MD Alert & Dental Cleanings

Requirements to earn Personal Benefit Account (PBA) dollars or Health Savings Account (HSA) dollars

  • To earn Health 1265 points and PBA/HSA dollars, employee and spouse (if applicable) must submit MD Alert and Dental Cleaning forms by October 31st. 
  • To earn PBA/HSA dollars ONLY, forms must be submitted by December 31st. 

By completing the MD Alert requirements, eligible participating employees will earn points to be used to reduce employee health insurance premium contributions, and other incentives.

For Fire Fighters - completion of the MD Alert by employee and spouse, if applicable, will provide PBA/HSA dollars and a reduced employee health insurance premium contribution of 12.5%. Health 1265 participants can reduce their premium to 11.5%.

PBA/HSA Benefit Dollars

*If an employee is on Family Health Insurance without a spouse, $200 PBA/HSA dollars will be earned upon completion of employee MD Alert.
  Single Coverage
Family Coverage
MD Alert
$100 earned upon completion of employee MD Alert. $100* earned upon completion of employee MD Alert.
$100 earned upon completion of spouse MD Alert.
Dental Cleanings
$50 per dental cleaning (max of 2) for employee. $50 per dental cleaning (max of 2) for employee.
$50 per dental cleaning (max of 2) for Spouse/covered family member.

Important Forms