2023-24 Taylor ISD Benefit Guide

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2023 - 2024 Plan Year TAYLOR ISD BENEFIT GUIDE EFFECTIVE: 09/01/2023 - 8/31/2024 WWW.MYBENEFITSHUB.COM/TAYLORISD 1
Table of Contents FLIP TO... SUMMARY PAGES PG. 6 YOUR BENEFITS PG. 12 HOW TO ENROLL PG. 4 How to Enroll 4-5 Annual Benefit Enrollment 6-11 1. Benefit Updates 6 2. Section 125 Cafeteria Plan Guidelines 7 3. Annual Enrollment 8 4. Eligibility Requirements 9 5. Helpful Definitions 10 6. Health Savings Account (HSA) vs. Flexible Spending Account (FSA) 11 Medical 12-18 Health Savings Account (HSA) 19 Telehealth 20 Dental 21 Vision 22 Hospital Indemnity 23 Disability 24-25 Cancer 26 Accident 27-28 Critical Illness 29-30 Life and AD&D 31-32 Individual Life 33 Identity Theft 34 Emergency Medical Transportation 35 Flexible Spending Account (FSA) 36-37 Employee Assistance Program (EAP) 38 2

Benefit Contact Information

TAYLOR ISD BENEFITS

Financial Benefit Services (800)583-6908

www.mybenefitshub.com/taylorisd

MEDICAL - TRS ACTIVECARE MEDICAL - TRS HMO

BCBSTX (866)355-5999

www.bcbstx.com/trsactivecare

HEALTH SAVINGS ACCOUNT (HSA) TELEHEALTH

Scott & White HMO (844)633-5325

www.trs.swhp.org

DENTAL EECU (817)882-0800

www.eecu.org

VISION

Superior Vision Group #327810 (800)507-3800

www.superiorvision.com

CANCER

American Public Life Group #22339 (800)256-8606

www.ampublic.com

LIFE AND AD&D

OneAmerica Group #G00613656 (800)583-6908

www.oneamerica.com

MDLIVE (888)365-1663

www.mdlive.com/fbs

MetLife Group #5969997 (800)438-6388

www.metlife.com

HOSPITAL INDEMNITY DISABILITY

Aetna Group #802488 (855)513-9865

www.aetna.com

Unum Group #217419001 (800)858-6843

www.unum.com

ACCIDENT CRITICAL ILLNESS

American Public Life Group #22339 (800)256-8606

www.ampublic.com

INDIVIDUAL LIFE

5Star Life Insurance (866)863-9753

www.5starlifeinsurance.com

EMERGENCY MEDICAL TRANSPORT FLEXIBLE SPENDING ACCOUNT (FSA)

MASA

Group #MKTAISD (800)423-3226

www.masamts.com

Higginbotham (800)943-9179

https://flexservices.higginbotham.net/

Voya Group #695246 CCI (888)238-4840

www.voya.com

IDENTITY THEFT

ID Watchdog (800)774-3772

www.idwatchdog.com

EMPLOYEE ASSISTANCE PROGRAM (EAP)

Life Works (888)456-1324

www.lifeworks.com

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Employee benefits made easy through the FBS Benefits App! All Your BenefitsOne App OR SCAN Text “FBS TAYLOR” to (800)583-6908 App Group #: FBSTAYLOR Text “FBS TAYLOR” to (800) 583-6908 and get access to everything you need to complete your benefits enrollment: • Benefit Resources • Online Enrollment • Interactive Tools • And more! 4

1

2

www.mybenefitshub.com/taylorisd How to Log In CLICK LOGIN
ENTER USERNAME & PASSWORD Complete prompts for 2 Factor Authentication to login into the system. Contact (866) 9145202 if you need assistance with logging into the system.
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5

Annual Benefit Enrollment

Section 125 Cafeteria Plan Guidelines

A Cafeteria plan enables you to save money by using pre-tax dollars to pay for eligible group insurance premiums sponsored and offered by your employer. Enrollment is automatic unless you decline this benefit. Elections made during annual enrollment will become effective on the plan effective date and will remain in effect during the entire plan year.

Changes in benefit elections can occur only if you experience a qualifying event. You must present proof of a qualifying event to your Benefit Office within 30 days of your qualifying event and meet with your Benefit/HR Office to complete and sign the necessary paperwork in order to make a benefit election change. Benefit changes must be consistent with the qualifying event.

CHANGES IN STATUS (CIS):

Marital Status

Change in Number of Tax Dependents

Change in Status of Employment Affecting Coverage Eligibility

Gain/Loss of Dependents’ Eligibility Status

Judgment/ Decree/Order

Eligibility for Government Programs

QUALIFYING EVENTS

A change in marital status includes marriage, death of a spouse, divorce or annulment (legal separation is not recognized in all states).

A change in number of dependents includes the following: birth, adoption and placement for adoption. You can add existing dependents not previously enrolled whenever a dependent gains eligibility as a result of a valid change in status event.

Change in employment status of the employee, or a spouse or dependent of the employee, that affects the individual’s eligibility under an employer’s plan includes commencement or termination of employment.

An event that causes an employee’s dependent to satisfy or cease to satisfy coverage requirements under an employer’s plan may include change in age, student, marital, employment or tax dependent status.

If a judgment, decree, or order from a divorce, annulment or change in legal custody requires that you provide accident or health coverage for your dependent child (including a foster child who is your dependent), you may change your election to provide coverage for the dependent child. If the order requires that another individual (including your spouse and former spouse) covers the dependent child and provides coverage under that individual’s plan, you may change your election to revoke coverage only for that dependent child and only if the other individual actually provides the coverage.

Gain or loss of Medicare/Medicaid coverage may trigger a permitted election change.

SUMMARY PAGES
6

Annual Benefit Enrollment

Annual Enrollment

During your annual enrollment period, you have the opportunity to review, change or continue benefit elections each year. Changes are not permitted during the plan year (outside of annual enrollment) unless a Section 125 qualifying event occurs.

• Changes, additions or drops may be made only during the annual enrollment period without a qualifying event.

• Employees must review their personal information and verify that dependents they wish to provide coverage for are included in the dependent profile. Additionally, you must notify your employer of any discrepancy in personal and/or benefit information.

• Employees must confirm on each benefit screen (medical, dental, vision, etc.) that each dependent to be covered is selected in order to be included in the coverage for that particular benefit.

New Hire Enrollment

All new hire enrollment elections must be completed in the online enrollment system within the first 30 days of benefit eligible employment. Failure to complete elections during this timeframe will result in the forfeiture of coverage.

Q&A

Who do I contact with Questions?

For supplemental benefit questions, you can contact your Benefits/HR department or you can call Financial Benefit Services at 866-914-5202 for assistance.

Where can I find forms?

For benefit summaries and claim forms, go to your benefit website: www.mybenefitshub.com/taylorisd

Click the benefit plan you need information on (i.e., Dental) and you can find the forms you need under the Benefits and Forms section.

How can I find a Network Provider?

For benefit summaries and claim forms, go to the Taylor ISD benefit website:

www.mybenefitshub.com/taylorisd. Click on the benefit plan you need information on (i.e., Dental) and you can find provider search links under the Quick Links section.

When will I receive ID cards?

If the insurance carrier provides ID cards, you can expect to receive those 3-4 weeks after your effective date. For most dental and vision plans, you can login to the carrier website and print a temporary ID card or simply give your provider the insurance company’s phone number and they can call and verify your coverage if you do not have an ID card at that time. If you do not receive your ID card, you can call the carrier’s customer service number to request another card.

If the insurance carrier provides ID cards, but there are no changes to the plan, you typically will not receive a new ID card each year.

SUMMARY PAGES
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Annual Benefit Enrollment

Employee Eligibility Requirements

Supplemental Benefits: Eligible employees must work 20 or more regularly scheduled hours each work week.

Eligible employees must be actively at work on the plan effective date for new benefits to be effective, meaning you are physically capable of performing the functions of your job on the first day of work concurrent with the plan effective date. For example, if your 2023 benefits become effective on September 1, 2023, you must be actively-at-work on September 1, 2023 to be eligible for your new benefits.

Dependent Eligibility Requirements

Dependent Eligibility: You can cover eligible dependent children under a benefit that offers dependent coverage, provided you participate in the same benefit, through the maximum age listed below. Dependents cannot be double covered by married spouses within the district as both employees and dependents.

Please note, limits and exclusions may apply when obtaining coverage as a married couple or when obtaining coverage for dependents.

Potential Spouse Coverage Limitations: When enrolling in coverage, please keep in mind that some benefits may not allow you to cover your spouse as a dependent if your spouse is enrolled for coverage as an employee under the same employer. Review the applicable plan documents, contact Financial Benefit Services, or contact the insurance carrier for additional information on spouse eligibility.

FSA/HSA Limitations: Please note, in general, per IRS regulations, married couples may not enroll in both a Flexible Spending Account (FSA) and a Health Savings Account (HSA). If your spouse is covered under an FSA that reimburses for medical expenses then you and your spouse are not HSA eligible, even if you would not use your spouse’s FSA to reimburse your expenses. However, there are some exceptions to the general limitation regarding specific types of FSAs. To obtain more information on whether you can enroll in a specific type of FSA or HSA as a married couple, please reach out to the FSA and/or HSA provider prior to enrolling or reach out to your tax advisor for further guidance.

Potential Dependent Coverage Limitations: When enrolling for dependent coverage, please keep in mind that some benefits may not allow you to cover your eligible dependents if they are enrolled for coverage as an employee under the same employer. Review the applicable plan documents, contact Financial Benefit Services, or contact the insurance carrier for additional information on dependent eligibility.

Disclaimer: You acknowledge that you have read the limitations and exclusions that may apply to obtaining spouse and dependent coverage, including limitations and exclusions that may apply to enrollment in Flexible Spending Accounts and Health Savings Accounts as a married couple. You, the enrollee, shall hold harmless, defend, and indemnify Financial Benefit Services, LLC from any and all claims, actions, suits, charges, and judgments whatsoever that arise out of the enrollee’s enrollment in spouse and/or dependent coverage, including enrollment in Flexible Spending Accounts and Health Savings Accounts.

