Exhibit 2 - Vision Enrollments.xlsx

XLSX spreadsheet 35 KB Posted Jun 26, 2025

Attached to: Vision Insurance for District Employees
Solicitation number: ITB-13230
Issued by: Polk County, Florida

About this file

Written by GovTribe AI · Jun 30, 2025

This is an Excel spreadsheet for Employee Vision Enrollments from St. Johns River Water, detailing vision insurance enrollment data for employees across multiple Florida locations. The document tracks vision insurance coverage for different employee classes including Benefit Eligible Full-Time (BEFT), Part-Time (BEPT.5), Senior Management (SMFT), Retirees (RET), and Executives (EXEC), with coverage levels ranging from individual employee to employee + family.

The spreadsheet provides granular enrollment details, including monthly employee costs of $5.40 for individual coverage, $10.26 for employee + 1, and $15.06 for employee + family plans. Employees are located in numerous Florida cities such as Palatka, St. Augustine, Jacksonville, Melbourne, Gainesville, and Palm Bay, with coverage through EyeMed Vision Care. The report was generated on 06/24/2025 and includes comprehensive data fields like employee status, coverage levels, enrollment dates, and cost information, offering a detailed snapshot of the organization's vision insurance enrollment landscape.

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Other files

File	Type	Posted
Attachment A - Vision Ins Questionnaire.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 2 - Vision Enrollments.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 2.1 - Revised Vision Enrollments.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 4 - Vision Certificate of Insurance.pdf	PDF	Jun 26, 2025
Exhibit 2.1 - Revised Vision Enrollments.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 4 - Vision Certificate of Insurance.pdf	PDF	Jun 26, 2025
Exhibit 5-Provider Listing-Top Providers.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 1 - EyeMed Vision Summary of Benefits.pdf	PDF	Jun 26, 2025
QR 41311 - Addendum 1-FINAL.pdf	PDF	Jun 26, 2025
QR 41311 Vision Insurance - FINAL 6-26-2025.pdf	PDF	Jun 26, 2025
Exhibit 3 - EyeMed Utilization Reports.pdf	PDF	Jun 26, 2025
QR 41311 - Addendum 2-FINAL.pdf	PDF	Jun 26, 2025
QR 41311 Vision Insurance - FINAL 6-26-2025.pdf	PDF	Jun 26, 2025
Exhibit 3 - EyeMed Utilization Reports.pdf	PDF	Jun 26, 2025
Exhibit 4 - Vision Certificate of Insurance.pdf	PDF	Jun 26, 2025
QR 41311 Vision Insurance - FINAL 6-26-2025.pdf	PDF	Jun 26, 2025
Exhibit 3 - EyeMed Utilization Reports.pdf	PDF	Jun 26, 2025
Attachment A - Vision Ins Questionnaire.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 2 - Vision Enrollments.xlsx	XLSX spreadsheet	Jun 26, 2025
QR 41311 - Addendum 1-FINAL.pdf	PDF	Jun 26, 2025
Attachment A - Vision Ins Questionnaire.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 1 - EyeMed Vision Summary of Benefits.pdf	PDF	Jun 26, 2025
Exhibit 1 - EyeMed Vision Summary of Benefits.pdf	PDF	Jun 26, 2025

