Employee Benefits

Benefit Information

  • 2020-2021 - Employee Benefit Guide 

    Medical - Blue Cross Blue Shield of Texas (BCBSTX)

    2020-2021 Medical BCBSTX Rates

    Hays CISD is excited to introduce your 2020-21 TRS-ActiveCare health benefits through Blue Cross and Blue Shield of Texas (BCBSTX). This year’s plans feature enhanced coverage that’s easier to understand and use, broader access to providers and more cost-saving options for you and your family.

    Activate your health by choosing a plan that fits your needs.
    We have resources to help you search for a provider and Personal Health Guides who can guide you through your plan options.

    Available now:

    TRS-ActiveCare Customer Service: 1-866-355-5999

    Medical BCBSTX Plans:

    • ActiveCare Primary *NEW*
    • ActiveCare HD *Formerly 1-HD*
    • ActiveCare Primary + *NEW*

    TRS COBRA: 1-833-682-8972  

    TRS VIRTUAL HEALTH

    Your BCBSTX coverage includes TRS Virtual Health choices powered by Teladoc® and RediMD. This service allows you access to convenient, quality health care from home or on the go, without having to travel to a doctor’s office.

    TRS Virtual Health, powered by Teladoc®

    Teladoc physicians have an average of 15-20 years of clinical experience and are board-certified in Family Medicine, Internal Medicine, Pediatrics or Emergency Medicine.

    Learn more

    TRS Virtual Health, powered by RediMD

    RediMD provides quality primary care medical service with live, face-to-face diagnosis and treatment online or by phone. You can see or speak with a board-certified physician who can diagnose and recommend conservative treatment 24/7.

    Learn more

     

    TRS BlueCross BlueShield of Texas

    Annual Enrollment is over. Now what?

    Did you select a Primary Care Provider (PCP) during Annual Enrollment?

    If you enrolled in TRS-ActiveCare Primary or TRS-ActiveCare Primary+, you are required to have a PCP to get coverage. If you didn’t choose a PCP during enrollment, one may have been assigned to you based on either your prior claims or where you live. If a PCP was assigned, their name and phone number are listed on your ID card. In some cases, we couldn’t assign a PCP. If you see “NO PCP ON FILE” on your ID card, you’ll need to select one before you can use your benefits.

    Here are the steps to select or change your PCP:

    Participants enrolled in TRS-ActiveCare Primary and TRS-ActiveCare Primary+ plans can follow these steps to select or change their PCP:

    1. Go to bcbstx.com/trsactivecare and log in to Blue Access for MembersSM.
    2. Click on the Doctors and Hospitals tab, then on the Doctors and Hospitalslink.
    3. If you know the name of the PCP you would like to select, search by Name and Specialties.
    4. If you don’t have a PCP in mind, Browse by Category and select Medical Care from the drop-down menu.
    5. Next, select Primary Care.
    6. Choose Family Practice, General Medicine, Internal Medicine, Obstetrics & Gynecology or Pediatrics to narrow your search.
    7. Pick a PCP from the providers listed and click on View Profile.
    8. Locate the 10-digit provider ID number at the very top of the page under Provider Highlights. You will need this number.

    To change your PCP, call a Personal Health Guide (PHG), at 1-866-355-5999. PHGs are available 24 hours a day, seven days a week.

    Tip: If your provider is part of a clinic group and you can’t locate the clinic on Provider Finder®, try searching the individual provider.

     

    2020-2021 Open Enrollment

    Medical HMO - Scott & White (SWHP)

    2020-2021 Medical Scott & White HMO Rates

     Available now:

    Scott & White HMO
    Policy #: 008500

    Customer Service
    1-800-321-7947

    Scott & White HMO COBRA (CONEXIS)
    1-877-722-2667

    Member Portal & Member ID Card

    To register for the member portal:
    1. Go to trs.swhp.org.
    2. Click the orange MEMBER PORTAL button
    below the MORE ASSISTANCE section.
    3. Click the SIGN UP NOW link below the
    LOG IN button.
    4. Enter either your Social Security Number or
    member ID number and your date of birth
    to begin the registration process.
    5. Enter a valid email address and create a
    password that meets the specified criteria.
    6. Click CREATE ACCOUNT.

  •   Contact Information:

    Cynthia Botello
    Director of Employee Services

    Office: (512) 268-8975
    Fax: (512) 268-7384

    QUESTIONS?
     
    InsuranceBenefits@hayscisd.net

Insurance Benefit Eligibility

  • Employees who are TRS members
    Active employees who are TRS members who are eligible for medical and supplemental benefits offered through the district. You must work 20 or more hours per week and be making retirement contributions to the Teacher Retirement System of Texas in order to be eligible for the district contribution towards health insurance.

    Employees who are Non-TRS members
    Active Non-TRS members are eligible for medical coverage only. You must work 10 or more hours per week and must pay 100% of the TRS-ActiveCare medical premiums.

    Current Employees
    Current Employees may select and change benefits during the district's annual open enrollment period, which typically occurs during the summer.

    (Certain special events such as a change in marital status, dependent status or employment status of an employee or spouse, may qualify for an exception to this rule. Contact the benefits department within 31 days of the qualifying event for further clarification.)

    New Employees
    You must enroll or decline benefits offered through the district within 31 calendar days from your actively at work date (start date).  Participation in the health-care benefits will be effective on either (1) employee's first active day of employment (physical start date) or (2) the first of the month following the first active day of employment. 

    Supplemental benefits will be effective the first of the month following the first active day of employment. 

    Should a new employee choose not to enroll within the initial 31 day sign-up, the next opportunity for enrollment will be during the next Annual Open Enrollment.  (Certain special events such as a change in marital status, dependent status or employment status of an employee or spouse, may qualify for an exception to this rule. Contact the benefits department within 31 days of the qualifying event for further clarification.)

    Employee Deductions

    • Hays CISD does NOT deduct Social Security.
    • 8.35% is deducted for the Teacher Retirement System (TRS).
    • 1.45% is deducted for Medicare.
    • Federal income tax is deducted.
    • Health insurance and supplemental benefits for eligible employees under Section 125 (Cafeteria Plan) and voluntary annuity plans if elected.
    • For part-time employees, the 7.50% contribution to the PARS 457(b) FICA Alternative Plan will be deducted from your paycheck on a pre-tax basis.

    Teacher Retirement System of Texas (TRS) Contribution Rates