The Center for Employee Health

Employee Assistance Program

Evolutions Healthcare Custom Network

Explain My Benefits (Voluntary Benefits)

First Stop Health (Formerly: Sentry Health)

Florida Educator's Professional Liability Insurance

MetLife Life Insurance

Orlando Health Virtual Visits Instructions

DIAGNOSTIC IMAGING AT NO COST TO YOU.

SDOC has partnered with Green Imaging to provide diagnostic imaging for employees and dependents covered under the SDOC health plan* at $0 cost to you. *opt out and ineligible employees are not eligible to utilize this service.

How We do it
So, what’s the catch? There isn’t one. You get the same testing that you get under the SDOC Health Plan but it will cost you nothing. The best part is that by direct contracting for imaging services, SDOC’s Health and Life Insurance
Trust-Fund (which is used to pay for all medical and pharmacy expenses) saves money too. It’s a win-win situation—for you and our medical plan.


This is how it works:
1.  Your doctor has given you an order for diagnostic imaging services.
2.  Contact Green Imaging:
TEXT: 713.524.9190
CHAT: greenimaging.net
CALL: 844.968.4647

3.  You will be contacted to schedule your procedure, and will receive a voucher for service.
 

At your appointment, show your voucher to the front desk. DO NOT PRESENT YOUR SDOC HEALTH PLAN SERVICES CARD. 

You will have no co-pay and no after procedure bill. SDOC Life & Health Trust Fund pays 100% of the procedure for members. The report from your exam will be sent to your referring doctor.

For these services, you will not file a claim with your health services plan. Instead, you will receive a voucher when you schedule your service. Simply present the voucher when you arrive for your appointment.

The Green Imaging Network is made up of high-quality imaging facilities across the nation. In fact, they are many of the same facilities you’d choose for yourself. Green will consider the procedure you need, and find a network facility that is not only close to your home, but has the right type of equipment for the exam your doctor ordered. Your exam will be interpreted by the right radiologist too. Radiologists are board-certified, fellowship-trained and include sub-specialists for more complex exams such as neurology, musculoskeletal and oncology. 
 

Services Include:
• MRI (Closed & Open)
• CT
• PET/CT
• Ultrasound
• Nuclear Medicine
• Mammography
• DXA
• X-Ray
• Other

Click to view Green Imaging Instructions

Humana Dental Resources
Member Services: 1-800-233-4013
HS195S DHMO - Group ID 830049
 PPO - Group ID 830049

• Humana Dental’s HS195S DHMO gives you and your covered family members access to the dental care you need through Humana’s network of quality dentists. Each covered family member can choose their own general dentist from the network. If you or your family members should need to seek services from a specialist, NO referrals are required. You simply search for a provider in the network and contact them for an appointment.

• Humana Traditional Preferred PPO, If you select the PPO option, you’ll then have two options for coverage; either the High option or Low option. You and your covered family members can access the dental care you need through Humana Dental’s network of quality dentists. You can visit any dentist, both in- and out-of-network, however, in-network providers will almost always be less expensive. You also run the risk of balance billing from out-of-network providers.

See the Humana dental booklet for complete details of each plan and how to find a dentist.

Visit the Humana website!

• Ventegra is our Pharmacy Benefits Manager please visit Ventegra's Website for more information
  • Ventegra Member Prescription Portal
     
• ElectRx International Mail Order Program

The School District of Osceola County is offering a great option for you to save money on certain brand name prescription drugs through the Elect Rx International Mail Order Program. This program is known as Personal Importation or PI. You can order these brand name drugs from Canada using the same “brick and mortar” pharmacies that people in Canada use for their medications.  Plan Members will have a $0 co-pay (Free!) on these medications.  Here’s how you can begin using the program.

