Boone County Benefit Information
Benefits Section
- Open Enrollment Dates
- Boone County Benefit Overview & Notices
- Benefit Information & Forms
- Pension & Retirement Information Forms
Please see below for information and forms related to Boone County's benefits.
Don't see the information or forms you're looking for? Contact Human Resources at (573) 886-4128 or hr@boonecountymo.org to request more information.
2025 Open Enrollment
Open enrollment will be from October 28 - November 8, 2024. During this time, you may elect or change benefits for the 2025 calendar year.
Please use the information below to learn more about open enrollment and benefit changes and offerings for 2025.
Back to TopBoone County Benefit Overview & Notices
Benefit Information for 2025
- Summary of Benefits (summary of all Boone County benefits)
- Benefit Bulletin
- Insurance Plan Election Form
- Open Enrollment Checklist
- Insurance Premiums
- COBRA and Early Retiree Premiums
Annual Notices
- Notice Regarding Employer-Sponsored Benefits
- Compliance Notices
- Summary of Benefits - PPO Plan
- Summary of Benefits - High Deductible Health Plan
Benefit Information & Forms
Anthem Blue Cross/Blue Shield Health Insurance Plans
- Anthem's Website
Create an account and log-in to find claim information, get a temporary card, find a doctor, and more! - LiveHealth Online Website
- Anthem Virtual Care Options
- Health Plan Option Summary
- Anthem Open Enrollment Booklet
- Anthem Wellness Incentive Program
- Anthem Formulary
- Anthem Formulary (Searchable)
This information applies to both plans and is subject to change - PreventiveRx Plus Plan (High Deductible Plan Only)
- ACA Preventive Care Drug List (PPO and High Deductible Plans)
- How to Check Medication Prices
- CarelonRx Mail Order Pharmacy
- Anthem Change Form
Complete this form if you wish to change your health plan or add/remove dependents.
Health Savings Account Information
- HSA Central Website
- Central Bank of Boone County HSA Site for Boone County Employees
- HSA Eligibility Checklist
- Health Plan Cost Estimation Worksheet
- HSA Online Enrollment Instructions
- Direct Deposit/Contribution Election Form
ASI Flexible Spending Account/Dependent Care Account
- ASI's Website
- ASI Health Care FSA Overview
- ASI Dependent Care FSA Overview
- ASI Online Enrollment Instructions
Employees who wish to participate in ASI's FSA or Dependent Care Accounts must re-enroll each year. - ASI Enrollment Form
- ASI Expense Worksheet
Use this worksheet to estimate your costs. - ASI Over-the-Counter Expenses Information
- ASI Mobile App Information
- ASI Claim Form (for fax, mail, or drop-off only)
- Eligible Expense List (for both FSA and HSA)
Guardian Dental Insurance
- Guardian Website
- Dental Benefit Book
- Dental Election or Change Form
- Guardian In-Network Dental Provider Listing
Guardian Vision, Life, and Long-Term Disability Insurance
- VSP's Vision Website
- Guardian LIfe Insurance Beneficiary Form
- Vision, Life, and LTD Benefit Book
- Vision and Voluntary Life Election or Change Form
- Life Insurance Rates
- Voluntary Life Evidence of Insurability Form
- VSP Vision Provider Directory
Please contact Human Resources if you would like to submit a life insurance or long-term disability claim.
Employee Assistance Programs
Missouri's 529 College Savings Plan (MOST)
- MOST's Website
If you would like to contribute to your MOST account through payroll, please make sure to print the payroll confirmation page and send it to Human Resources.
Pension & Retirement Information Forms
County Employees Retirement Fund (CERF Pension)
CERF Savings Plan
- Empower Retirement's Website
- CERF 401a & 457(b) Enrollment Form
- CERF 457(b) Change Form
- CERF 457(b) Beneficiary Form
- CERF 401a Beneficiary Form
Nationwide Retirement Services
- Nationwide 401(a) Website
- Nationwide 401(a) Enrollment Form
- Nationwide 401(a) Beneficiary Form
- Nationwide 457(b) Website
- Nationwide 457(b) Enrollment Form
- Nationwide 457(b) Beneficiary Form
- Nationwide Payroll Deduction Change Form