2026 Heath Insurance Information
Active Employees
Retirees Medicare A&B Enrolled Single or Married Both Enrolled In Medicare
Retirees Non-Medicare & Medicare (with Non-Medicare Dependents)
Actives must enroll or make changes using our user-friendly and secure online portal, PlanSource.
Click Here For Online Instructions
Click the button below for PlanSource.
Retirees Non-Medicare & Medicare (with Non-Medicare Dependents)
Retirees Medicare A&B Enrolled Single or Married Both Enrolled In Medicare
Retirees Non-Medicare & Medicare (with Non-Medicare Dependents)
Retirees - are encouraged to use PlanSource. It is user-friendly & secure.
or
Submit changes by email, fax or mail using an Enrollment Form.
Click Here For Online Instructions
Click Here For Enrollment Form
Click the button below for PlanSource
Retirees Medicare A&B Enrolled Single or Married Both Enrolled In Medicare
Retirees Medicare A&B Enrolled Single or Married Both Enrolled In Medicare
Retirees Medicare A&B Enrolled Single or Married Both Enrolled In Medicare
Retirees - are encouraged to use PlanSource. It is user-friendly & secure.
or
Submit changes by email, fax or mail using an Enrollment Form.
Click Here For Online Instructions
Click Here For Enrollment Form
Click the button below for PlanSource.
To Enroll or Make Changes Online
PlanSource - Online Enrollment System
For security and ease to make changes to your benefits you are encouraged to do so on PlanSource, our online enrollment system.
Note: During Open Enrollment, the system resets passwords to the above default (YYYYMMDD).
Go to https:// benefits.plansource.com
Follow the instructions below for your Login ID and Password. You will be prompted to choose a new password.
Login ID/Username Your username is the first initial of your first name, up to the first six letters of your last name, and the last four digits of your SSN.
Password your initial password is your birthdate in the YYYYMMDD format. You will be prompted to reset your password.
Example #1: Taylor Williams, SSN: XXX-XX-1234, Birthdate: January 4, 1982
Login ID: twillia1234, Password: 19820104
HAVING TROUBLE LOGGING IN? Click the “NEED HELP?” link to obtain your username and/or reset your password. Or contact us:
email: benefits@healthrustmaff.org Phone: 305-425-1938
2026 Retiree Enrollment Forms
Retirees & Families Not Medicare Eligible
Retirees & Families Not Medicare Eligible
Retirees & Families Not Medicare Eligible
Retirees & Spouse Medicare A&B Enrolled
Retirees & Families Not Medicare Eligible
Retirees & Families Not Medicare Eligible
2026 Health (HRA) & Advanced Vision Reimbursement
Health Reimbursement Account (HRA)
The HRA is administered by Diversified.
Pay directly at the service provider using the Benefits Debit Card or reimburse yourself for any IRS Code Section 213(d) Eligible Medical Expenses incurred.
Benefit Amount
Member Only : $1,000.00
Member + Spouse: $2,000.00
Member + Child(ren): $2,000.00
Member + Family: $3,000.00
HRA Benefits Debit Card
Members who have not yet signed up to receive a debit card, or those adding adult dependents who do not already have a card, must fill out an Enrollment Form to request new debit card(s).
Click below or on the Benefits Card image to the right for the form. Return the completed form to Diversified using the instructions on the form.
ADvanced Vision REimbursement
Members and their dependents covered by the Plan are eligible for up to a $5,000 maximum lifetime benefit for any FDA approved procedures to improve your eyesight.
The Advanced Eye Care Reimbursement benefit is administered by Diversified. For more information or to request reimbursement visit www.div125.com.
The Advanced Eye Care Reimbursement benefit does not cover procedures included with or as part of cataract surgery