GROUP
INSURANCE BENEFIT PROGRAM |
ELIGIBILITY |
EMPLOYEE
COST |
BENEFIT
COVERAGE |
|
Comprehensive Medical Insurance
Program
Health Select
Blue Cross/Blue Shield of Texas
Employee and Dependent(s)
|
Eligible on first day of the month after 90
calendar days of active employment, otherwise evidence of
insurability may be required.
|
Employee premium is funded by the State.
Dependent(s) premium(s) are funded 50% by the
State and employee pays 50% of pre-taxed premium.
|
Employee may automatically be enrolled in the
Medical Plan on the first day of the month after 90 calendar
days of active employment.
Dependents must be enrolled by the employee
by the 91st day of employment, otherwise evidence of insurability
may be required. |
| State Kids Insurance Program (SKIP) |
Same as comprehensive
medical. |
Employee may apply for additional
state funds at any time during the plan year to pay for child(ren). |
Employee may add SKIP approved child(ren)
to medical insurance at a reduced premium rate. |
|
Basic Group Term Life and Accidental Death
and Dismemberment
|
Eligible on first day of the month after
90 calendar days of active employment.
|
No cost to employee.
|
Employee may automatically be covered for
$5000 Basic Group term Life and $5000 Accidental Death and
Dismemberment.
|
|
Dental Plans
Indemnity or Dental Maintenance Organization
|
Eligible on date of hire.
Must be enrolled within 30 calendar days of date
of hire or during ERS Summer Enrollment. |
Dental premiums are paid pre-tax by the employee,
including dependent coverage.
|
Indemnity Plan - May see any Dentist; eligible
dental work covered. Benefits increase during the first 3
years of enrollment.
DMO - Must live in service area and select from the list
of approved Providers. Eligible dental work covered with
employee paying applicable co-payments.
|
|
Optional Group Term Life
|
Eligible on date of hire for 2 times
annual base salary within the first 30 days of hire. May
apply through evidence of insurability for up to 4 times
annual
base salary.
Otherwise, proof of insurability is required.
|
Premium amount is based on age and level
of coverage paid pre-tax by employee.
|
Amount purchased paid to the employee's designated
beneficiary.
|
|
Dependent Term Life
|
Eligible on date of hire. Eligible dependents
must be enrolled within 30 calendar days of active employment.
Otherwise, proof of insurability is required.
|
Paid pre-taxed by employee.
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$5000 of life insurance and $5000 of accidental
death and dismemberment for covered dependent(s).
|
|
Voluntary Accidental
Death and Dismemberment
Employee
Family
|
Eligible on date of hire. Must be enrolled
within 30 calendar days of date of hire, including family
coverage, otherwise during ERS Summer Enrollment.
|
Premiums is based on the amount of coverage.
Paid pre-taxed by employee.
|
Purchased amount is paid to the employee or
beneficiary in the case of accident of death.
|
|
Short-Term Disability
Administered by Group Life and Health
|
Eligible on date of hire. Must be enrolled
within 30 days of date of hire, otherwise evidence of insurability
may be required.
|
Post taxed premium is based on salary level
of employee.
|
After 30 calendar day waiting period during
total disability and the exhaustion of all paid sick leave
approved benefits may be paid at 60% or $1800, whichever
is less, for a maximum of 5 months.
|
|
Long-Term Disability
Administered by Group Life and Health
|
Eligible on date of hire. Must be enrolled
within 30 calendar days of employee's eligibility.
Otherwise, proof of insurability is required.
|
Post taxed premium is based on salary level
of employee.
|
After a 90 calendar day waiting period during
total disability and the exhaustion of all paid sick leave
approved benefits may be paid at 60% or $6000, whichever
is less. Maximum benefit based on total disability and age.
Other guidelines may apply.
|
|
TEXFLEX
Health Care and/or Dependent Care Reimbursement
Accounts
|
Eligible on date of hire. Must be enrolled
within 30 calendar days of date of hire, otherwise during
ERS Summer Enrollment.
|
Under IRS Guidelines, allows employee's pre-tax
contributions up to $555 per month.
|
Allows reimbursement for health care and/or
child care expenses from the employee's reimbursement account.
|
|
Accelerated Life
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Eligible on date of hire.
|
Must be enrolled in Optional Term Life.
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Effective on 9/1/95, an active employee on
approved leave without pay, with a qualified illness may apply
for 50% of their Optional Term Life Insurance, up to a maximum
of $100,000.
|
|
COBRA
Continuation of Benefits
|
Eligible on date of hire.
|
Paid by qualified beneficiary.
|
Under COBRA an employee may continue medical
and/or dental for a maximum of 18 months due to termination,
other guidelines apply for employees and dependents.
|
| HIPPA |
Eligible on date of hire. |
No cost to employee. |
Under HIPPA every insurance participant
who loses insurance medical coverage must be provided a "Credibility
Certificate of Coverage". |
|
Long Term Care Insurance
for Employees/Spouses/ Others
|
Eligible on date of hire. Must be enrolled
within 30 calendar days of date of hire, otherwise evidence
of insurability may be required.
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Paid by the employee, spouse or other member
of the family directly to the insurance carrier.
|
Provides assisted living, social and related
support services when an employee or family member can not
perform normal daily activities due to illness or disability.
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