If your dependent is disabled, coverage may be able to continue past the maximum age under certain plans. If you have a disabled dependent who is reaching an ineligible age, you must provide a physician’s statement confirming your dependent’s disability. Contact your HR/Benefit Administrator to request a continuation of coverage.

SUMMARY PAGES
PLAN MAXIMUM AGE Medical To 26 Hospital Indemnity To 26 Dental To 26 Vision To 26 Health Savings Account To 26 Cancer Unmarried To 25 Accident Unmarried To 25 Critical Illness Unmarried To 26 Voluntary Term Life Unmarried To 26 Basic Life and AD&D Unmarried To 26 Individual Life Issuable to age 23 Employee Assistance (EAP) To 26 Identity Theft To 26 Flexible Spending Account IRS Dependent Status
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Helpful Definitions

Actively-at-Work

You are performing your regular occupation for the employer on a full-time basis, either at one of the employer’s usual places of business or at some location to which the employer’s business requires you to travel. If you will not be actively at work beginning 9/1/2023 please notify your benefits administrator.

Annual Enrollment

The period during which existing employees are given the opportunity to enroll in or change their current elections.

Annual Deductible

The amount you pay each plan year before the plan begins to pay covered expenses.

Calendar Year

January 1st through December 31st

Co-insurance

After any applicable deductible, your share of the cost of a covered health care service, calculated as a percentage (for example, 20%) of the allowed amount for the service.

Guaranteed Coverage

The amount of coverage you can elect without answering any medical questions or taking a health exam. Guaranteed coverage is only available during initial eligibility period. Actively-at-work and/or preexisting condition exclusion provisions do apply, as applicable by carrier.

In-Network

Doctors, hospitals, optometrists, dentists and other providers who have contracted with the plan as a network provider.

Out-of-Pocket Maximum

The most an eligible or insured person can pay in coinsurance for covered expenses.

Plan Year

September 1st through August 31st

Pre-Existing Conditions

Applies to any illness, injury or condition for which the participant has been under the care of a health care provider, taken prescription drugs or is under a health care provider’s orders to take drugs, or received medical care or services (including diagnostic and/or consultation services).

SUMMARY PAGES
Don’t Forget! • Login and complete your benefit enrollment from 7/5/2023 - 8/12/2023 • Enrollment assistance is available by calling Financial Benefit Services at (866) 914-5202.
Update your information: home address, phone numbers, email, and beneficiaries.
REQUIRED!! Due to the Affordable Care Act (ACA) reporting requirements, you must add your dependent’s CORRECT social security numbers in the online enrollment system. If you have questions, please contact your Benefits Administrator. 9

Approved by Congress in 2003, HSAs are actual bank accounts in employee’s names that allow employees to save and pay for unreimbursed qualified medical expenses tax-free.

Allows employees to pay out-of-pocket expenses for copays, deductibles and certain services not covered by medical plan, taxfree. This also allows employees to pay for qualifying dependent care tax-free. Employer Eligibility A qualified high deductible health plan. All employers

Source Employee and/or employer Employee and/or employer

Permissible Use Of Funds

Cash-Outs of Unused Amounts (if no medical expenses)

Year-to-year rollover of account balance?

Does the account earn interest?

$1,500 single (2023) $3,000 family (2023)

$3,850 single (2023) $7,750 family (2023) 55+ catch up +$1,000 $3,050 (2023)

Employees may use funds any way they wish. If used for non-qualified medical expenses, subject to current tax rate plus 20% penalty.

Reimbursement for qualified medical expenses (as defined in Sec. 213(d) of IRC).

Permitted, but subject to current tax rate plus 20% penalty (penalty waived after age 65). Not permitted

Yes, will roll over to use for subsequent year’s health coverage.

Yes, portable year-to-year and between jobs.

No. Access to some funds may be extended if your employer’s plan contains a 2 1/2-month grace period

FLIP TO FOR HSA INFORMATION FLIP TO FOR FSA INFORMATION PG. 19 PG. 36 SUMMARY PAGES HSA
FSA
vs.
Health Savings Account (HSA) (IRC Sec. 223) Flexible Spending Account (FSA) (IRC Sec. 125)
Description
Contribution
Account Owner Individual Employer Underlying Insurance Requirement High deductible
Deductible
Contribution
health plan None Minimum
N/A Maximum
Yes No
No 10
Portable?

Notes

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Medical Insurance

ABOUT MEDICAL

Major medical insurance is a type of health care coverage that provides benefits for a broad range of medical expenses that may be incurred either on an inpatient or outpatient basis.

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

Monthly Premium Employer Contribution Employee Cost TRS ActiveCare HD Employee Only $408.00 $408.00 $0.00 Employee & Spouse $1,094.00 $408.00 $694.00 Employee & Child(ren) $689.00 $408.00 $286.00 Employee & Family $1,377.00 $408.00 $980.00 TRS ActiveCare 2 Employee Only $1,013.00 $408.00 $605.00 Employee & Spouse $2,402.00 $408.00 $1,994.00 Employee & Child(ren) $1,507.00 $408.00 $1,099.00 Employee & Family $2,841.00 $408.00 $2,433.00 TRS ActiveCare Primary Employee Only $395.00 $408.00 $0.00 Employee & Spouse $1,062.00 $408.00 $659.00 Employee & Child(ren) $669.00 $408.00 $264.00 Employee & Family $1,337.00 $408.00 $935.00 TRS ActiveCare Primary+ Employee Only $463.00 $408.00 $55.00 Employee & Spouse $1,204.00 $408.00 $796.00 Employee & Child(ren) $788.00 $408.00 $380.00 Employee & Family $1,528.00 $408.00 $1,120.00 Blue Essentials - West Texas HMO Employee Only $865.00 $408.00 $457.00 Employee & Spouse $2,103.16 $408.00 $1,695.16 Employee & Child(ren) $1,361.42 $408.00 $953.42 Employee & Family $2,233.34 $408.00 $1,825.34 Central & North Texas Baylor Scott and White HMO Employee Only $515.37 $408.00 $107.37 Employee & Spouse $1,293.46 $408.00 $885.46 Employee & Child(ren) $828.11 $408.00 $420.11 Employee & Family $1,488.60 $408.00 $1,080.60 12
TRS EMPLOYEE BENEFITS
762376.0523 TRS-ActiveCare has more doctors and hospitals than the hill country has hills. TRS-ActiveCare Plan Highlights 2023-24 Learn the Terms. • Premium: The monthly amount you pay for health care coverage. • Deductible: The annual amount for medical expenses you’re responsible to pay before your plan begins to pay its portion. • Copay: The set amount you pay for a covered service at the time you receive it. The amount can vary by the type of service. • Coinsurance: The portion you’re required to pay for services after you meet your deductible. It’s often a speci ed percentage of the costs; i.e. you pay 20% while the health care plan pays 80%. • Out-of-Pocket Maximum: The maximum amount you pay each year for medical costs. After reaching the out-of-pocket maximum, the plan pays 100% of allowable charges for covered services. 13

• No

Ask

Being

*Available

are still included.

• Statewide network

• PCP referrals required

• Not compatible with

• No out-of-network

Monthly Premiums Employee Only $395 $ $463 Employee and Spouse $1,067 $ $1,204 Employee and Children $672 $ $788 Employee and Family $1,343 $ $1,528 Total Premium Total Premium Your Premium
to Calculate Your Monthly Premium Total Monthly Premium Your District and State Contributions Your Premium
How
your Bene
Administrator for your district’s speci c premiums.
TRS-ActiveCare participants have three plan options. TRS-ActiveCare Primary TRS-ActiveCare Plan Summary
ts
All
Lowest premium
all three plans
of
Copays for doctor visits
deductible
before you meet your
Statewide network
Primary Care Provider (PCP) referrals required to see specialists
Not compatible with a Health Savings Account (HSA)
out-of-network coverage
deductible
Lower
than
Copays for many services
Higher premium
Wellness Bene ts at No Extra Cost*
healthy is easy with:
$0 preventive care
24/7 customer service
health coaches
One-on-one
Weight
loss programs
Nutrition
programs
pregnancy
OviaTM
support
Virtual Health
TRS
Mental health bene
ts
more!
And much
See
Immediate Care Urgent Care $50 copay Emergency Care You pay 30% after deductible You TRS Virtual Health-RediMD (TM) $0 per medical consultation $0 TRS Virtual Health-Teladoc® $12 per medical consultation $12
2023
New Rx Bene ts!
for all plans.
the bene ts guide for more details.
2023-24 TRS-ActiveCare Plan Highlights Sept. 1,
Express Scripts is your new pharmacy bene ts manager! CVS pharmacies and most of your preferred pharmacies
medication
and
specialty
through SaveOnSP. Doctor Visits Primary Care $30 copay Specialist $70 copay Plan Features Type of Coverage In-Network Coverage Only In-Network Individual/Family Deductible $2,500/$5,000 Coinsurance You pay 30% after deductible You Individual/Family Maximum Out of Pocket $7,500/$15,000 Network Statewide Network PCP Required Yes Prescription Drugs Drug Deductible Integrated with medical $200 deductible Generics (31-Day Supply/90-Day Supply)$15/$45 copay; $0 copay for certain generics Preferred You pay 30% after deductible You Non-preferred You pay 50% after deductible You Specialty (31-Day Max) $0 if SaveOnSP eligible; You pay 30% after deductible You Insulin Out-of-Pocket Costs$25 copay for 31-day supply; $75 for 61-90 day supply$25 copay for 31-day 14
Certain
drugs are still $0

Each includes a wide range of wellness bene ts.

than the HD and Primary plans services and drugs

required to see specialists with a Health Savings Account (HSA)

• Compatible with a Health Savings Account (HSA)

• Nationwide network with out-of-network

• No requirement for PCPs or

• Must meet your deductible before plan pays for non-preventive care

This plan is closed and not accepting new enrollees. If you’re currently enrolled in TRS-ActiveCare 2, you can remain in this plan.

