How Do I?
Go To Search
FacebookTwitterYouTubeRSS

Health, Dental, and Life Insurance Benefits
Health Insurance

The City of Hollywood offers Full-time and eligible Part-time employees PPO health plan coverage through Florida Blue (Previously known as BlueCross BlueSheld of Florida). 

If you have any questions regarding Florida Blue health plan services, please contact customer service 877.352.2583 or log-in to www.BCBSFL.com.

If you have questions regarding your eligibility with the plan, please contact the Office of Human Resources and Risk Management at 954.921.3216.


Dental Plan

The City of Hollywood offers Full-time and eligible Part-time employees PPO Dental Insurance.  Employees have the option of enrolling into two (2) plans: Comprehensive Plan, which provides a $1,000 maximum benefit per year /per person, or the Premium Plan, which provides for a $2,000 maximum benefit per year / per person.

Click here to view the Benefits Booklet for the City of Hollywood Comprehensive Plan ($1,000 Plan Year Maximum per person).  Click here to view the Benefit Booklet for the City of Hollywood Premium Plan ($2,000 Plan Year Maximum per person).  For participating dental providers, log onto www.BCBSFL.com.  The insurance plan for the City of Hollywood participants is Dental-Blue Dental Choice & Choice Plus PPO.

If you have questions regarding Florida Combined Life Dental Plan Services, please contact Customer Service at 877.203.9921.


Medical and Dental Insurance Enrollment Form
Full-time employees:  Download Document
Retirees:  Download Document

This form is to be used at open enrollment if changes are to be made to existing coverage.  It is also to be used during the year for a qualifying event:  marriage, divorce, birth or adoption of a child, loss of coverage of a spouse, registration or de-registration of domestic partner.


Blue Options (NetworkBlue) Directory
Click here for directory for hospitals; clinics and medical groups to include urgent care centers; medical health services; speciality facilities for ambulatory surgical centers, clinical labs, dialysis, independent diagnostic testing facilities, physical therapy centers, rehabilitation facilities and skilled nursing facilities; other providers for advanced registered nurse practitioners, home health agencies, medial equipment and supplies, nurse midwives, and prosthetic/orthotic suppliers; and physicians not listed in the traditional network.


Links to BlueCross BlueShield Websites

BlueCross BlueShield of Florida - This site provides helpful information and tips on health and wellness issues and provides a forum to have general questions answered.

My BlueService - This is an online member self-service website you can access to review your benefits and check your claims.

Health Dialog - In addition to logging onto this site, you may call 877.789.2583 to speak with a health coach about your immediate or every day health concerns 24 hours a day, 7 days a week.

My Dental Information Manager - Dental coverage is provided by BlueCross through Florida Combined Life.  Participating dentists can be found on floridablue.com under Find a Doctor or by calling 888.223.4892 with dental inquiries.


BlueCross BlueShield Forms and Informational Materials

Major Medical Form
Complete this form for reimbursement of out-of-pocket medical expenses, to include vision care and wellness-related expenses, you may have paid.

Dental Claim Form
Complete this form for reimbursement of out-of-pocket dental expenses you may have paid.

Vision Claim Form
Complete this form for reimbursement of eye glasses, contact lenses, and/or exams (subject to the Calendar Year Maximum of $150 per covered member).

Prescription Drug Claim Form
Complete this form for reimbursement of out-of-pocket prescription drug expenses you have paid.

PrimeMail Pharmacy Mail Order Form
Complete this form to order prescription (up to 90-day supply) through the mail.

HIPAA Release Form
Complete this form to allow health and life insurance information to be made available to a designated party.

Dependent Verification Form
Complete this form to verify eligibility for certain dependent children.

Blue365
This document provides helpful information concerning the discount programs available to members

Fast Facts Information Sheet
This document provides an overview of the various services available to members.


Ceridian - Flexible Spending Accounts
Customer Service 877.799.8820

Health Care Reimbursement Form
Complete this form for reimbursement of out-of-pocket health care expenses you may have incurred.

Dependent Care Reimbursement Form
Complete this form for reimbursement of dependent care expenses.


Quest Diagnostics (laboratory testing)

Appointment Scheduling:   It is east to schedule an appointment at a time and at a location that is convenient either by calling 888.277.8722 or on-line at www.QuestDiagnostics.com/appointment

Patient Service Center (PSC) Locator:  Find convenient Patient Service Center locations.


Group Life Insurance

The City of Hollywood provides basic group term life insurance to all full-time employees through Mutual of Omaha Insurance Company.  The amount of coverage provided varies by employee classification.  In addition, supplemental (voluntary) life insurance for yourself, or dependent life insurance for your spouse and dependents, is available for purchase by employees.   Applications for supplemental (voluntary) and/or dependent life will be accepted during Open Enrollment periods or a qualifying event.  Applicants for supplemental (voluntary) and/or dependent life will need to complete an Evidence of Insurability Form and maybe required to undergo a physical.  Mutual of Omaha Insurance Company will notify the City upon approval of your application.  All life insurance participants are encouraged to update their beneficiary regularly. 

Mutual of Omaha Insurance Company
Customer Service 800.775.8805

Please download the policy for your employee classification to view coverage details for Group Term Life and AD&D Insurance.


Click here to view coverage details for Group Voluntary (Supplemental) Term Life Insurance for all eligible employees.

Life Insurance Option Form (Full-time Employees Only)
Note:  You must also complete the Evidence of Insurability Form to apply for or increase Supplemental Life Insurance.  Applications for Supplemental Life are subject to approval by Mutual of Omaha Insurance Company.

Dependent Life Insurance Option Form
Note:  You must also complete the Evidence of Insurability Form to apply for or increase Dependent Life Insurance.  Applications for Dependent Life are subject to approval by Mutual of Omaha Insurance Company.

Evidence of Insurability Form
This form is required in addition to the applicability option form to apply for or increase your Supplemental or Dependent Life Insurance.

Life Insurance Beneficiary Designation Form
Use this form to update your beneficiary information.



Agency for Healthcare Research and Quality (AHRQ)

The Consumers and Patients page, sponsored by the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Resources, offers resources to help individuals with their health care needs.   By clicking the link below, you will find tools which will include information on specific diseases and conditions, recommendations for choosing health care services, tips for staying healthy, and other tools that can be useful in assessing and improving the quality of care you and your family receive.  
www.ahrq.gov/consumer/