2026 Employee
Benefits
Appointments Resources
Schedule Your Appointment Online with a Benefit Counselor
For assistance with appointment scheduling, call 1-855-565-4748.
Self-Enroll Online
Open Enrollment Resources
• How to Enroll during Open Enrollment
• How to Enroll as a New Hire
• View the 2026 Benefits Reference Guide
• Total Rewards Option Menu
Employee Forms
• 2026 Active Enrollment Form
• B5 Status Part-Time Form
• ACA Part-Time Form
• Voluntary Enrollment Form
• Dependent Eligibility Verification Form
• Annual Wellness Form
• Allstate Cancellation Form
• Life (668926), Voluntary STD (670378), Voluntary LTD (669887) – Evidence of Insurability
• STD Buy-up (165719) – Evidence of Insurability
• Aflac Cancelation Form
• Affidavit of Overage Dependent Eligibility form
• Domestic Partnership Affidavit form
• Away From Home Program
Additional Resources
• Provider Directory
• 403B/457 Contact List
• Live Benefits Q&A: (10am First Tuesday of Every Month)
Scan the QR code for Tava Health 
Call Center English Appointment
Cita en español del centro de llamadas
Call Center English Appointment
(Same Day)
Virtual Appointment
On-Site FBMC
Service Center
Office Hours:
Monday – Friday
7:30 a.m. – 5 p.m. ET
305-585-6512
Address:
Jackson Memorial Hospital
1611 NW 12th Avenue
Park Plaza West, L-109B
Miami, FL 33136-1096
