Medical Insurance Information - Guest/Substitute Teacher
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Guest Teachers (Substitutes) for Hays CISD are eligible for medical coverage. The cost would be 100% paid for by the Guest Teacher.
Premiums are collected on the 1st business day of each month. If payment is not received by said date, then benefits are terminated due to non-payment. If terminated due to non-payment, the Guest Teacher would not be able to re-enroll until the next annual open enrollment.
All active Substitute and Non-Standard Hourly employees who work at least a minimum of 4 days per month are eligible for medical coverage.
2023-24 Medical plan highlights
SUB/PT/NSHE MEDICAL ENROLLMENT FORM
New hires (new substitutes) must choose their coverage within 31 days of their actively-at-work date. Returning substitutes must participate in open enrollment designated by Teachers Retirement System (TRS) with all full-time staff to have coverage effective 9/1/2023 for the 23-24 plan year . Failure to take either action in a timely manner will result in the employee forfeiting coverage for the current plan year and will have the opportunity to enroll in the next plan year effective 9/1/2024.
Dependent Eligibility
Your eligible dependents include : • Your spouse; • A child under the age of 26 who is: a natural child; an adopted child or child lawfully placed for adoption; a stepchild; a foster child; a child under your legal guardianship.
A Common Law Spouse is not considered eligible for coverage unless there is a Declaration of Informal Marriage field with an authorized government agency. To add a Common Law Spouse, please have proof of Declaration of Informal Marriage from the government agency that it was filed with and contact the Benefits Department.
Grandchild under age 26 whose primary residence is the household of the employee and who is a dependent of the employee for federal income tax purposes for the reporting year in which coverage of the grandchild is in effect. To add a Grandchild, please have proof of your current Income Tax return that was filed with the IRS and contact the Benefits Department.
Any Other Dependent under the age of 26 in a regular parent-child relationship with the employee, MUST MEET ALL (4) four of the following requirements:
- The child’s primary residence is the household of the employee;
- The employee provides at least 50% of the child’s support;
- Neither of the child’s natural parents resides in that household; and
- The employee has the legal right to make decisions regarding the child’s medical care.*
*This requirement only applies to children under the age of 18.
A dependent does not include a brother or a sister of an employee, unless the brother or sister is an individual under age 26 who is either: (1) under the legal guardianship of an employee, or (2) in a regular parent-child relationship with an employee, as defined in the “any other dependent” category above. Parents and grandparents of the covered employee do not meet the definition of an eligible dependent.
Note: It is against the law to elect coverage for an ineligible person. Violations may result in prosecution and/or expulsion from the TRS-ActiveCare program for up to five years.