TRS-ActiveCare

• Closed to new enrollees

• Current enrollees can choose to stay in plan

• Lower deductible

• Copays for many services and drugs

• Nationwide network with out-of-network coverage

• No requirement for PCPs or referrals

$ $408 $ $ $1,102 $ $ $694 $ $ $1,388 $ Premium Total Premium Your Premium Your Premium Total Premium Your Premium $1,013 $ $2,402 $ $1,507 $ $2,841 $
2
Primary+ TRS-ActiveCare HD
TRS-ActiveCare
coverage
coverage
referrals
$50 copay You pay 30% after deductibleYou pay 50% after deductible You pay 20% after deductible You pay 30% after deductible $0 per medical consultation $30 per medical consultation $12 per medical consultation $42 per medical consultation $50 copay You pay 40% after deductible You pay a $250 copay plus 20% after deductible $0 per medical consultation $12 per medical consultation Aug. 31, 2024 $15 copay You pay 30% after deductibleYou pay 50% after deductible $70 copay You pay 30% after deductibleYou pay 50% after deductible $30 copay You pay 40% after deductible $70 copay You pay 40% after deductible In-Network Coverage Only In-Network Out-of-Network $1,200/$2,400 $3,000/$6,000 $5,500/$11,000 You pay 20% after deductible You pay 30% after deductibleYou pay 50% after deductible $6,900/$13,800 $7,500/$15,000 $20,250/$40,500 Statewide Network Nationwide Network Yes No In-Network Out-of-Network $1,000/$3,000 $2,000/$6,000 You pay 20% after deductibleYou pay 40% after deductible $7,900/$15,800 $23,700/$47,400 Nationwide Network No deductible per participant (brand drugs only) Integrated with medical $15/$45 copay You pay 20% after deductible; $0 coinsurance for certain generics You pay 25% after deductible You pay 25% after deductible You pay 50% after deductible You pay 50% after deductible $0 if SaveOnSP eligible; You pay 30% after deductible You pay 20% after deductible 31-day supply; $75 for 61-90 day supply You pay 25% after deductible $200 brand deductible $20/$45 copay You pay 25% after deductible ($40 min/$80 max)/ You pay 25% after deductible ($105 min/$210 max) You pay 50% after deductible ($100 min/$200 max)/ You pay 50% after deductible ($215 min/$430 max) $0 if SaveOnSP eligible; You pay 30% after deductible ($200 min/$900 max)/ No 90-day supply of specialty medications $25 copay for 31-day supply; $75 for 61-90 day supply 15

What’s New and What’s Changing

This table shows you the changes between 2022-23 statewide premium price and this year’s 2023-24 regional price for your Education Service Center.

• Individual maximum-out-of-pocket decreased by $650.

Previous amount was $8,150 and is now $7,500.

• Family maximum-out-of-pocket decreased by $1,300.

Previous amount was $16,300 and is now $15,000.

• Individual maximum-out-of-pocket increased by $450 to match IRS guidelines. Previous amount was $7,050 and is now $7,500.

• Family maximum-out-of-pocket increased by $900 to match IRS guidelines. Previous amount was $14,100 and is now $15,000. These changes apply only to in-network amounts.

• Family deductible decreased by $1,200.

Previous amount was $3,600 and is now $2,400.

• Primary care provider copay decreased from $30 to $15.

• No changes.

• This plan is still closed to new enrollees.

Effective: Sept. 1, 2023

2022-23 Total Premium New 2023-24 Total Premium Change in Dollar Amount TRS-ActiveCare Primary Employee Only $364 $395 $31 Employee and Spouse $1,026 $1,067 $41 Employee and Children $654 $672 $18 Employee and Family $1,228 $1,343 $115 TRS-ActiveCare HD Employee Only $376 $408 $32 Employee and Spouse $1,058 $1,102 $44 Employee and Children $675 $694 $19 Employee and Family $1,265 $1,388 $123 TRS-ActiveCare Primary+ Employee Only $457 $463 $6 Employee and Spouse $1,117 $1,204 $87 Employee and Children $735 $788 $53 Employee and Family $1,405 $1,528 $123 TRS-ActiveCare 2 (closed to new enrollees) Employee Only $1,013 $1,013 $0 Employee and Spouse $2,402 $2,402 $0 Employee and Children $1,507 $1,507 $0 Employee and Family $2,841 $2,841 $0 Key Plan Changes At a Glance Primary HD Primary+ Premiums Lowest Lower Higher Deductible Mid-range High Low Copays Yes No Yes NetworkStatewide network Nationwide network Statewide network PCP Required? Yes No Yes HSA-eligible? No Yes No
16
Compare Prices for Common Medical Services www.trs.texas.gov Bene t TRS-ActiveCare Primary TRS-ActiveCare Primary+ TRS-ActiveCare HD TRS-ActiveCare 2 In-Network OnlyIn-Network OnlyIn-NetworkOut-of-NetworkIn-NetworkOut-of-Network Diagnostic Labs* Of ce/Indpendent Lab: You pay $0 Of ce/Indpendent Lab: You pay $0 You pay 30% after deductible You pay 50% after deductible Of ce/Indpendent Lab: You pay $0 You pay 40% after deductible Outpatient: You pay 30% after deductible Outpatient: You pay 20% after deductible Outpatient: You pay 20% after deductible High-Tech Radiology You pay 30% after deductible You pay 20% after deductible You pay 30% after deductible You pay 50% after deductible You pay 20% after deductible + $100 copay per procedure You pay 40% after deductible + $100 copay per procedure Outpatient Costs You pay 30% after deductible You pay 20% after deductible You pay 30% after deductible You pay 50% after deductible You pay 20% after deductible ($150 facility copay per incident) You pay 40% after deductible ($150 facility copay per incident) Inpatient Hospital Costs You pay 30% after deductible You pay 20% after deductible You pay 30% after deductible You pay 50% after deductible ($500 facility per day maximum) You pay 20% after deductible ($150 facility copay per day) You pay 40% after deductible ($500 facility per day maximum) Freestanding Emergency Room You pay $500 copay + 30% after deductible You pay $500 copay + 20% after deductible You pay $500 copay + 30% after deductible You pay $500 copay + 50% after deductible You pay $500 copay + 20% after deductible You pay $500 copay + 40% after deductible Bariatric Surgery Facility: You pay 30% after deductible Facility: You pay 20% after deductible Not CoveredNot Covered Facility: You pay 20% after deductible ($150 facility copay per day) Not Covered Professional Services: You pay $5,000 copay + 30% after deductible Professional Services: You pay $5,000 copay + 20% after deductible Professional Services: You pay $5,000 copay + 20% after deductible Only covered if rendered at a BDC+ facility Only covered if rendered at a BDC+ facility Only covered if rendered at a BDC+ facility Annual Vision Exam (one per plan year; performed by an ophthalmologist or optometrist) You pay $70 copayYou pay $70 copay You pay 30% after deductible You pay 50% after deductible You pay $70 copay You pay 40% after deductible Annual Hearing Exam (one per plan year) $30 PCP copay $70 specialist copay $30 PCP copay $70 specialist copay You pay 30% after deductible You pay 50% after deductible $30 PCP copay $70 specialist copay You pay 40% after deductible *Pre-certi cation for genetic and specialty testing may apply. Contact a PHG at 1-866-355-5999 with questions. Call a Personal Health Guide (PHG) any time 24/7 to help you nd the best price for a medical service. Reach them at 1-866-355-5999 REMEMBER: Revised 05/30/23 17

2023-24 Health Maintenance Organization (HMO) Plans and Premiums for Select Regions of the State

2023-24 Health Maintenance Organization (HMO) Plans and Premiums for Select Regions of the State

REMEMBER:

Remember that when you choose an HMO, you’re choosing a regional network.

TRS contracts with HMOs in certain regions to bring participants in those areas additional options. HMOs set their own rates and premiums. They’re fully insured products who pay their own claims.

TRS contracts with HMOs in certain regions to bring participants in those areas additional options. HMOs set their own rates and premiums. They’re fully insured products who pay their own claims.

Central and North Texas

Central and North Texas

Baylor Scott & White Health Plan

Blue Essentials - South Texas HMO

Blue Essentials - South Texas HMO

Blue Essentials - West Texas HMO

Blue Essentials - West Texas HMO

Brought to you by TRS-ActiveCare

Brought to you by TRS-ActiveCare

Baylor Scott & White Health Plan

Brought to you by TRS-ActiveCare

You can choose this plan if you live in one of these counties: Austin, Bastrop, Bell, Blanco, Bosque, Brazos, Burleson, Burnet, Caldwell, Collin, Coryell, Dallas, Denton, Ellis, Erath, Falls, Freestone, Grimes, Hamilton, Hays, Hill, Hood, Houston, Johnson, Lampasas, Lee, Leon, Limestone, Madison, McLennan, Milam, Mills, Navarro, Robertson, Rockwall, Somervell, Tarrant, Travis, Walker, Waller, Washington, Williamson

You can choose this plan if you live in one of these counties: Austin, Bastrop, Bell, Blanco, Bosque, Brazos, Burleson, Burnet, Caldwell, Collin, Coryell, Dallas, Denton, Ellis, Erath, Falls, Freestone, Grimes, Hamilton, Hays, Hill, Hood, Houston, Johnson, Lampasas, Lee, Leon, Limestone, Madison, McLennan, Milam, Mills, Navarro, Robertson, Rockwall, Somervell, Tarrant, Travis, Walker, Waller, Washington, Williamson

Brought to you by TRS-ActiveCare

Brought to you by TRS-ActiveCare

You can choose this plan if you live in one of these counties: Cameron, Hildalgo, Starr, Willacy

You can choose this plan if you live in one of these counties: Cameron, Hildalgo, Starr, Willacy

