Department of Management Services

Florida Department of Management Services > Workforce Operations > State Group Insurance > For HR Offices

For HR Offices

 

Fiscal Forms and Spreadsheets

Agencies must use the following forms to request refunds or move monies. Instructions are included with each form.

Health, Life and Disability Refund Form [April 2020] ( 635.42 KB)

Supplemental Plans Refund Form [April 2020] ( 174.34 KB)

FSA and HSA Refund Form [April 2020] ( 396.74 KB)

Move Money Form [2017] ( 54.50 KB)

Universities and other non-warrant agencies must use the spreadsheet below to request refunds. Instructions are on tab 2.

OPS University and Non-warrant Agency Refund and Adjustment Spreadsheet ( 68.52 KB)

University and Non-warrant Agency Refund and Adjustment Spreadsheet ( 68.70 KB)

DSGI Collection Summary ( 40.50 KB)

EFT ( 25.54 KB)

 

Policy Documents

Measurement Matrix 2016 ( 495.23 KB)

 

Management Advisories

The Division of State Group Insurance issues Management Advisories to human resource offices to communicate policies and procedural guidance concerning State Group Insurance benefits.

2021

MA 21-003 Executive Order 21-45, Extension of Executive Order 20-52 ( 108.67 KB)

MA 21-002 Vaccine Coverage and Member Cost-Sharing ( 126.64 KB)

MA 21-001 Executive Order Extension ( 155.78 KB)

2020

MA 20-016 Federal Changes Impacting Spending and Savings Accounts ( 224.14 KB)

MA 20-015 Executive Order #20-276, Extension of Executive Order #20-52 (COVID-19 Public Health Emergency) ( 150.79 KB)

MA 20-014 Other Personal Services (OPS) Employee Measurement for 2021 Open Enrollment ( 171.99 KB)

MA 20-013 QSC Matrix ( 154.99 KB)

MA 20-012 MA-PDs ( 173.02 KB)

MA 20-011 Premium Rates for 2021 ( 149.97 KB)

MA 20-010 Open Enrollment for HROs ( 174.83 KB)

MA 20-009 Public Health Emergency Extension September 2020 ( 197.69 KB)

MA 20-008 Weight Management Program Year 4 ( 224.97 KB)

MA 20-007 KEPRO EAP Orientation for Managers ( 141.79 KB)

MA 20-006 Executive Order #20-166, Extension of Executive Order #20-52 (COVID-19 Public Health Emergency) ( 160.91 KB)

MA 20-005 Federal Changes Impacting Qualifying Status Change Events, Spending and Savings Accounts, and Other Updates ( 178.63 KB)

MA 20-004 New Employee Assistance Program (EAP) – KEPRO Launch – Effective July 1, 2020 ( 525.17 KB) Member Letter ( 525.17 KB) EAP KEPRO Summary of Services ( 269.89 KB) EAP KEPRO FAQs ( 260.44 KB) MA 20-004 New Employee Assistance Program (EAP) - KEPRO Launch - Effective July 1, 2020 CORRECTION ( 118.26 KB)

MA 20-003 Dependent Care FSA Mid-Year Change ( 146.37 KB)

MA 20-002 (Clarification for MA 20-001) ( 358.85 KB)

MA 20-001 Executive Order #20-85 Telehealth and Immunizations for State Group Insurance ( 376.55 KB) Telehealth and Immunizations FAQs ( 132.88 KB)

2019

MA 19-012 Increase for FSA Plan Year 2020 ( 133.74 KB)

MA 19-011 Medicare Advantage and Prescription Drug (MA-PD) Plans ( 156.77 KB)

MA 19-010 Spam Calls and Emails During Open Enrollment ( 116.96 KB)

MA 19-009 OPS Employee Measurement Impacted by Office Closures Due to Hurricanes Michael and Dorian ( 111.19 KB)

MA 19-008 Weight Management Pilot Program Year 3 ( 113.22 KB)

MA 19-007 2020 Premium Rates ( 94.42 KB)

MA 19-006 Open Enrollment Reminders ( 131.01 KB)

MA 19-005 Standard Control Formulary ( 162.85 KB)

MA 19-004 COBRA Changes ( 273.37 KB)

MA 19-003 New Directions ( 613.82 KB)

MA 19-002 New Benefits For 2019 ( 95.52 KB)

MA 19-001 1095 Reporting for Plan Year 2018 ( 321.05 KB)