Notices and Forms
Affidavit of Domestic Partner
Beyond Your Benefits
Creditable Coverage Disclosure
Medicare Enrollees
Declination of Healthcare Coverage Affidavit
Dependent Documentation Requirements
Domestic Partner Eligibility
Adult Child Dependent Package
Social Security Notice
Creditable Part D Notice
Newly Eligible Adult Child Dependent Package
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)