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2024 SJC BOCC Healthy Living Reimbursement Program - Request Form

The Healthy Living Reimbursement Program allows employees to be rewarded for engaging in pre-approved activities. Benefits-eligible employees with the St. Johns County Board of County Commissioners can participate in this offering.

Employees can be reimbursed up to $100.00 each session ($200 annually). Upon approval, reimbursements will be paid via payroll approximately six weeks after each session, and taxes will be assessed. Please note the dates of each session below. To receive reimbursement, the activity must be purchased and submitted during the program dates listed below.

Session 1: January 1, 2024 - June 30, 2024
Session 2: July 1, 2024 - December 31, 2024


Activities purchased or submitted outside of these dates will be denied. Requests require proof of purchase, including vendor name, activity type or description, date of purchase, and total cost. This program is offered on a first-come, first-served basis as funding allows.

Covered Activities:
  • Gardening Supplies including garden kits, plants, seeds, pots, gloves, planters, shears, fertilizers
  • Florida State Park Pass or National Park Pass
  • Fitness Equipment including shoes (for any sport), treadmill, snowboard, skis, bicycle, tennis racket, golf clubs, yoga mat, helmet, skates, hula hoop; equipment for swimming, football, soccer, baseball, surfing
  • Well-Being / Health / Fitness Magazine Subscription or Book
  • Running / Walking / Biking or Similar Race Event including registration or tournament fees
  • Gym Memberships
  • Exercise / Fitness Classes / Active Sport Lessons including yoga, aerobics, Zumba, pilates, spin, martial arts, meditation, kickboxing, dance, nutritional or dietitian classes from wellness experts, weight management with coaching, JumpstartMD, karate, tae kwon do, music, art, archery, boxing, cricket, CrossFit, horseback riding, mental wellness classes, kayaking
  • Exercise, Nutrition, Mental Wellness Mobile App Subscription
  • Fitness Trackers including Apple iWatch, Fitbit, or similar wearable
  • Personal Training Memberships
  • Sessions with a Registered Dietitian or Personal Health Coach including nutrition counseling, meal planning services (but not food purchases), doula
Excluded Activities/Items:
  • Health spa treatments
  • Vitamins and supplements
  • Medical appointments, services, supplies, tests, or equipment
  • Exercise attire or sports attire (except fitness shoes)
  • Sunglasses
  • Physiotherapy and chiropractors including massage
  • Headphones, AirPods, Bluetooth headsets
  • Computer equipment, desks, computer chairs, headsets, and ergonomic equipment
     
St. Johns County reserves the right to decline incomplete submissions, requests outside of the session dates, verifications without the required information, or submissions that have been falsified. At the discretion of the program champions, this initiative can be discontinued program at any time.

Questions can be emailed to bccbenefits@sjcfl.us or stjohnswell@mbaileygroup.com

IMPORTANT: Information shared within this form and uploaded materials to be reviewed and approved will be part of the public record. Sensitive information should be redacted and only show the information needed for reimbursement.
1. Employee Information *This question is required.
A confirmation message will be sent to this address when finalized. This question requires a valid email address.
3. Activity Details *This question is required.
4. Activity Proof of Purchase/Participation *This question is required.REQUIRED TO SHOW: Vendor, Activity, Purchase Date, and Total Cost. Up to FIVE files can be uploaded If needed.
First & Last Name