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2009 Plan Descriptions

Health Plan
2010 Open Enrollment
TRS-ActiveCare
New Employees
Plan Descriptions
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Forms
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Changing Benefits

Pre-Existing Condition Limitation
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HIPAA

Flexible Benefit Program
Plan Documents

An eligible full-time employee who works at least 25 hours a week is eligible for all benefit options. Eligible employees who work less than 25 hours a week may purchase a medical plan by paying the Total Monthly Rate. Substitutes, long-term subs, adult temps, student helpers, volunteers, etc., are not eligible for benefits.

An open enrollment period is held every year (November/December), and employees may make any benefit changes they would like, which will take effect on the next January 1. Benefit changes after January 1 are only allowed as a result of a change in status.

Anyone newly added to the Plan at any time is subject to the pre-existing condition limitations. (Birth/adoption may be exempt if addition requested within 30 days.)

Medical Plans

Monthly Rates & Benefit Comparison Charts PDF file (32 KB)

Complete coverage details are provided in the 2009 Plan document.

Each medical plan includes a term life/AD&D policy of $20,000 for the employee.
MetLife Certificate-Basic Life Insurance Included with Medical Plans PDF file (218 KB)

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Non-Medical Alternate Plan

This plan is an excellent choice for employees who have group medical coverage through another employer or private carrier, and do not need medical coverage through the Plano ISD. Please note that this plan is not medical coverage. For each day of in-patient hospital confinement, this plan pays $500 directly to the employee for a maximum of 60 days per calendar year. Since this is not medical coverage, you must file all hospital claims with your group medical plan, and then file a separate claim under this plan upon your release from the hospital.  The non-medical alternate plan cannot be chosen if you select a PISD medical plan.  Coverage under the non-medical alternate plan is for the employee only. Also included is a term life/A&D policy of $50,000.

MetLife Certificate-Basic Life Insurance Included with Alternate Plan PDF file (218 KB)

  Monthly Payroll Deduction
Employee Only
$0.00

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Dental Plans

Monthly Rates & Benefit Comparison Charts PDF file (14 KB)

Complete coverage details are provided in the 2009 Plan document.

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Vision Plans

Vision insurance is provided through Vision Service Plan, Inc.  Using one of the optometrists in their national network provides the best benefit. To search their network list, visit their web siteOpens new window.

Monthly Rates & Benefit Comparison Charts PDF file (15 KB)

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Optional Life Insurance

You may apply for MetLife life insurance at any time. Applications for new or increased coverage are subject to evidence of insurability, and will be effective the first of the month following underwriting approval. Forms to add, change, or cancel this coverage are available online, and may be submitted at any time during the year.

MetLife Certificate-Optional Life Insurance PDF file (224 KB)

For Employees
  Monthly Payroll Deduction
Amount of Coverage
Age 39 and Under
Age 40 and
Over
$20,000
$1.20
$3.00
$30,000
$1.80
$4.50
$40,000
$2.40
$6.00
$50,000
$3.00
$7.50
$60,000
$3.60
$9.00
$70,000
$4.20
$10.50
$80,000
$4.80
$12.00
$90,000
$5.40
$13.50
$100,000
$6.00
$15.00
$110,000
$6.60
$16.50
$120,000
$7.20
$18.00
$130,000
$7.80
$19.50
$140,000
$8.40
$21.00
$150,000
$9.00
$22.50
$160,000
$9.60
$24.00
$170,000
$10.20
$25.50
$180,000
$10.80
$27.00
$190,000
$11.40
$28.50
$200,000
$12.00
$30.00
$210,000
$12.60
$31.50
$220,000
$13.20
$33.00
$230,000
$13.80
$34.50
$240,000
$14.40
$36.00
$250,000
$15.00
$37.50
$260,000
$15.60
$39.00
$270,000
$16.20
$40.50
$280,000
$16.80
$42.00
$290,000
$17.40
$43.50
$300,000
$18.00
$45.00
$310,000
$18.60
$46.50
$320,000
$19.20
$48.00
$330,000
$19.80
$49.50
$340,000
$20.40
$51.00
$350,000
$21.00
$52.50
$360,000
$21.60
$54.00
$370,000
$22.20
$55.50
$380,000
$22.80
$57.00
$390,000
$23.40
$58.50
$400,000
$24.00
$60.00

For Dependents

You may purchase life insurance on your spouse and/or children; however, you must be enrolled in at least $20,000 employee optional life insurance in order to request dependent life insurance. Spouses are eligible for life insurance if they are under age 70. Children are eligible for life insurance if they are between ages 15 days to 21 years (or up to 25 years old if a full-time student). New dependent life insurance requests are subject to evidence of insurability and will be effective the first of the month following underwriting approval. Forms to add, change, or cancel this coverage are available online, and may be submitted at any time during the year.