Brought to you by TRS-ActiveCare

You can choose this plan if you live in one of these counties: Andrews, Armstrong, Bailey, Borden, Brewster, Briscoe, Callahan, Carson, Castro, Childress, Cochran, Coke, Coleman, Collingsworth, Comanche, Concho, Cottle, Crane, Crockett, Crosby, Dallam, Dawson, Deaf Smith, Dickens, Donley, Eastland, Ector, Fisher, Floyd, Gaines, Garza, Glasscock, Gray, Hale, Hall, Hansford, Hartley, Haskell, Hemphill, Hockley, Howard, Hutchinson, Irion, Jones, Kent, Kimble, King, Knox, Lamb, Lipscomb, Llano, Loving, Lubbock, Lynn, Martin, Mason, McCulloch, Menard, Midland, Mitchell, Moore, Motley, Nolan, Ochiltree, Oldham, Parmer, Pecos, Potter, Randall, Reagan, Reeves, Roberts, Runnels, San Saba, Schleicher, Scurry, Shackelford, Sherman, Stephens, Sterling, Stonewall, Sutton, Swisher, Taylor, Terry, Throckmorton, Tom Green, Upton, Ward, Wheeler, Winkler, Yoakum

You can choose this plan if you live in one of these counties: Andrews, Armstrong, Bailey, Borden, Brewster, Briscoe, Callahan, Carson, Castro, Childress, Cochran, Coke, Coleman, Collingsworth, Comanche, Concho, Cottle, Crane, Crockett, Crosby, Dallam, Dawson, Deaf Smith, Dickens, Donley, Eastland, Ector, Fisher, Floyd, Gaines, Garza, Glasscock, Gray, Hale, Hall, Hansford, Hartley, Haskell, Hemphill, Hockley, Howard, Hutchinson, Irion, Jones, Kent, Kimble, King, Knox, Lamb, Lipscomb, Llano, Loving, Lubbock, Lynn, Martin, Mason, McCulloch, Menard, Midland, Mitchell, Moore, Motley, Nolan, Ochiltree, Oldham, Parmer, Pecos, Potter, Randall, Reagan, Reeves, Roberts, Runnels, San Saba, Schleicher, Scurry, Shackelford, Sherman, Stephens, Sterling, Stonewall, Sutton, Swisher, Taylor, Terry, Throckmorton, Tom Green, Upton, Ward, Wheeler, Winkler, Yoakum

Remember that when you choose an HMO, you’re choosing a regional network.
www.trs.texas.gov Total Monthly Premiums Total PremiumYour PremiumTotal PremiumYour PremiumTotal PremiumYour Premium Employee Only$515.37$ N/A$ $865.00$ Employee and Spouse$1,293.46$ N/A$ $2,103.16$ Employee and Children$828.11$ N/A$ $1,361.42$ Employee and Family$1,488.60$ N/A$ $2,233.34$
REMEMBER:
Prescription Drugs Drug Deductible $200 (excl. generics) N/A $150 Days Supply30-day supply/90-day supply N/A 30-Day Supply/90-Day Supply Generics $14/$35 N/A $5/$12.50 copay; $0 for certain generics Preferred BrandYou pay 35% after deductible N/A You pay 30% after deductible Non-preferred BrandYou pay 50% after deductible N/A You pay 50% after deductible Specialty You pay 35% after deductible N/A You pay 15%/25% after deductible (preferred/non-preferred) Immediate Care Urgent Care $40 copay N/A $50 copay Emergency Care $500 copay after deductible N/A $500 copay before deductible + 25% after deductible Doctor Visits Primary Care $20 copay N/A $20 copay Specialist $70 copay N/A $70 copay Plan Features Type of CoverageIn-Network Coverage Only N/A In-Network Coverage Only Individual/Family Deductible $2,400/$4,800 N/A $950/$2,850 CoinsuranceYou pay 25% after deductible N/A You pay 25% after deductible Individual/Family Maximum Out of Pocket $8,150/$16,300 N/A $7,450/$14,900
Revised 05/30/23
www.trs.texas.gov Total Monthly Premiums Total PremiumYour PremiumTotal PremiumYour PremiumTotal PremiumYour Premium Employee Only$553.45$ N/A$ N/A$ Employee and Spouse$1,390.74$ N/A$ N/A$ Employee and Children$889.98$ N/A$ N/A$ Employee and Family$1,600.72$ N/A$ N/A$
Prescription Drugs Drug Deductible $200 (excl. generics) N/A N/A Days Supply30-day supply/90-day supply N/A N/A Generics $14/$35 copay N/A N/A Preferred BrandYou pay 35% after deductible N/A N/A Non-preferred BrandYou pay 50% after deductible N/A N/A SpecialtyYou pay 35% after deductible N/A N/A N/A Emergency Care$500 N/A Doctor Visits Primary Care $20 copay N/A N/A Specialist $70 copay N/A N/A Plan Features Type of CoverageIn-Network Coverage Only N/A N/A Individual/Family Deductible $2,400/$4,800 N/A N/A CoinsuranceYou pay 25% after deductible N/A N/A Individual/Family Maximum Out of Pocket $8,150/$16,300 N/A N/A
Revised 05/30/23 18

Health Savings Account (HSA)

ABOUT HSA

A Health Savings Account (HSA) is a personal savings account where the money can only be used for eligible medical expenses. Unlike a flexible spending account (FSA), the money rolls over year to year however only those funds that have been deposited in your account can be used. Contributions to a Health Savings Account can only be used if you are also enrolled in a High Deductible Health Care Plan (HDHP).

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

A Health Savings Account (HSA) is more than a way to help you and your family cover health care costs – it is also a tax-exempt tool to supplement your retirement savings and cover health expenses during retirement. An HSA can provide the funds to help pay current health care expenses as well as future health care costs.

A type of personal savings account, an HSA is always yours even if you change health plans or jobs. The money in your HSA (including interest and investment earnings) grows tax-free and spends tax-free if used to pay for qualified medical expenses. There is no “use it or lose it” rule — you do not lose your money if you do not spend it in the calendar year — and there are no vesting requirements or forfeiture provisions. The account automatically rolls over year after year.

HSA Eligibility

You are eligible to open and contribute to an HSA if you are:

• Enrolled in an HSA-eligible HDHP

• Not covered by another plan that is not a qualified HDHP, such as your spouse’s health plan

• Not enrolled in a Health Care Flexible Spending Account

• Not eligible to be claimed as a dependent on someone else’s tax return

• Not enrolled in Medicare or TRICARE

• Not receiving Veterans Administration benefits

You can use the money in your HSA to pay for qualified medical expenses now or in the future. You can also use HSA funds to pay health care expenses for your dependents, even if they are not covered by the HDHP.

Maximum Contributions

Your HSA contributions may not exceed the annual maximum amount established by the Internal Revenue Service. The annual contribution maximum for 2023 is based on the coverage option you elect:

• Individual – $3,850

• Family (filing jointly) – $7,750

You decide whether to use the money in your account to pay for qualified expenses or let it grow for future use. If you are 55 or older, you may make a yearly catch-up contribution of up to $1,000 to your HSA. If you turn 55 at any time during the plan year, you are eligible to make the catch-up contribution for the entire plan year.

Opening an HSA

If you meet the eligibility requirements, you may open an HSA administered by HSA Bank. You will receive a debit card to manage your HSA account reimbursements. Keep in mind, available funds are limited to the balance in your HSA.

Important HSA Information

• Always ask your health care provider to file claims with your medical provider so network discounts can be applied. You can pay the provider with your HSA debit card based on the balance due after discount.

• You, not your employer, are responsible for maintaining ALL records and receipts for HSA reimbursements in the event of an IRS audit.

• You may open an HSA at the financial institution of your choice, but only accounts opened through EECU are eligible for automatic payroll deduction and company contributions.

How to Use your HSA

• Online/Mobile: Sign-in for 24/7 account access to check your balance, pay bills and more.

• Call/Text: (817) 882-0800. EECU’s dedicated member service representatives are available to assist you with any questions. Their hours of operation are Monday through Friday from 8:00 a.m. to 7:00 p.m. CT, Saturday 9:00 a.m. – 1:00 p.m. CT and closed on Sunday.

• Lost/Stolen Debit Card: Call the 24/7 debit card hotline at (800) 333-9934

• Stop by: a local EECU financial center for in-person assistance; find EECU locations & service hours a www.eecu.org/locations

EECU EMPLOYEE BENEFITS 19

Telehealth

MD Live

ABOUT TELEHEALTH

Telehealth provides 24/7/365 access to board-certified doctors via telephone or video consultations that can diagnose, recommend treatment and prescribe medication. Telehealth makes care more convenient and accessible for non-emergency care when your primary care physician is not available.

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

Alongside your medical coverage is access to quality telehealth services through MDLIVE. Connect anytime day or night with a board-certified doctor via your mobile device or computer. While MDLIVE does not replace your primary care physician, it is a convenient and cost-effective option when you need care and:

• Have a non-emergency issue and are considering a convenience care clinic, urgent care clinic or emergency room for treatment

• Are on a business trip, vacation or away from home

• Are unable to see your primary care physician

When to Use MDLIVE:

At a cost that is the same or less than a visit to your physician, use telehealth services for minor conditions such as:

• Sore throat

• Headache

• Stomachache

• Cold

• Flu

• Allergies

• Fever

• Urinary tract infections

Do not use telemedicine for serious or life-threatening emergencies.

Registration is Easy

Register with MDLIVE so you are ready to use this valuable service when and where you need it.

• Online – www.mdlive.com/fbs

• Phone – 888-365-1663

• Mobile – download the MDLIVE mobile app to your smartphone or mobile device

• Select –“MDLIVE as a benefit” and “FBS” as your Employer/Organization when registering your account.

EMPLOYEE BENEFITS Telehealth Employee
Employer
20
& Family
Paid

Dental Insurance MetLife

ABOUT DENTAL

Dental insurance is a coverage that helps defray the costs of dental care. It insures against the expense of routine care, dental treatment and disease.

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

How do I request a new ID Card?