• List of brand name prescriptions drugs that are offered through the Elect Rx Personal Importation Program (PI). Review this list and see if any of the medications you are currently taking can be filled through the Personal Importation (PI) Program. You can order a 90-day supply of any brand name medication that is eligible for dispensing through this program.*We are constantly updating this list and may change without notice.
• Members can enroll by calling 1-(855) 353-2879. A Customer Service Representative will complete the enrollment process and order for you.You will be asked several questions related to your medical condition including any known allergies and a list of the prescription drugs you are currently taking. You should have those prescription drugs with you when you make the call.
• Have your Physician prepare a prescription for a 90-day supply with 3 refills and FAX it to the Elect Rx Toll Free Number at 1-(833)-353-2879. Again, you have a $0 co-pay on each 90-day fill including subsequent refills. You will receive an automated reminder notification of a pending renewal/refill on or around day 60 of the last 90-day supply shipped. Shipping takes 7-10 business days from the date of completed requirements (Faxed Rx from Physician and initial call to customer service from the member /employee). Tip:Have a 30-day supply on hand to allow for plenty of delivery time

Elect Rx Customer Service:  1-(855)-353-2879
Monday-Friday – 8:30AM to 4:30PM
Elect Rx Physician Fax: 1-(833)-353-2879
Customer Service Email:  info@electrx.com

Please view the Elect Rx familiarization and instruction video

Vision Service Plan (VSP) our vision provider is offering two vision packages to serve you and your family's vision needs.

VSP Member Services can be reached at:

• 1-800-877-7195 
• Visit the VSP webpage

Click on the links below for more information!

A look at the basics                                                          

Exclusive Member Benefits                                             

Eyeconic Overview                                                       

Eyewear Protection Program

How to Access your VSP Member ID Card

How to Create a Member Account

Summary of Benefits                                      

VSP Primary Eyecare

Flexible Spending Accounts-FSA and Dependent Care Accounts- DCA

ThrivePass FSA Employee FAQ

Family Medical Leave

Family Medical Leave Act (FMLA) Eligibility
FMLA requires SDOC to provide up to 12 weeks of unpaid, job-protected leave to eligible employees for certain family and medical reasons. Employees are eligible if they have worked for the District for at least one year, and have worked for 1,250 hours over the previous 12 months. The FMLA permits employees to take leave on an intermittent basis or to work a reduced schedule under certain circumstances.

Eligibility
FMLA requires SDOC to provide up to 12 weeks of unpaid, job-protected leave to eligible employees for certain family and medical reasons. Employees are eligible if they have worked for the District for at least one year, and have worked for 1,250 hours over the previous 12 months. The FMLA permits employees to take leave on an intermittent basis or to work a reduced schedule under certain circumstances.

Your Rights Under FMLA 

• 12 weeks maximum duration 
• Job protection 
• Continuation of Board-Paid benefits. (Employee is responsible for optional benefits including dependent coverage, life insurance, dental, vision, disability insurance, flexible spending account and Trustmark product contributions.)

FMLA Approved Circumstances

• Birth of a child 
• Adopting a child or becoming a foster parent
• To care for the employee’s seriously ill spouse, child or parent
• An employee’s serious health condition
• To care for a covered service member who is recovering from a serious illness or injury sustained in the line of active duty.
• Any “qualifying exigency” arising out of the fact that the spouse, son, daughter, or parent of the employee is on active duty, or has been notified of an impending call to active duty status, in support of a contingency operation.

An eligible employee may also take up to 26 workweeks of leave during a “single 12-month period” to care for a covered service member with a serious injury or illness, when the employee is the spouse, son, daughter, parent, or next of kin of the service member. The “single 12-month period” for military caregiver leave is different from the 12-month period used for other FMLA leave reasons. See Fact Sheets 28F: Qualifying Reasons under the FMLA and 28M: The Military Family Leave Provisions under the FMLA.

Under some circumstances, employees may take FMLA leave on an intermittent or reduced schedule basis. That means an employee may take leave in separate blocks of time or by reducing the time he or she works each day or week for a single qualifying reason. When leave is needed for planned medical treatment, the employee must make a reasonable effort to schedule treatment so as not to unduly disrupt the employer’s operations. If FMLA leave is for the birth, adoption, or foster placement of a child, use of intermittent or reduced schedule leave requires the employer’s approval.