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Employee Enrollments

PLAN	ELIGIBILITY CLASS	ELIGIBILITY GROUP	COVERAGE LEVEL VALUE	EMPLOYEE COST MONTHLY	CITY	STATE	HOME ZIP CODE
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	West Melbourne	FL	32904
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Interlachen	FL	32148
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32907
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32935
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Citra	FL	32113
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	East Palatka	FL	32131
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Apopka	FL	32712
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32178
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Tavares	FL	32778
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Sebastian	FL	32958
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Hollister	FL	32147
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Satellite Beach	FL	32937
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Umatilla	FL	32784
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Green Cove Springs	FL	32043
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32086
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orange Lake	FL	32681
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Deland	FL	32724
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Winter Park	FL	32792
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Grandin	FL	32138
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Green Cove Springs	FL	32043
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Saint Augustine	FL	32080
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32934
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Fleming Island	FL	32003
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Florahome	FL	32140
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32653
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32935
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	High Springs	FL	32643
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Coast	FL	32137
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32086
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32605
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Winter Park	FL	32792
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Keystone Heights	FL	32656
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	keystone Heights	FL	32656
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Altamonte Springs	FL	32714
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32605
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32908
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Winter Garden	FL	34787
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Zellwood	FL	32798
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Crescent City	FL	32112
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32909
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	East Palatka	FL	32131
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Summerfield	FL	34491
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Oviedo	FL	32765
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Mount Dora	FL	32757
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Saint Augustine	FL	32084
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orlando	FL	32818
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St Augustine	FL	32092
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Pierson	FL	32180
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Umatilla	FL	32784
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32935
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Ocala	FL	34475
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Winter Garden	FL	34787
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32909
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Maitland	FL	32751
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32606
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32207
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32216
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	East Palatka	FL	32131
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32092
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Winter Garden	FL	34787
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32934
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Seville	FL	32190
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	New Smyrna Beach	FL	32168
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32256
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Deltona	FL	32725
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32084
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Umatilla	FL	32784
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32936
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orlando	FL	32817
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Fleming Island	FL	32003
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32205
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32904
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Satsuma	FL	32189
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Indialantic	FL	32903
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Bunnell	FL	32110
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Saint Augustine	FL	32086
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32905
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32908
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32092
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32909
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Sarasota	FL	34239
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Interlachen	FL	32148
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32605
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Merritt Island	FL	32953
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Green Cove Springs	FL	32043
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Hollister	FL	32147
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Hastings	FL	32145
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Middleburg	FL	32068
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Interlachen	FL	32148
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Green Cove Springs	FL	32043
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Geneva	FL	32732
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32205
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32901
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32607
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orlando	FL	32825
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	PALATKA	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Saint Augustine	FL	32080
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Alachua	FL	32615
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32605
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orange City	FL	32763
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32601
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32223
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32216
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Apopka	FL	32712
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orange Park	FL	32065
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Clermont	FL	34714
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Altamonte Springs	FL	32714
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Oviedo	FL	32765
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Mount Dora	FL	32757
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32211
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Coast	FL	32137
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orange Park	FL	32003
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Green Cove Springs	FL	32043
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32905
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Silver Springs	FL	34488
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Fort McCoy	FL	32134
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	West Melbourne	FL	32904
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32606
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Interlachen	FL	32148
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32178
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Fellsmere	FL	32948
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32935
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32080
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32207
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Keystone Heights	FL	32656
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32256
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32641
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32641
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32084
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Tampa	FL	33604
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	BEPT.5 - Benefit Eligible PT.5	Pre Tax	Employee	$5.40	Belle Isle	FL	32812
Vision	BEPT.5 - Benefit Eligible PT.5	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee	$5.40	Melrose	FL	32666
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee	$5.40	Saint Augustine	FL	32080
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee	$5.40	Salt Springs	FL	32134
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32606
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Coast	FL	32164
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Coast	FL	32137
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Ponce Inlet	FL	32127
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Coast	FL	32137
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Belleview	FL	34420
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Belleview	FL	34420
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Keystone Heights	FL	32656
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Sorrento	FL	32776
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Ocala	FL	34481
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Gainesville	FL	32605
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Lake Mary	FL	32746
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Malabar	FL	32950
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	East Palatka	FL	32131
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melbourne	FL	32901
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Port Orange	FL	32129
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Gainesville	FL	32606
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	East Palatka	FL	32131
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Grand Island	FL	32735
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Eustis	FL	32726
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Orlando	FL	32818
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Jacksonville	FL	32216
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Orlando	FL	32803
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32092
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Bay	FL	32907
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	San Mateo	FL	32187
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Coast	FL	32137
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Ormond Beach	FL	32176
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Jacksonville	FL	32258
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Yulee	FL	32097