You can request your dental id card by contacting MetLife directly at 800-942-0854. You can also go to www.metlife.com and register/login to access your account.

How do I find an in-network Dentist?

1. Go to www.metlife.com

2. Select “Find a Dentist”

3. Select PDP Plus next to “Choose a network”

Up

1. “In-Network Benefits” refers to benefits provided under this plan for covered dental services that are provided by a participating dentist. “Out-of-Network Benefits” refers to benefits provided under this plan for covered dental services that are not provided by a participating dentist.

2. Negotiated fees refer to the fees that participating dentists have agreed to accept as payment in full for covered services, subject to any copayments, deductibles, cost sharing and benefits maximums. Negotiated fees are subject to change.

3. Applies to Type B and C services only.

4. Out-of-network benefits are payable for services rendered by a dentist who is not a participating provider. The Reasonable and Customary charge is based on the lowest of:

• the dentist’s actual charge (the ‘Actual Charge’),

• the dentist’s usual charge for the same or similar services (the ‘Usual Charge’) or

• the usual charge of most dentists in the same geographic area for the same or similar services as determined by MetLife (the ‘Customary Charge’). For your plan, the Customary Charge is based on the 90th percentile. Services must be necessary in terms of generally accepted dental standards.

Dental High PPO Low PPO Employee $36.72 $25.54 Employee + Spouse $65.71 $45.95 Employee + Child(ren) $65.71 $45.95 Family $103.65 $71.04 Coverage Type High PPO Low PPO In-Network1 % of PDP Fee2 Out-of-Network1 % of R&C Fee4 In-Network1 % of PDP Fee2 Out-of-Network1 Type A - Preventive 100% 100% 100% 100% Type B - Basic Restorative 80% 80% 80% 80% Type C - Major Restorative 50% 50% 50% 50% Type D - Orthodontia 50% 50% 50% 50% Deductible3 Individual/Family $50 $50 $50 $50 Annual Maximum Benefit Per Individual $1,000 $1,000 $750 $750 Orthodontia Lifetime Maximum Ortho applies to Adult and Child
to dependent age limit: 19 years old $1000 per Person
EMPLOYEE BENEFITS 21

Vision Insurance Superior Vision

ABOUT VISION

Vision insurance provides coverage for routine eye examinations and can help with covering some of the costs for eyeglass frames, lenses or contact lenses.

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

How to Print your Vision ID Card:

You can request your vision id card by contacting Superior Vision directly at 800-507-3800. You can also go to www.superiorvision.com and register/login to access your account by clicking on “Members” at the top of the page. You can also download the Superior Vision mobile app on your smart phone.

Discount Features

Non-Covered Eyewear Discount: Members may also receive a discount of 20% from a participating provider’s usual and customary fees for eyewear purchases which exceed the benefit coverage (except disposable contact lenses, for which no discount applies). This includes eyeglass frames which exceed the selected benefit coverage, specialty lenses (i.e. progressives) and lens “extras” such as tints and coatings. Eyewear purchased from a Walmart Vision Center does not qualify for this additional discount because of Walmart’s “Always Low Prices” policy.

Superior Select Southwest Network In-network Out-of-network Exam Covered in full Up to $35 retail Frames $150 retail allowance Up to $70 retail Lenses (standard) per pair Single Vision Covered in full Up to $25 retail Bifocal Covered in full Up to $40 retail Trifocal Covered in full Up to $45 retail Progressive See description1 Up to $45 retail Lenticular Covered in full Up to $80 retail Scratch coating Covered in full Not covered Polycarbonate Covered in full Not covered Anti-reflective coating Covered in full Not covered UV coating Covered in full Not covered Tint Covered in full Not covered Contact Lenses2 $200 retail allowance Up to $80 retail Medically Necessary Contact Lenses Covered in full Up to $150 retail Lasik Vision Correction $300 allowance3 Co-pays apply to in-network benefits; co-pays for out-of-network visits are deducted from reimbursements 1. Covered to provider’s in-office standard retail lined trifocal amount; member pays difference between progressive and standard retail lined trifocal, plus applicable co-pay 2. Contact lenses and related professional services (fitting, evaluation and follow-up) are covered in lieu of eyeglass lenses and frames benefit 3. Lasik Vision Correction is in lieu of eyewear benefit, subject to routine regulatory filings and certain exclusions and limitations Copays Services/frequency Monthly Premiums Exam $10 Exam 12 months Employee $11.44 Materials $10 Frame 12 months Employee + Spouse $19.76 Lenses 12 months Employee + Child(ren) $20.80 Contact lenses 12 months Family $31.20 22
EMPLOYEE BENEFITS

Hospital Indemnity

Aetna

ABOUT HOSPITAL INDEMNITY

This is an affordable supplemental plan that pays you should you be inpatient hospital confined. This plan complements your health insurance by helping you pay for costs left unpaid by your health insurance.

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

The Hospital Indemnity Plan provided through Aetna helps with the high cost of medical care by paying you a set amount when you have an inpatient hospital stay. Unlike traditional insurance, which pays a benefit to the hospital or doctor, this plan pays you directly based on the care or treatment you receive. These costs may include meals and transportation, childcare or time away from work due to a medical issue that requires hospitalization.

If you need to submit a claim you do so on the Aetna portal at myaetnasupplemental.com

Important Note: All daily inpatient stay benefits begin on day two and count toward the plan year maximum.

$50 $100

Service Benefit Plan 1 Plan 2 Hospital Stay Admission - Pays a lump sum benefit for the initial day of your stay in a hospital. Maximum 1 stay per plan year. $1,000 $2,000 Hospital Stay - Daily - Pays a daily benefit, beginning on day two of your stay in a
room of a hospital. Maximum 30 days per plan year $100 $200 Hospital Stay- (ICU) Daily- Pays a daily benefit, beginning on day two of your stay in an ICU room of a hospital. Maximum 30 days per plan year $200 $400 Newborn routine care - Provides a
benefit after the
This will not pay
an outpatient birth. $100 $200 Observation unit - Provides a lump sum benefit for the initial day of your stay in an observation unit as the result of an illness or accidental injury. Maximum 1 day per plan year. $100 $200
abuse stay -Daily Pays a daily benefit for each day you have a stay in a hospital
substance
treatment facility for the treatment of
Maximum 30 days per plan year. $100 $200 Mental Disorder stay - Daily Pays a daily benefit for each day you have a stay in a hospital or mental disorder treatment facility for the treatment of mental disorders. Maximum 30 days per plan year. $100 $200 Rehabilitation unit stay - Daily- Pays a benefit each day of your stay in a rehabilitation unit immediately
your
Maximum 30 days per
year.
non-ICU
lump-sum
birth of your newborn.
for
Substance
or
abuse
substance abuse.
after
hospital stay due to an illness or accidental injury.
plan
BENEFITS Hospital Indemnity Low High Employee $15.40 $30.81 Employee + Spouse $34.24 $68.48 Employee + Child(ren) $26.25 $52.49 Family $43.43 $86.86 23
EMPLOYEE

Disability Insurance

Unum

ABOUT DISABILITY

Disability insurance protects one of your most valuable assets, your paycheck. This insurance will replace a portion of your income in the event that you become physically unable to work due to sickness or injury for an extended period of time.

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

Your Plan Eligibility

You are eligible for disability coverage if you are an active employee in the United States working a minimum of 20 hours per week. The date you are eligible for coverage is the later of: the plan effective date; or the day after you complete the waiting period.

Benefit Amount

You may purchase a monthly benefit in $100 units, starting at a minimum of $200, up to 66 2/3% of your monthly earnings rounded to the nearest $100, but not to exceed a monthly maximum benefit of $8,000.

Elimination Period

The Elimination Period is the length of time of continuous disability, due to sickness or injury, which must be satisfied before you are eligible to receive benefits.

You may choose an Elimination Period (injury/sickness) of 14/14, 30/30, 60/60, 90/90 or 180/180 days.

If, because of your disability, you are hospital confined as an inpatient, benefits begin on the first day of inpatient confinement. Inpatient means that you are confined to a hospital room due to your sickness or injury for 23 or more consecutive hours. (Applies to Elimination Periods of 30 days or less.)

Benefit Duration

Your duration of benefits is based on your age when the disability occurs. Plan: ADEA II: Your duration of benefits is based on the following table:

Age at Disability Maximum Duration of Benefits

Less than age 60 To age 65, but not less than 5 years

Age 60 through 64 5 years

Age 65 through 69 To age 70, but not less than 1 year

Age 70 and over 1 year

Other Important Provisions

Pre-Existing Condition Exclusion: Benefits will not be paid for disabilities caused by, contributed to by, or resulting from a pre-existing condition. You have a pre-existing condition if:

• you received medical treatment, consultation, care or services including diagnostic measures, or took prescribed drugs or medicines in the 3 months just prior to your effective date of coverage; and

• the disability begins in the first 12 months after your effective date of coverage.

EMPLOYEE BENEFITS Disability Elimination Period per $200 in benefit 14/14 $5.56 30/30 $4.78 60/60 $3.84 90/90 $2.16 180/180 $1.52 24

Disability Insurance

Unum

• After benefits have been paid for 24 months, you are disabled when Unum determines that due to the same sickness or injury, you are

• unable to perform the duties of any gainful occupation for which you are reasonably fitted by education, training, or experience.

• You must be under the regular care of a physician to be considered disabled.

Benefit Integration: Your disability benefit will be reduced by deductible sources of income and any earnings you have while disabled.

After you have received monthly disability payments for 12 months, your gross disability payment will be reduced by such items as additional deductible sources of income you receive or are entitled to receive under state compulsory benefit laws.

Mental Illness/Self-Reported Symptoms

The lifetime cumulative maximum benefit period for all disabilities due to mental illness and disabilities based primarily on self-reported symptoms is 24 months. Only 24 months of benefits will be paid for any combination of such disabilities even if the disabilities are not continuous and/or are not related. Payments would continue beyond 24 months only if you are confined to a hospital or institution because of the disability. Limitations apply.