Requesting FMLA Leave
An employee should contact their facility secretary or Benefits Specialist when foreseeable within 30 days in advance to obtain an FMLA application. Physician-documented proof (medical certification form) of birth or illness is required for all FMLA-designated leaves. Once FMLA is approved, a letter detailing your rights and responsibilities will be mailed to the employee.

Please note, FMLA is a federally mandated leave. If an employee is absent for three consecutive days due to an eligible FMLA circumstance and meets the criteria for the FMLA, they will be notified in writing by a Benefits Specialist. An application and physician certification will be sent to the employee to complete and return to Risk & Benefits Management. Family Medical Leave Act (FMLA)

Important Information About FMLA

• FMLA is an unpaid leave. Employees must use accrued paid vacation or personal leave, which will run concurrent with the FMLA leave. 
• FMLA may run concurrent with a worker’s compensation absence when the injury is one that meets the FMLA criteria for a “serious health condition.”
• An eligible employee is entitled to take up to 12 weeks for FMLA leave in a “rolling” calendar year. So, when an employee requests FMLA leave, leave eligibility is determined by counting back 12 months from the date the leave is requested. If you have incurred a leave during the 12 months, your FMLA will be reduced by the time previously used.
• If an employee is receiving a paycheck during the FMLA, their benefit premiums will be deducted from their checks. If the employee is not receiving a paycheck, premiums for optional insurance are due on the missed pay period. If the employee does not make the premium payment within 30 days of the missed pay period, the District will terminate the optional benefits. However, an employee can arrange to pay their premiums when they return to work by contacting their Benefits Specialist.
• The District may recover premiums for Board-paid insurance if the employee fails to return to work for 30 days and terminates his/her employment except due to: his/her own serious health condition, circumstances beyond his/her control, denial of restoration due to key employee status.
• If both husband and wife work for the District, FMLA limits the Leave that may be taken to a combined total of 12 workweeks during any 12-month period if the Leave is taken for birth or placement for adoption or foster care. This limitation does not apply to Leave taken:
  • to care for the other spouse who is seriously ill and unable to work.
  • to care for a child with a serious health condition.
  • for his or her own serious illness.
• For Leaves due to serious health conditions, a periodic status report will be required.
• Upon return to work, the employee who was on FMLA due to a personal illness will be required to provide a fitness-for-duty notice from his/her physician. If the fitness-for-duty documentation is not provided, the employee may not return to work.
• Employees on FMLA for maternity may extend the Leave beyond six weeks to the full 12 FMLA weeks

For more information about FMLA, please read the
FMLA Employee Guide
FMLA Rights and Responsibilities
FMLA Fact Sheet #28
Department of Labor FAQs
Benefits Guide
or
contact the Benefits Specialist Assignment

Lincoln Financial Group 

For those employees that have elected to purchase disability insurance either through payroll deduction or through his/her Opt-Out Credit and need to file a claim, our carrier, Lincoln Financial Group (LFG) offers telephonic claim reporting.

When to report a claim

• We suggest you call no more than 30 days in advance of a planned medical absence, such as:
  • A pre-scheduled surgery
  • An expected maternity leave
• If your health care provider has determined you are unable to work because of an illness or injury or for maternity reasons.

How to report a claim

1. Notify your manager or supervisor and Risk and Benefits Management of your absence from work.
2. Review your health care coverage. (If LFG is your health care carrier, we will ask for your consent to cross-reference medical and disability claim information. This will provide a more efficient claim experience. Note: Lincoln Financial Group is not SDOC's carrier.)
3. File your claim by calling the toll-free number below.
4. Once you have created a claim, we will send you a claim packet that contains an authorization form. Fill out the authorization form and fax it to us at the number below.
5. Forward a copy of the completed authorization form to your health care provider.

