TRS-ActiveCare

		Health Plan 2010 Open Enrollment TRS-ActiveCare New Employees Plan Descriptions Find a Network Provider Forms Filing a Claim Prescriptions Lab Work Employee Assistance Program Changing Benefits Pre-Existing Condition Limitation Part-Time Benefits COBRA HIPAA Flexible Benefit Program Plan Documents

On January 1, 2010, the Plano ISD will begin using TRS ActiveCare as our medical plan provider. Continue to refer to this web page for updates from the PISD benefits department.

You may call Blue Cross Blue Shield (BCBS) Customer Service for information about the TRS-ActiveCare Plans - 1-866-355-5999.

Forms

Application to Split Premium (188 KB) - Use this form ONLY if you and your spouse work for different school districts and you qualify to split the family premium. Do not use this form if you and your spouse both work for PISD.

Dependent Child's Statement of Disability (182 KB) - Use this form if you will be requesting TRS-ActiveCare medical coverage for a disabled child over age 25.

Transitional Care Request Form (171 KB) - Use this form if you will be using a non-network doctor under TRS-ActiveCare. The criteria to qualify for transitional care are explained in the TRS Benefits Booklet on page 38.

Information about TRS-ActiveCare Plans

Frequently Asked Questions (TRS-ActiveCare web site)

Short Comparison Chart for ActiveCare Plans (146 KB)

ActiveCare Rates, 1/1/2010 - 8/31/2010 (11 KB)
This chart shows the monthly rates, minus the district contribution for full-time employees.  The rates shown on the TRS web site do not take into account any district contribution.

ActiveCare Enrollment Information & Plan Descriptions (2,531 KB)
Please Note: This booklet refers to enrollment periods in April, May, and August 2009. These dates do not apply to PISD. Our next open enrollment period will occur in November-December 2009.

ActiveCare Full Benefits Booklet (1,947 KB)

TRS web site

Where To Find:

PPO Doctors under TRS-ActiveCare

Preferred Brand Name Drugs

Weekly Notices to Employees:

#1 - 9/9/2009 - PPO Network (50 KB)

#2 - 9/16/2009 - Transitional Care (48 KB)

#3 - 9/23/2009 - Pre-Existing Conditions (49 KB)

#4 - 9/30/2009 - Eligibility Rules (58 KB)

#5 - 10/7/2009 - Deductibles (49 KB)

#6 - 10/14/2009 - Combined Family Premium (55 KB)

#7 - 10/21/2009 - Prescriptions & Lab Work (56 KB)

#8 - 10/28/2009 - Enrollment Periods (52 KB)

#9 - 11/4/2009 - Flex Accounts & Health Savings Accounts (52 KB)

#10 - 11/11/2009 - Additional Coverage (48 KB)

#11 - 11/18/2009 - Enrollment Deadline (50 KB)

Please e-mail questions to benefits@pisd.edu.