How to File a Claim and Other Important Resources

To get the claim form go to your benefit website, www.mybenefitshub.com/taylorisd

To file a claim online: https://www.unum.com/employees/file-a-claim

To check the status of a claim:

• https://unum.com/claims

• (800) 858-6843 M-F 8-8 EST

EMPLOYEE BENEFITS 25

Cancer Insurance

ABOUT CANCER

Cancer insurance offers you and your family supplemental insurance protection in the event you or a covered family member is diagnosed with cancer. It pays a benefit directly to you to help with expenses associated with cancer treatment.

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

Treatment for cancer is often lengthy and expensive. While your health insurance helps pay the medical expenses for cancer treatment, it does not cover the cost of non-medical expenses, such as out-of-town treatments, special diets, daily living and household upkeep. In addition to these nonmedical expenses, you are responsible for paying your health plan deductibles and/or coinsurance. Cancer insurance through American Public Life helps pay for these direct and indirect treatment costs so you can focus on your health. Should you need to file a claim contact APL at 800-256-8606 or online at www.ampublic.com . You can find additional claim forms and materials at www.mybenefitshub.com/taylorisd .

Low High Internal Cancer First Occurrence (Carcinoma in situ is not considered internal cancer) $2,500 $2,500 Cancer Screening Rider Benefits Diagnostic Testing- 1 test per calendar year $50 per test $50 per test Follow Up-Diagnostic Testing- 1 test per calendar year $100 per test $100 per test Medical Imaging- per calendar year $500 per test/ 1 per calendar year Cancer Treatment Policy Benefits Radiation and Chemotherapy, Immunotherapy Maximum Per 12-month period $10,000 $20,000 Hormone Therapy- Maximum of 12 treatments per calendar year $50 per treatment $50 per treatment Surgical Rider Benefits Surgical $30 unit dollar amount Max $3,000 per operation $30 unit dollar amount Max $3,000 per operation Anesthesia 25% of amount paid for covered surgery Bone Marrow Transplant-Maximum per lifetime $6,000 $6,000 Stem Cell Transplant- Maximum per lifetime $600 $600 Miscellaneous Care Rider Benefits Hair Piece (Wig)- 1 per lifetime $150 $150 Blood, Plasma &Platelets $300 per day $300 per day Ambulance- Ground /Air-Maximum of 2 trips per Hospital Confinement for all modes of transportation combined $200/$2000 per trip $200/$2000 per trip Heart Attack/Stroke First Occurrence Rider Benefits Lump Sum Benefit- Maximum per 1 covered person per lifetime $2500 $2500 Hospital Intensive Care Unit Rider Benefits Intensive Care Unit $600 per day $600 per day Pre-Existing Condition Exclusion: Review the Benefit Summary page located on your employee benefits portal for full details.
Cancer LOW HIGH Employee $17.84 $24.86 Employee & Spouse $33.26 $47.28 Employee & Child(ren) $20.80 $31.74 Employee & Family $33.94 $47.98 26
APL EMPLOYEE BENEFITS

ABOUT ACCIDENT

Do you have kids playing sports, are you a weekend warrior, or maybe accident prone? Accident plans are designed to help pay for medical costs associated with accidents and benefits are paid directly to you. For full plan details, please visit your benefit

THIS POLICY IS A LIMITED PLAN ANDONLY COVERS ACCIDENTS. IS NOT A POLICY FOR WORKERS’ COMPENSATION INSURANCE. PLEASE REFER TO THE EMPLOYEE PORTAL AT TAYLOR ISD UNDER THE

SECTION
COMPLTE DETAILS AND LIMITATONS. Summary of Benefits 24-Hour Plan 1 Plan 2 Emergency Treatment 1 Unit 2 Units Initial Treatment - within 72 hours of a Covered Accident in Emergency Room $150 $300 Initial Treatment - within 72 hours of a Covered Accident in Physician’s Office $50 $100 Initial Treatment - after 72 hours but within 30 days after a Covered Accident $25 $50 Follow-Up Treatment - Maximum of 6 visits $25 $50 Major Diagnostic Screening (MRI) $100 $200 X-Ray $25 $50 Emergency Dental Work - Crown/Extraction $75/$25 $150/$50 Patient Care 1 Units 2 Units Hospital Admission - per admission $500 $1,000 Hospital Confinement - per day - Maximum of 365 days $100 $200 Intensive Care Unit Confinement - per day - Maximum of 15 days $200 $400 Step-Down Unit Confinement - per day - Maximum of 15 days $150 $300 Rehabilitation Unit Confinement - per day - Maximum of 90 days $50 $100 Therapy - Physical, Occupational or Speech - per visit - Maximum of 8 visits $25 $50 Injuries & Treatment 1 Unit 2 Units Fractures* up to $1,500 up to $3,000 Dislocation* up to $1,200 up to $2,400 Internal Injuries $250 $500 Tendons, Ligaments, Rotator Cuff up to $187.50 up to $375 Burns up to $12,500 up to $25,000 Skin Grafts up to $6,250 up to $12,500 Ruptured Disc or Torn Knee Cartilage - 25% if occurs during first 12 months $125 $250 Eye Injury up to $62.50 up to $125 Concussion $50 $100 Lacerations up to $200 up to $400
ACCIDENT
FOR
website:
www.mybenefitshub.com/taylorisd
EMPLOYEE BENEFITS Accident Low High Employee $8.94 $12.52 Employee + Spouse $13.10 $18.92 Employee + Child(ren) $15.28 $25.26 Family $18.71 $31.38 27
Accident Insurance APL

Accident Insurance

*Amounts shown are for individuals; amounts for spouse and child(ren) may vary. Please refer to your Schedule of Benefits for details.

Summary of Benefits (cont’d) Plan 1 Plan 2 Epidural Pain Management $25 $50 Blood, Plasma and Platelets $62.50 $125 Exploratory Surgery without Repair $62.50 $125 Hernia - 25% if occurs during first 12 months $25 $50 Prosthesis $125 $250 Appliances $25 $50 Coma Due to a Covered Accident $2,500 $5,000 Transportation & Lodging 1 Unit 1 Units Ambulance - Ground/Air $400/$1,200 $400/$1,200 Transportation - per round trip - Maximum of 3 round trips $300 $300 Family Member Lodging & Meals - per day - Maximum of 30 days $100 $100 Accidental Death & Dismemberment 1 Unit 1 Units Accidental Death - Common Carrier/Other* $100,000/$25,000 $100,000/$25,000 Accidental Dismemberment* up to $15,000 up to $15,000 Catastrophic Loss* up to $30,000 up to $30,000
EMPLOYEE BENEFITS 28
APL

Critical Illness Insurance Voya EMPLOYEE BENEFITS

ABOUT CRITICAL ILLNESS

Critical illness insurance can be used towards medical or other expenses. It provides a lump sum benefit payable directly to the insured upon diagnosis of a covered condition or event, like a heart attack or stroke. The money can also be used for non-medical costs related to the illness, including transportation, child care, etc.

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

An affordable way to help protect against the financial stress of a serious illness.

What is Critical Illness Insurance?

Critical Illness Insurance pays a lump-sum benefit if you are diagnosed with a covered illness or condition. Your employer provides Critical Illness Insurance at no cost to you. You also have the option to elect additional coverage. Critical Illness Insurance is a limited benefit policy. It is not health insurance and does not satisfy the requirement of minimum essential coverage under the Affordable Care Act.

For what critical illnesses and conditions are benefits available?

Base Module

• Heart attack

• Stroke

• Coronary artery bypass (25%)

• Coma

• Cancer

• Skin cancer (10%)

• Major organ failure

• Permanent paralysis

• End stage renal (kidney) failure

Cancer Module

• Carcinoma in situ (25%)

Who is eligible for Critical Illness Insurance?

• You—all active employees working 15+ hours per week.

• Your spouse*— under age 70. If you are covered for Basic employee coverage, you may elect spouse coverage, even if you do not elect Supplemental coverage on yourself.

• Your child(ren)— to age 26. If you are covered for Basic employee coverage, you may elect child(ren) coverage, even if you do not elect Supplemental coverage on yourself.

*The use of “spouse” in this document means a person insured as a spouse as described in the certificate of insurance or rider. This may include domestic partners or civil union partners as defined by the group policy. Please contact your employer for more information.

What Maximum Critical Illness Benefit am I eligible for?

• Taylor ISD provides its employees with a $5,000 Critical Illness Benefit at no cost to you.

• For you: You also have the opportunity to purchase an additional Maximum Critical Illness Benefit of $5,000$30,000 in $5,000 increments

• For your spouse: You have the opportunity to purchase a Maximum Critical Illness Benefit $5,000-$15,000 in $5,000 increments.

• For your children: You have the opportunity to purchase a Maximum Critical Illness Benefit of $1,000, $2,500, $5,000 or $10,000 for each covered child.

How many times can I receive the Maximum Critical Illness Benefit?

Usually you are only able to receive the Maximum Critical Illness Benefit for one covered illness or disease within each module. Your plan includes the Restoration Benefit*, which provides a one-time restoration of 100% of the maximum benefit amount in order to pay an additional benefit if you experience a second covered illness for a different condition.

Your plan also includes the Recurrence Benefit*, which allows you to receive a benefit for the same condition a second time.

It’s important to note that in order for the second covered illness or the second occurrence of the illness to be covered, it must occur after 12 consecutive months without the occurrence of any covered critical illness named in your certificate, including the illness from the first benefit payment.

If a partial benefit is paid out, it will not reduce the available maximum benefit amount for the illnesses or diseases in that same module. If you have reached the benefit limit by receiving the maximum benefit in each module, you may choose to end your coverage; however, if you have coverage for your spouse and/or child(ren), you must continue your coverage in order to keep their coverage active. Please see the certificate of coverage for details.

*This benefit does not apply to the cancer module.

29

Critical Illness Insurance Voya

How much does Critical Illness Insurance cost?

Limitations

Benefits reduce 50% for the employee and/or covered spouse on the policy anniversary following the 70th birthday, however, premiums do not reduce as a result of this benefit change.