Two plans are available:
Plan A - $5,000 for spouse / $2,000 for each child - Total Monthly Cost $2.50
Plan B - $10,000 for spouse / $4,000 for each child - Total Monthly Cost $6.00

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Disability Insurance

Assessing Your Need for Disability Insurance PDF file (254 KB)

There are 4 elimination (waiting) periods to choose from, so you can tailor the plan to fit your particular circumstances (sick leave, savings, etc.). Premiums are based on your age, benefit level, and elimination period. Benefits are paid directly to you, and are not subject to taxes.

Brief Plan Highlights PDF file (53 KB)
UNUM Certificate of Coverage PDF file (125 KB)

Disability Plan Rates:
7/7 elimination period PDF file (46 KB)
14/14 elimination period PDF file (46 KB)
30/30 elimination period PDF file (46 KB)
90/90 elimination period PDF file (46 KB)

Why should you enroll in disability insurance? When accidents or long-term illness arise, most people see their expenses go up, and their income go down. Disability income protection insurance can be very beneficial, and is most appreciated when the unexpected happens. Please review the UNUM disability plan offered through the district, and consider enrolling. Please Note: To use the disability insurance for maternity, it must be in effect prior to conception.

Important Procedures for Disability Plan:

  • You may add this benefit mid-year only if you are a new employee. This should be done within the first 60 days of employment. Otherwise, you may add, change, or cancel this benefit only during the annual open enrollment period. Proof of good health is not required, but pre-existing condition limitations will apply.
  • You may select any benefit amount up to two-thirds of your gross monthly salary. The maximum benefit available is $7,500.
  • You will be responsible for requesting annual increases to your benefit level due to salary increases. Automatic increases are not given, unless you are enrolled in the maximum benefit level allowed for your salary.
  • To use the disability insurance for maternity, it must be in effect prior to conception.

Forms to add, change, or cancel this coverage are available online.  Remember, you may only submit paperwork for the disability insurance as a new employee or during the annual open enrollment period.

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Long-Term Care Insurance

Enroll Online Opens new window

Employee Presentation Opens new window

Did you know that 42% of people receiving long term care services are under age 65? Many people think a long term health event would be covered by their health or disability insurance. However, plans like TRS-ActiveCare are not designed to cover long term custodial care costs. Only long term care insurance is designed to help pay for many of the care services you may need in your own home, in an assisted living or nursing facility.

With the right long term care insurance in place, you can help protect your family's financial security, have more control over decisions about your custodial care, and take comfort knowing that you're confidently moving toward a more secure and independent future.

TRS' group long term care insurance program can help get you there. TRS has selected Genworth Life Insurance Company as their group long term care insurance underwriter.

To learn more details about this program, including eligibility, costs, benefits and any restrictions that apply:

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WellAware Programs - 1-800-244-6224

The PISD health plan has partnered with CIGNA to provide their WellAware disease management programs to assist you in managing your health. A personal health coach is available for all persons covered by our medical plans who have diabetes, asthma, coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, or low back pain. You will receive educational materials, explanations, and suggestions to help you comply with your doctor’s orders, and answers to any questions you may have about your condition. In addition, CIGNA makes outreach calls to contact members, but you may self-refer at any time. You can also access information on their web site. Opens new window

Healthy Babies Program - 1-800-244-6224

This program is available to any pregnant employee or spouse who is covered by one of our medical plans. CIGNA's Healthy Babies program is a special service to support you during your entire pregnancy.  The maternity nurses are able to provide pre-natal and maternity information and advice, explain your doctor’s instructions, and answer your questions about pregnancy, childbirth, breastfeeding and newborn care. Please call today to begin working with a personal health coach.  Helpful information is also available on their web site. Opens new window

24-Hour Health Information Line - 1-800-244-6224

All full-time employees and their immediate family members are eligible to take advantage of CIGNA's free, confidential health information line, which is available 24 hours a day, every day of the year. This program is available to you even if you waive coverage under the health plan. You may call and listen to information on a variety of health conditions, or speak with a qualified nurse at any time for health care advice, information, and triage. Also, please visit their web site Opens new window for additional information.

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