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Retiree Medical Benefits Payment

Please fill in the name of the Stetson College of Law retiree and the name of the insured if different from the retiree (e.g., spouse of retiree).

Once you have completed all the required information for the credit card payment and click Submit, you will receive a payment confirmation on the next screen.

If you have further questions, please contact Human Resources at 727-562-7345.

Retiree Information

Retiree's Address

Insuree Information

Insuree's Address

Payment Information


For assistance, contact Human Resources at [email protected] or 727-562-7345.