Who do I contact with questions?

For more information, please call the Voya Employee Benefits Customer Service Team at (800) 955-7736.

Critical Illness ($5,000 increments) Employee $5,000.00 $10,000.00 $15,000.00 $20,000.00 $25,000.00 $30,000.00 Under 30 $1.80 $3.60 $5.40 $7.20 $9.00 $10.80 30-39 $2.50 $5.00 $7.50 $10.00 $12.50 $15.00 40-49 $5.10 $10.50 $15.30 $20.40 $25.50 $30.60 50-59 $11.35 $22.70 $34.05 $45.04 $56.08 $68.10 60-64 $17.00 $34.00 $51.00 $68.00 $85.00 $102.00 65-69 $22.75 $45.50 $68.25 $91.00 $113.75 $136.50 70+ $30.90 $61.80 $92.70 $123.60 $154.50 $185.40 Spouse $5,000.00 $10,000.00 $15,000.00 Under 30 $2.50 $5.00 $7.50 30-39 $3.00 $6.00 $9.00 40-49 $6.10 $12.20 $18.30 50-59 $14.55 $29.10 $43.65 60-64 $22.15 $44.30 $66.45 65-69 $23.15 $46.30 $69.45 70+ $40.75 $81.50 $122.25 C C C Child $1,000.00 $2,500.00 $5,000.00 $10,000.00 All Ages $0.15 $0.38 $0.75 $1.50
EMPLOYEE
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BENEFITS

Life and AD&D OneAmerica

ABOUT LIFE AND AD&D

Group term life is the most inexpensive way to purchase life insurance. You have the freedom to select an amount of life insurance coverage you need to help protect the well-being of your family.

Accidental Death & Dismemberment is life insurance coverage that pays a death benefit to the beneficiary, should death occur due to a covered accident. Dismemberment benefits are paid to you, according to the benefit level you select, if accidentally dismembered.

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

• Provides a cash benefit to your loved ones in the event of your death.

• To file a claim contact One America at (800) 833-5569

EMPLOYEE BENEFITS

Benefit Exclusions

Like any insurance, this term life insurance policy does have exclusions. A suicide exclusion may apply. A complete list of benefit exclusions is included in the policy. State variations apply.

Note: You must be an active Taylor ISD employee to select coverage for a spouse and/or dependent children. To be eligible for coverage, a spouse or dependent child cannot be confined to a health care facility or unable to perform the typical activities of a healthy person of the same age and gender.

Reduction

Upon reaching certain ages, your original benefit amount will reduce to the percentage shown in the following schedule. The amounts of dependent life insurance will reduce according to the employee’s reduction schedule.

Employee: $10,000 to $500,000,
$10,000 increments Guaranteed coverage amount during initial offering or approved special enrollment period $150,000 Newly hired employee guaranteed coverage amount $150,000 Minimum coverage amount $10,000 Spouse: under age 70: $5,000
$250,000,
$5,000
50%
amount Guaranteed coverage amount during initial offering or approved special enrollment period $50,000 Newly hired employee guaranteed coverage amount $50,000 Maximum coverage amount 100% of the employee coverage amount Minimum coverage amount $5,000 Dependent Children Day 1 months to age 26 guaranteed coverage amount $10,000 Additional Plan Benefits
Included Conversion Included Portability Included Age: 65 70 Reduces to: 65% 50%
in
to
in
increments, not to exceed
of the employee’s
Accelerated Death Benefit - If diagnosed with terminal illness 25%, 50% or 75% paid to use for whatever you choose.
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What you need to know about your Basic Life and AD&D Benefits

Guaranteed Issue: Employee: $10,000

Accidental Death and Dismemberment (AD&D): Additional life insurance benefits may be payable in the event of an accident which results in death or dismemberment as defined in the contract. Additional AD&D benefits include seat belt, air bag, repatriation, child higher education, childcare, paralysis/loss of use, severe burns, disappearance, and exposure. If diagnosed with a terminal illness and have less than 12 months to live, you may apply to receive 25%, 50% or 75% of your life insurance benefit to use for whatever you choose.

What you need to know about your Voluntary AD&D Benefits

AD&D is a very inexpensive form of life insurance that can give you additional protection in the event of an accidental death or dismemberment.

Flexible AD&D Options:

• Employee: Up to $750,000, in $10,000 increments

• Spouse: 60% of the employee AD&D benefit

• Child: 15% of the employee AD&D benefit AD&D

Guaranteed Issue:

• Employee: $750,000

• Spouse: $450,000

• Child: $30,000

Accidental Death and Dismemberment (AD&D): If AD&D is selected, additional life insurance benefits may be payable in the event of an accident which results in death or dismemberment as defined in the contract.

Dependent AD&D Coverage: Optional dependent AD&D coverage is available to eligible employees. You must select employee coverage in order to cover your spouse and/or child(ren). If employee AD&D is declined, no dependent AD&D will be included.

Reductions: Upon reaching certain ages, your original benefit amount will reduce to the percentage shown in the following schedule. The amounts of dependent AD&D principal sum will reduce according to the employee’s reduction schedule.

0-26 $2.00

Spouse rates based on Employee’s age.

Voluntary Group Life - per $10,000
coverage (Spouse per $5,000
coverage) Age Employee Spouse to age 70 18-24 $0.60 $0.30 25-29 $0.60 $0.30 30-34 $0.80 $0.30 35-39 $0.90 $0.40 40-44 $1.00 $0.45 45-49 $1.50 $0.50 50-54 $2.40 $0.75 55-59 $4.30 $1.20 60-64 $6.60 $2.15 65-69 $12.70 $3.30 70-74 $20.60 $6.35
$20.60 N/A Voluntary Group Life - Child(ren) $10,000
in
in
75+
in coverage
AD&D to max of $750,000 Employee AD&D Employee Family $10,000 $0.19 $0.30 $20,000 $0.39 $0.60 $30,000 $0.57 $0.90 $40,000 $0.76 $1.20 $50,000 $0.95 $1.50 $60,000 $1.14 $1.80 $70,000 $1.33 $2.10 $80,000 $1.52 $2.40 $90,000 $1.71 $2.70 $100,000 $1.90 $3.00 $110,000 $2.03 $3.30 $120,000 $2.25 $3.60 Age: 65 70 Reduces to: 65% 50%
32
EMPLOYEE BENEFITS Life and AD&D OneAmerica

Individual Life Insurance

ABOUT INDIVIDUAL LIFE

Individual insurance is a policy that covers a single person and is intended to meet the financial needs of the beneficiary, in the event of the insured’s death. This coverage is portable and can continue after you leave employment or retire.

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

Enhanced coverage options for employees. Easy and flexible enrollment for employers. The 5Star Life Insurance Company’s Family Protection Plan offers both Individual and Group products with Terminal Illness coverage to age 121, making it easy to provide the right benefit for you and your employees.

CUSTOMIZABLE With several options to choose from, employees select the coverage that best meets the needs of their families.

TERMINAL ILLNESS ACCELERATION OF BENEFITS Coverage that pays 30% (25% in CT and MI) of the coverage amount in a lump sum upon the occurrence of a terminal condition that will result in a limited life span of less than 12 months (24 months in IL).

PORTABLE Coverage continues with no loss of benefits or increase in cost if employment terminates after the first premium is paid. We simply bill the employee directly. CONVENIENCE Easy payments through payroll deduction.

FAMILY PROTECTION Coverage is available for spouses and financially dependent children, even if the employee doesn’t elect coverage on themselves.

* Financially dependent children 14 days to 23 years old.

PROTECTION TO COUNT ON Within one business day of notification, payment of 50% of coverage or $10,000 whichever is less is mailed to the beneficiary, unless the death is within the two-year contestability period and/or under investigation. This coverage has no war or terrorism exclusions.

QUALITY OF LIFE Optional benefit that accelerates a portion of the death benefit on a monthly basis, up to 75% of your benefit, and is payable directly to you on a tax favored basis for the following: • Permanent inability to perform at least two of the six Activities of Daily Living (ADLs) without substantial assistance; or • Permanent severe cognitive impairment, such as dementia, Alzheimer’s disease and other forms of senility, requiring substantial supervision.

Find full details and rates at www.mybenefitshub.com/taylorisd

Should you need to file a claim, contact 5Star directly at (866) 863-9753.

*Quality of Life not available ages 66-70. Quality of Life benefits not available for children

Child life coverage available only on children and grandchildren of employee (age on application date: 14 days through 23 years). $7.15 monthly for $10,000 coverage per child.

EMPLOYEE BENEFITS 33
5Star

Identity Theft ID Watchdog

ABOUT IDENTITY THEFT PROTECTION

Identity theft protection monitors and alerts you to identity threats. Resolution services are included should your identity ever be compromised while you are covered.

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

Easy & Affordable Identity Protection

Your identity is important — it’s what makes you, you. You’ve spent a lifetime building your name and financial reputation. Let us help you better protect it. And we’ll even go one step further and help you better protect the identities of your family!

Features

• Credit Lock - helps provide additional protection against unauthorized access to your credit

• More For Families - helps better protect your loved ones no matter the age.

• Resolution Specialist - manage the case for you until your identity is restored

ID watchdog Monitors: social media, transaction records, public records, and more.

How to file a claim:

Call 866-513-1518 or download the app to additional services.

