of enrollment if their dependent has access to group healthcare coverage from their own employer. If so, you will be charged an annual surcharge of $500 on a bi-weekly basis via payroll deductions. If not, the spousal/domestic partner surcharge will not be applied.

Will the School Board subsidize my dependent healthcare premium?

No, the Board will not pay a portion of your dependent healthcare coverage.

How do I prove that my spouse/domestic partner has group coverage available through her/his employer?

On the enrollment application, select the box that best describes the status of your dependent’s group coverage.

 

  • If you cover your spouse/domestic partner on your healthcare plan and your spouse/domestic partner has coverage available from his/her own employer, an additional annual surcharge of $500 will be charged. The annual surcharge will be deducted on a bi-weekly basis according to your pay schedule.

 

  • If you cover your spouse/domestic partner on your healthcare plan and your spouse/domestic partner does not have an employer sponsored healthcare plan available to him/her, the spousal surcharge will not be applied.
Will I continue to receive the Flex Credit Dollars?

Employees represented by the AFSCME Union and enrolled in a healthcare plan will receive an annual flex credit of $115. The flex credit will be added to the employees’ gross income and paid through the payroll system based on the number of payroll checks the employee receives.

  • 10-month employees (20 paychecks) – $5.75
  • 11-month employees (24 paychecks) – $4.79
  • 12-month employees (26 paychecks) – $4.42
What are my choices if I have healthcare coverage outside the School Board (group healthcare, Medicare, or Medicaid)?

You can opt-out of the board offered healthcare plan and in lieu of healthcare coverage, the board will contribute $100.00 per month. You will receive $100.00 a month, paid bi-weekly through the payroll system based on the deduction pay schedule (subject to withholding and FICA) as follows:

  • 10-month employees will receive a $60.00 payment in 20 paychecks
If I am opting out of the Board offered healthcare plan, must I submit any additional documentation?

Yes, if you are opting out of the Board offered healthcare plans you must provide proof of the other group, Medicare, or Medicaid enrollment. In addition, you will need to submit and sign the Declination of Healthcare Affidavit with the proof.

Can I enroll in accidental Death & Dismemberment Coverage?

No, AFSCME employees CANNOT enroll in this benefit.

Can I purchase flexible benefits?

Yes, you can purchase flexible benefits by calling FBMC at 1.855.MDC.PS4U (1.855.632.7748) and requesting an enrollment form.

Will my healthcare benefits continue if I am on a Board-approved leave of absence?

If you are out on a Board-approved leave that is eligible for benefits, your healthcare coverage will continue. You will be billed by FBMC for all employee-paid benefits.

For additional information regarding your current leave status or you want to apply for leave contact the Leave Office at 1.305.995.7090.

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Office of Risk and Benefits Management
1501 N.E. 2nd Avenue, Suite 335
Miami, Florida 33132
Mon - Fri, 8 a.m. to 4:30 p.m. ET
www.dadeschools.net
305-995-7129

FBMC Service Center
Monday - Friday, 7 a.m. – 7 p.m.
1-855-MDC-PS4U (1-855-632-7748)