Flexible Spending Account

Flexible Benefits Program.

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Flexible Spending Forms

To change your benefit election, you must notify your benefit coordinator within 30 days of the qualifying event. Send completed forms via interoffice mail, postal service, or in person, to the County’s benefits staff representative listed in the Contact information of this website.

Election/Pre-tax/Form

Must be completed each year in order to pre-tax your premiums

Flexible Benefits Worksheet

Reimbursement Claim Form

Reimbursement Claim Form

Flexible Account Plan Document

For Cafeteria Plan Information please contact:90° Benefits Ashleigh Ehlers and Christie Martin: 1-228-762-2500

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What is an FSA??

an FSA, or Flexible Spending Account is a health care fund used to set aside pre-tax dollars for out-of-pocket healthcare expenses.

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Get in Touch with Us

Do not hesitate to call or email us with any issues.

Please contact Heather if you need any assistance with health, dental or vision benefits, claims or general inquiries.

Heather Gunn
Heather Gunn

HR Director

850-983-1201

[email protected]

As your HR Benefits CManager, I'm excited to help you navigate your employee benefits package with ease. From healthcare to retirement, we've got you covered. Let's make the most of your benefits together!

Tammy W Self
Tammy W Self

HR Manager

850-983-1108

[email protected]

Santa Rosa County has one of the best Benefit Packages in the Region. Take advantage of all that is offered.

Nealon Starr
Nealon Starr

Princial Agent

850-266-7939 ext.2

[email protected]

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