IDENTITY THEFT PROTECTION

The Powerful Features You Want — All at an Affordable Price Monitor & Detect

• Credit Report & VantageScore

• Credit Score | 1 Bureau Monthly

• Credit Score Tracker | 1 Bureau Monthly

• Credit Report Monitoring1 | 3 Bureau

• Dark Web Monitoring*

• High-Risk Transactions Monitoring*

• Subprime Loan Monitoring*

• Public Records Monitoring*

• USPS Change of Address Monitoring

• Identity Profile Report

Manage & Alert

• Child Credit Lock*| 1 Bureau

• Credit Report Lock | 1 Bureau*

• Financial Accounts Monitoring

• Social Network Alerts*

• Registered Sex Offender Reporting*

• Customizable Alert Options

• Breach Alert Emails

• Mobile App

• National Provider ID Alerts

Support & Restore

• Identity Theft Resolution Specialists (Resolution for Preexisting Conditions)*

• 24/7/365 U.S.-based Customer Care Center

• Up to $1M Identity Theft Insurance*

• Lost Wallet Vault & Assistance

• Deceased Family Member Fraud Remediation

• Fraud Alert & Credit Freeze Assistance

EMPLOYEE BENEFITS Identity Theft Employee $9.95 Family $17.95 34

Emergency Medical Transport

MASA

ABOUT MEDICAL TRANSPORT

Medical Transport covers emergency transportation to and from appropriate medical facilities by covering the out-of-pocket costs that are not covered by insurance. It can include emergency transportation via ground ambulance, air ambulance and helicopter, depending on the plan.

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

A MASA MTS Membership provides the ultimate peace of mind at an affordable rate for emergency ground and air transportation service within the United States and Canada, regardless of whether the provider is in or out of a given group healthcare benefits network. If a member has a high deductible health plan that is compatible with a health savings account, benefits will become available under the MASA membership for expenses incurred for medical care (as defined under Internal Revenue Code (“IRC”) section 213 (d)) once a member satisfies the applicable statutory minimum deductible under IRC section 223(c) for high-deductible health plan coverage that is compatible with a health savings account.

Emergent Air Transportation

In the event of a serious medical emergency, Members have access to emergency air transportation into a medical facility or between medical facilities.

Emergent Ground Transportation

In the event of a serious medical emergency, Members have access to emergency ground transportation into a medical facility or between medical facilities.

Non-Emergency Inter-Facility Transportation

In the event that a member is in stable condition in a medical facility but requires a heightened level of care that is not available at their current medical facility, Members have access to non-emergency air or ground transportation between medical facilities.

Repatriation/Recuperation

Suppose you or a family member is hospitalized more than 100-miles from your home. In that case, you have benefit coverage for air or ground medical transportation into a medical facility closer to your home for recuperation.

Should you need assistance with a claim contact MASA at 800-643-9023. You can find full benefit details at benefit website at www.mybenefitshub.com/taylorisd and select your school district.

Emergency Transportation Emergent Plus Employee and Family $14.00
EMPLOYEE
35
BENEFITS

Flexible Spending Account (FSA)

Higginbotham

ABOUT FSA

A Flexible Spending Account allows you to pay for eligible healthcare expenses with a pre-loaded debit card. You choose the amount to set aside from your paycheck every plan year, based on your employer’s annual plan limit. This money is use it or lose it within the plan year (unless your plan contains a $610 rollover or grace period provision).

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

Health Care FSA

The Health Care FSA covers qualified medical, dental and vision expenses for you or your eligible dependents. You may contribute up to $3,050 annually to a Health Care FSA and you are entitled to the full election from day one of your plan year. Eligible expenses include:

• Dental and vision expenses

• Medical deductibles and coinsurance

• Prescription copays

• Hearing aids and batteries

You may not contribute to a Health Care FSA if you enrolled in a High Deductible Health Plan (HDHP) and contribute to a Health Savings Account (HSA).

Higginbotham Benefits Debit Card

The Higginbotham Benefits Debit Card gives you immediate access to funds in your Health Care FSA when you make a purchase without needing to file a claim for reimbursement. If you use the debit card to pay anything other than a copay amount, you will need to submit an itemized receipt or an Explanation of Benefits (EOB). If you do not submit your receipts, you will receive a request for substantiation. You will have 60 days to submit your receipts after receiving the request for substantiation before your debit card is suspended. Check the expiration date on your card to see when you should order a replacement card(s).

Dependent Care FSA

The Dependent Care FSA helps pay for expenses associated with caring for elder or child dependents so you or your spouse can work or attend school full time. You can use the account to pay for day care or baby sitter expenses for your children under age 13 and qualifying older dependents, such as dependent parents. Reimbursement from your Dependent Care FSA is limited to the total amount deposited in your account at that time. To be eligible, you must be a single parent or you and your spouse must be employed outside the home, disabled or a full-time student.

Things to Consider Regarding the Dependent Care FSA

• Overnight camps are not eligible for reimbursement (only day camps can be considered).

• If your child turns 13 midyear, you may only request reimbursement for the part of the year when the child is under age 13.

• You may request reimbursement for care of a spouse or dependent of any age who spends at least eight hours a day in your home and is mentally or physically incapable of self-care.

• The dependent care provider cannot be your child under age 19 or anyone claimed as a dependent on your income taxes.

EMPLOYEE BENEFITS 36

Flexible Spending Account (FSA)

Higginbotham

Important FSA Rules

• The maximum per plan year you can contribute to a Health Care FSA is $3,050. The maximum per plan year you can contribute to a Dependent Care FSA is $5,000 when filing jointly or head of household and $2,500 when married filing separately.

• You cannot change your election during the year unless you experience a Qualifying Life Event.

• You can continue to file claims incurred during the plan year for another 90 days after August 31st

• Your Health Care FSA debit card can be used for health care expenses only. It cannot be used to pay for dependent care expenses.

Higginbotham Portal

The Higginbotham Portal provides information and resources to help you manage your FSAs.

• Access plan documents, letters and notices, forms, account balances, contributions and other plan information

• Update your personal information

• Utilize Section 125 tax calculators

• Look up qualified expenses

• Submit claims

• Request a new or replacement Benefits Debit Card

Register on the Higginbotham Portal

Visit https://flexservices.higginbotham.net and click Register. Follow the instructions and scroll down to enter your information.

• Enter your Employee ID, which is your Social Security number with no dashes or spaces.

• Follow the prompts to navigate the site.

• If you have any questions or concerns, contact Higginbotham:

◊ Phone – 866-419-3519

◊ Email – flexclaims@higginbotham.net

◊ Fax – 866-419-3516

Higginbotham Flex Mobile App

Easily access your Health Care FSA on your smartphone or tablet with the Higginbotham mobile app. Search for Higginbotham in your mobile device’s app store and download as you would any other app.

• View Accounts – Includes detailed account and balance information

• Card Activity – Account information

• SnapClaim – File a claim and upload receipt photos directly from your smartphone

• Manage Subscriptions – Set up email notifications to keep up-to-date on all account and Health Care FSA debit card activity

• Log in using the same username and password you use to log in to the Higginbotham Portal. Note: You must register on the Higginbotham Portal in order to use the mobile app.

EMPLOYEE BENEFITS 37

Employee Assistance Program (EAP)

Life Works

ABOUT EAP

An Employee Assistance Program (EAP) is a program that assists you in resolving problems such as finding child or elder care, relationship challenges, financial or legal problems, etc. This program is provided by your employer at no cost to you.

For full plan details, please visit your benefit website: www.mybenefitshub.com/taylorisd

Taylor ISD employees and their families have anytime access to LifeWorks Integrated EAP and Work-life services in a variety of ways that fit their preferences and unique needs.

888-456-1324 | www.lifeworks.com

Username: tisd; Password: lifeworks

Taylor ISD employees and their families will have access to confidential assistance and support on a wide range of issues in the areas of life, health, family, work and money.

TELEPHONE

• All calls are answered live by Ceridian employees who are trained clinical consultants with master’s/doctorate degrees.

• LifeWorks is a 24/7 operation, so there are no changes in our service delivery during non-business hours — your employees will not be directed to leave messages.

• A fully staffed bilingual clinical consultant team answers calls from service centers in St. Petersburg, FL; Minneapolis, MN; Blue Bell, PA; Toronto, Winnipeg and Montreal, Canada.

MOBILE

• An app for mobile devices makes the LifeWorks.com site accessible from anywhere at any time for iPhone, Android and Blackberry users.

IN-PERSON

• Taylor ISD employees and their families will have access to “6 face-to-face sessions”

• totally focused on short-term, solution-focused counseling with EAP clinicians.

• Ceridian develops close relationships and carefully evaluates the national network of EAP providers who deliver in-person counseling to your employees. This cohesive team includes consultants that complete the initial screening assessment and connect participants to the EAP provider and EAP affiliate managers to ensure a high quality experience. Ceridian also employs a Clinical Supervisor within Provider Network Services for case consultation and assistance to the local EAP affiliate.

• Our North American network of 11,300 EAP providers includes all 50 U.S. states, Puerto Rico, the Virgin Islands, Mexico, Canada and U.S. Territories.

• Our entire network is composed of licensed mental health professionals. Minimum qualifications include a license to practice independently in the state in which services are provided along with five years post graduate experience and three years providing EAP services.

• Our counselors and providers possess strong EAP and work-life skills, and we aggressively recruit Certified Employee Assistance Professionals (CEAPs) whose focus is on helping employees quickly resolve issues that may interfere with their work.

38
EMPLOYEE BENEFITS

Notes

39

2023 - 2024 Plan Year

Enrollment Guide General Disclaimer: This summary of benefits for employees is meant only as a brief description of some of the programs for which employees may be eligible. This summary does not include specific plan details. You must refer to the specific plan documentation for specific plan details such as coverage expenses, limitations, exclusions, and other plan terms, which can be found at the Taylor ISD Benefits Website. This summary does not replace or amend the underlying plan documentation. In the event of a discrepancy between this summary and the plan documentation the plan documentation governs. All plans and benefits described in this summary may be discontinued, increased, decreased, or altered at any time with or without notice.

Rate Sheet General Disclaimer: The rate information provided in this guide is subject to change at any time by your employer and/or the plan provider. The rate information included herein, does not guarantee coverage or change or otherwise interpret the terms of the specific plan documentation, available at the Taylor ISD Benefits Website, which may include additional exclusions and limitations and may require an application for coverage to determine eligibility for the health benefit plan. To the extent the information provided in this summary is inconsistent with the specific plan documentation, the provisions of the specific plan documentation will govern in all cases.

WWW.MYBENEFITSHUB.COM/TAYLORISD

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