Medical Insurance Information - NSHE/PT Less than 20 hours

  • Non-Standard Hourly Employees (NSHE) or Part-Time (less than 20 hours per week) for Hays CISD are eligible for medical coverage.  The cost would be 100% paid for by the NSHE/PT employee. . 

    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 NSHE would not be able to re-enroll until the next annual open enrollment.

    All active Substitutes, Non-Standard Hourly employees and Part-Time employees who work at least a minimum of 4 days per month are eligible for medical coverage as a new hire.  

    New hires must choose the coverage within 31 days of ther actively at work date.  Benefits will be effective the 1st of the month after the actively at work date.  Complete and submit the medical enrollment form to InsuranceBenefits@hayscisd.net with 31 days of actively at work date. 

    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.

    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 a Declaration of Informal Marriage from the government agency that it was filed with and submit with the enrollment form. 

    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.

    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:

    1. The child’s primary residence is the household of the employee;
    2. The employee provides at least 50% of the child’s support;
    3. Neither of the child’s natural parents resides in that household; and
    4. 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.