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melbourne	FL	32901
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32086
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Havana	FL	32333
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Eustis	FL	32726
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32084
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	San Mateo	FL	32187
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Orlando	FL	32806
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Grand Island	FL	32735
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Vero Beach	FL	32962
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Gainesville	FL	32608
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Casselberry	FL	32707
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Jacksonville	FL	32257
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32080
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Flagler Beach	FL	32136
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Saint Augustine	FL	32080
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Longwood	FL	32779
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Gainesville	FL	32606
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Orange Park	FL	32065
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Coast	FL	32137
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Orlando	FL	32806
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Vero Beach	FL	32967
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Longwood	FL	32750
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Bay	FL	32907
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32092
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32086
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Jacksonville	FL	32222
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melbourne	FL	32935
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melbourne	FL	32901
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melrose	FL	32666
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melbourne	FL	32935
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Bay	FL	32909
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Fleming Island	FL	32003
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Jacksonville	FL	32210
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melrose	FL	32666
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Longwood	FL	32750
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	San Mateo	FL	32187
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Pomona Park	FL	32181
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Bay	FL	32909
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St Johns	FL	32259
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	East Palatka	FL	32131
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melbourne	FL	32901
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Fort Mc Coy	FL	32134
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32092
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Green Cove Springs	FL	32043
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Jacksonville	FL	32218
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Pomona Park	FL	32181
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Augustine	FL	32084
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Augustine	FL	32086
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Melbourne	FL	32935
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Elkton	FL	32033
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Cloud	FL	34772
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Johns	FL	32259
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	East Palatka	FL	32131
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Mims	FL	32754
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Saint Augustine	FL	32084
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Green Cove Springs	FL	32043
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Saint Augustine	FL	32080
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Suwanee	GA	30024
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palm Bay	FL	32909
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Ocklawaha	FL	32179
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Green Cove Springs	FL	32043
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Melbourne	FL	32901
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Fruit Cove	FL	32259
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Middleburg	FL	32068
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Keystone Heights	FL	32656
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Tallahassee	FL	32317
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Jacksonville	FL	32258
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Clermont	FL	34711
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Interlachen	FL	32148
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Saint Augustine	FL	32092
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	East Palatka	FL	32131
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Mims	FL	32754
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palm Bay	FL	32909
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Alachua	FL	32615
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Satellite Beach	FL	32937
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Apopka	FL	32703
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Gainesville	FL	32606
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Gainesville	FL	32605
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Jacksonville	FL	32258
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Jacksonville	FL	32257
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	DeBary	FL	32713
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Ponte Vedra	FL	32081
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Newberry	FL	32669
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Keystone Heights	FL	32656
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Augustine	FL	32084
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Florahome	FL	32140
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Dunnellon	FL	34431
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Fleming Island	FL	32003
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Melbourne	FL	32934
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32178
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Jacksonville	FL	32259
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Orlando	FL	32809
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Interlachen	FL	32148
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Micco	FL	32976
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Orange Park	FL	32073
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Fruit Cove	FL	32259
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	New Smyrna Beach	FL	32169
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Melbourne	FL	32904
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	East Palatka	FL	32131
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Starke	FL	32091
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Orlando	FL	32828
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	West Melbourne	FL	32904
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Saint Augustine	FL	32086
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	San Mateo	FL	32187
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Interlachen	FL	32148
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palm Coast	FL	32164
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Jacksonville	FL	32223
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palm Bay	FL	32907
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Gainesville	FL	32653
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Gainesville	FL	32605
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Deland	FL	32720
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Fleming Island	FL	32003
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Green Cove Springs	FL	32043
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Melbourne	FL	32940
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	San Mateo	FL	32187
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Gainesville	FL	32607
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Orange City	FL	32763
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Augustine	FL	32080
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palm Bay	FL	32907
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Florahome	FL	32140
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palm Coast	FL	32137
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Umatilla	FL	32784
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Saint Augustine	FL	32092
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St Johns	FL	32259
Vision	EXEC - Executive Director Benefit Eligible	Executive	Employee + Family	$0.00	Seville	FL	32190
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Augustine	FL	32086
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Augustine	FL	32092
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Fleming Island	FL	32003
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Saint Johns	FL	32259
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	High Springs	FL	32643
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Ocoee	FL	34761
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Indialantic	FL	32903
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Ormond Beach	FL	32174
Vision	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Middleburg	FL	32068
Vision	RET - Retiree	Retiree	Employee	$5.40	Satsuma	FL	32189
Vision	RET - Retiree	Retiree	Employee	$5.40	Florahome	FL	32140
Vision	RET - Retiree	Retiree	Employee	$5.40	St. Augustine	FL	32080
Vision	RET - Retiree	Retiree	Employee	$5.40	Hawthorne	FL	32640
Vision	RET - Retiree	Retiree	Employee	$5.40	Palatka	FL	32177
Vision	RET - Retiree	Retiree	Employee	$5.40	Palatka	FL	32177
Vision	RET - Retiree	Retiree	Employee	$5.40	Leesburg	FL	34748
Vision	RET - Retiree	Retiree	Employee	$5.40	Palm Coast	FL	32164
Vision	RET - Retiree	Retiree	Employee	$5.40	East Palatka	FL	32131
Vision	RET - Retiree	Retiree	Employee	$5.40	Gainesville	FL	32607
Vision	RET - Retiree	Retiree	Employee	$5.40	Apopka	FL	32703
Vision	RET - Retiree	Retiree	Employee	$5.40	Oviedo	FL	32765
Vision	RET - Retiree	Retiree	Employee	$5.40	Palatka	FL	32177
Vision	RET - Retiree	Retiree	Employee	$5.40	Titusville	FL	32796
Vision	RET - Retiree	Retiree	Employee	$5.40	Satsuma	FL	32189
Vision	RET - Retiree	Retiree	Employee	$5.40	Silver Springs	FL	34488
Vision	RET - Retiree	Retiree	Employee	$5.40	Gainesville	FL	32601
Vision	RET - Retiree	Retiree	Employee + 1	$10.26	Middleburg	FL	32068
Vision	RET - Retiree	Retiree	Employee + 1	$10.26	Palm Bay	FL	32907
Vision	RET - Retiree	Retiree	Employee + 1	$10.26	Palatka	FL	32177
Vision	RET - Retiree	Retiree	Employee + 1	$10.26	Palatka	FL	32177
Vision	RET - Retiree	Retiree	Employee + 1	$10.26	Palatka	FL	32177
Vision	RET - Retiree	Retiree	Employee + 1	$10.26	East Palatka	FL	32131
Vision	RET - Retiree	Retiree	Employee + 1	$10.26	Palatka	FL	32177
Vision	RET - Retiree	Retiree	Employee + 1	$10.26	Havana	FL	32333
Vision	RET - Retiree	Retiree	Employee + 1	$10.26	Interlachen	FL	32148
Vision	RET - Retiree	Retiree	Employee + Family	$15.06	Saint Augustine	FL	32086
Vision	RET - Retiree	Retiree	Employee + Family	$15.06	Melbourne	FL	32934

