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Department of Management Services

Legislative and Policy Resources

The Division of State Group Insurance offers and manages a comprehensive package of health and welfare insurance benefits for active and retired state employees and their eligible dependents.

 

Governing Authority

Section 110.123, Florida Statutes: State Group Insurance Program
Section 110.161, Florida Statutes: State Employees; Pretax Benefits Program
Section 112.08, Florida Statutes: Group Insurance for Public Officers, Employees, and Certain Volunteers; Physical Examinations
General Appropriations Act 2019-2020, Section 8(3) (Adobe PDF Document 387.00 KB)
Chapter 627, Florida Statutes: Insurance Rates and Contracts
Chapter 641, Florida Statutes: Health Care Service Program
Florida Administrative Code, Rule 60P: State Group Insurance Program
Federal Laws and Internal Revenue Code

 

Cafeteria Plan

The State Group Insurance Program is a Cafeteria Plan, a plan that meets the requirements and regulations of Section 125 of the Internal Revenue Code. The State of Florida Cafeteria Plan (Adobe PDF Document 767.63 KB) permits employees to select the benefits that are most relevant to their personal situation.

 

Federal Patient Protection and Affordable Care Act 

The 111th United States (U.S.) Congress passed comprehensive health care reform legislation known as the Patient Protection and Affordable Care Act  or also PPACA or the ACA. The law was enacted in March 2010 with sections implemented over several years. The U.S. Department of Health and Human Services (HHS), the Internal Revenue Service (IRS), and the Department of Labor developed rules to further support the implementation and maintenance of the legislation.

The law had 3 primary goals: 

  1. Make affordable health insurance available to more people,
  2. Expand the Medicaid program to cover all adults with income below 138% of the federal poverty level (this provision became optional to the states), and
  3. Support innovative medical care delivery methods designed to lower the costs of health care generally. Open enrollment is held annually, but coverage through the Marketplace, Medicaid, or CHIP outside of an open enrollment period.

For more information about the ACA and the next open enrollment period, visit www.healthcare.gov.

 

COBRA

The Consolidated Omnibus Budget Reconciliation Act (COBRA) allows a temporary extension of health coverage to employees and their families who lose their health care benefits under certain circumstances. For more information about COBRA please visit the U.S. Department of Labor website.

 

DSGI Vendor Contracts

The Division manages the contracts for health, prescription drugs, life, dental and vision.

 

Policy Clarifications

Policy Clarifications are used to communicate clarifications of current program policies and procedures.