Conversion and Portability - New for those Terminating Employment
You have 30 days from separation to port or convert your short or long term disability policy.

• 3001Cf LFG Long Term Disability Port/Convert Form
• GLA-03727f LFG Short Term Disability Port/Convert Form

The Lincoln Financial Group
P.O. Box 2609
Omaha, NE 68103-2609
Claims: 1-800-423-2765
Fax: 1-877-843-3950
Visit the LincolnFinancial Website
Monday through Friday
8 a.m. ET to 8 p.m. ET
​

For Telephonic Claims, download: 

• OSCEOLACTY- STD One Call Claims Brochure
• LFG GLBA Privacy Notice

Retirees over 65 years of age

FSRBC 2026 Annual Member Enrollment

FSRBC Offers

Employee Wellness Program

• Financial Wellness
• Recipe Of The Month
• Fitness Center/Health Club Discounts
• Healthy Babies Program
• Healthy Eating
• Health Highlight
• Physical Activity
• Road to Wellness Health Management
• Tobacco Cessation
• Wellness Events Calendar
• Wellness Incentive Program

COBRA

Continuation of Coverage
COBRA Benefits After Termination

An employee’s insurance coverage ceases on the last day worked for the School District of Osceola County. The District’s COBRA administrator will mail a written notice to each terminated employee describing the employee’s rights and obligations under COBRA.​

Through federal legislation known as the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), you may choose to continue coverage by paying the full monthly premium cost plus an administrative charge of 2%. Each individual who is covered by an SDOC plan immediately preceding the employee’s COBRA event has independent election rights to continue his or her health, dental, and/or vision coverage.
 

The right to continuation of coverage ends at the earliest when:

1. You, your spouse, or dependents become covered under another group health plan; or, you become entitled to Medicare
2. You fail to pay the cost of coverage
3. Your COBRA Continuation Period expires

For more information, please see your Benefits Guide.

Once you terminate, either resignation or non-renewal, a COBRA notice will be mailed to your home address in the Human Resources system. You must then contact EBMS to continue your coverage by the appropriate deadline and make payments for coverage.
 

Participant-Portal Guide

How to Pay Online 

• 24-25

  June 2025

  May 2025

  April 2025

  February 2025

  January 2025

  October 2024

  September 2024

New Hires- Welcome to the SDOC Family!

The School District of Osceola County would like to welcome you to the District and offer you the opportunity to make your benefit elections. As a new employee, you are eligible for benefits the first of the month after your hire date. The Benefits Guide presents highlights of each of the benefit plans available to you as a newly hired District employee. Please see the following as an example of the email you will receive from Explain My Benefits. ACTION IS NEEDED! 

"You are receiving this email as you have recently started employment with the School District of Osceola County. You are now eligible to make your insurance elections! We ask that you access our benefit portal system or schedule a telephonic enrollment meeting with a benefits' counselor from Explain My Benefits to enroll or waive benefits. Failure to enroll will automatically enroll you. Your benefit enrollment period will last 14 days from the date of hire. Visit the Benefits Portal and click the Schedule Enrollment Meeting Button to select the available date and time for a benefits' counselor to call you and enroll you in your benefits, or you can access the Benefit portal to move through the enrollment system at your own pace".  Go to: SDOC Home – EMB Benefits

• Failure to take action to enroll or waive coverage will automatically default employees to the Healthy Essentials plan employee-only coverage and the Board-paid Life Insurance for the remainder of the plan year. 
• Adding dependents to the plan will result in a pending status of their coverage and therefore dependents are not enrolled with active coverage until dependent verification is received. Dependent verification must be received within 30 days of enrollment, otherwise dependents will be dropped from the pending status and will have to wait until the next open enrollment window or experience a qualifying life event.

Please be sure to sign the form titled “WORKERS’ COMPENSATION EMPLOYEE INFORMATION”

Please visit SDOC-Benefits to schedule an appointment with an Explain My Benefits Counselor or to self-enroll. 

Again, Welcome to the Osceola School District!