Report Runtime Settings

Employee Enrollments	Created on: 06/24/2025
Report Runtime Settings The following settings were used to create this report

Employees Included

Employee List

All Employees

Company Codes

RNT-St. Johns River Water

Home Departments

All Home Departments

Locations

All Locations

Business Units

All Business Units

Home Cost Numbers

All Home Cost Numbers

Plan Names

Vision

Active Only

Plan Types

All Plan Categories

Plan Types

VIS-Vision

Provider

EyeMed Vision Care

Active Only

Archived employees are NOT included

Inactive Enrollments are NOT included

Waived Enrollments are NOT included

Fields Included

Name, Position ID, Employee Status, Date of Birth, Gender, Address, Business Unit, Location, Union Code, Eligibility Class, FLSA, Plan Category, Plan Type, Provider, Plan Name, Eligibility Group, Plan Start Date, Coverage Level Value, Coverage Level Amount, Enrollment Start Date, Enrollment Eff Date, Enrollment End Date, Enrollment Status, Employee Cost, Employee Cost Period, Employer Cost Value, Employer Cost Amount, Employer Cost Period, Deduct, Pay Frequency, Deduction Code, Deduction Qualifier, Deduction Amount, Deduction Frequency

Sort Order

Company Code, Name, Plan Type

Display Options

Report Information displayed as of 06/24/2025

Note

Employee Enrollments Run Date:06/24/2025 08:11 AM EDT

File details come from the government source that posted it. Updated Jun 30, 2025.