Retiree Enrollment:

October 15 - November 15, 2021

Active Enrollment:
November 2 - 16, 2021

COBRA Enrollment:
November 2 - 16, 2021

Notices and Forms

Affidavit of Domestic Partner

Beyond Your Benefits

Creditable Coverage Disclosure

Medicare Enrollees

Declination of Healthcare Coverage Affidavit

Dependent Documentation Requirements

Domestic Partner Eligibility

Adult Child Dependent Package

Social Security Notice

Creditable Part D Notice

Newly Eligible Adult Child Dependent Package

M-DCPS Logo in white

Office of Risk and Benefits Management
1501 N.E. 2nd Avenue, Suite 335
Miami, Florida 33132
Mon - Fri, 8 a.m. to 4:30 p.m. ET
www.dadeschools.net
305-995-7129

FBMC Service Center
Mon - Fri, 7 a.m. to 7 p.m. ET
1-855-MDC-PS4U (1-855-632-7748)