EFFECTIVE: 09/01/2024 - 08/31/2025 WWW.MYBENEFITSHUB.COM/TYLERISD
Benefit Contact Information
Higginbotham Public Sector (800) 583-6908 www.mybenefitshub.com/tylerisd
Tyler ISD
Kendra Martin (972) 685-1311 ksmartin@higginbotham.com
Amanda Parish Benefits Facilitator (903) 262-1081 EECU (800) 333-9934 www.eecu.org
Cigna
Group # HC962302 (800) 754-3207
SuppHealthClaims@Cigna.com
MetLife
Group # 241558 (800) 942-0854 www.metlife.com/mybenefits
Chubb Group # TY20240213v1 (888) 499-0425 educatorclaims@chubb.com
Lincoln Financial Group
Basic & AD&D
Group # 00010270893 VTL Group # 000400270894 LifeClaims@lfg.com
MASA
Group # MKTYTISD (800) 643-9023 claims@masaglobal.com
MetLife Group # 241558 (833) 393-5433 www.metlife.com/mybenefits
Cigna Group # AI960493 (800) 754-3207 SuppHealthClaims@Cigna.com
Identity Guard (855) 443-7748 customercare@identityguard.com
John Ledebur (972) 977-4722 jledebur@higginbotham.com
National Benefit Services Employer ID NBS651616 (855) 399-3035
my.nbsbenefits.com
MDLIVE (888) 365-1663 www.mdlive.com/fbsbh
New York Life Group # SLH-100002 (800) 842-4462 myNYLGBS.com
Cigna Group # CI960493 (800) 754-3207 SuppHealthClaims@Cigna.com
Lincoln Financial Group (888) 682 4824 GuidanceResources.com
Username: LFG Support Password LFGSupport1
Annual Benefit Enrollment
Benefit Updates - What’s New:
MEDICAL - NEW CARRIER TRS
• Medical Plans are with TRS and will not rollover to the new plan year. You must log into THEbenefitsHUB and enroll in medical if you want that coverage.
• Your last Medical deduction is in July which will be used to pay your August premium.
• TRS offers 3 Active Care Plans including a High Deductible Plan.
• PCP’s are required for the Active Care Primary and Primary Plus plans so use this link: https://www.bcbstx. com/trsactivecare/doctors-and-hospitals to locate your 10 digit code for your primary care doctor.
• There will be only one medical contribution per family for each plan according to TRS guidelines. The employer contribution amounts have increased from $225 and are as follows:
$375 Employee or Employee + Child
$425 Employee + Spouse or Employee + Family
PRESCRIPTION DRUGS – EXPRESS SCRIPTS
• Express Scripts manages the Active Care plans use this link: Open Enrollment - Pharmacy Benefit Plans (expressscripts.com) to lookup preferred formulary and drug exclusions.
• Specialty drugs are managed by SaveOnSP and you must have prior approval. Benefits vary according to the Active Care Plan you choose.
EMPLOYER PAID LIFE INSURANCE CHANGES
Your Your Employer paid Basic Life is now $10K regardless if you elect medical or decline. Only available for employees that work a minimum of 15 hours. Excludes temporary employees. Don’t forget to assign a beneficiary as you complete your enrollment.
Don’t Forget!
FLEX AND DEPENDENT CARE SHORT PLAN YEAR
• The 10/1/2024 plan year will be based on 11 months of contributions instead of 12 months making this a short plan year, so an increase in your monthly amount might need to be considered.
• Your Flex and Dependent Care benefits will roll-over so you must log in to opt out of these plans for the new plan year.
• Your new Flex contribution amount for the 24-25 plan year is $3,200 and dependent care will remain at $5,000
DENTAL RATE INCREASE!
• There is a 5% increase on all Dental rates due to the cost of rising care. Please note this change as you review your payroll for the 9/1/2024.
CANCER PLAN– NEW CARRIER CHUBB
Enhanced benefits include:
• Attending Physician Benefit
• Increased Hospital Confinement Benefits
• ICU Coverage
• Family Day Care Benefit
• Hospice Care
• Home health Care
• Bone marrow and Stem Cell Transplants
• Heritable Cancer Screening
• Prosthesis Benefits
• $50 Wellness Benefit
• Continuity Of Coverage Subject to the terms of the certificate.
MDLIVE NEW FAMILY RATE - $16 MONTHLY EMPLOYEE ONLY RATE - $12.00 MONTHLY
• Plan Offers Unlimited non-emergency Medical and Behavioral visits regardless if you are enrolled in medical coverage. This plan is not intended to replace the virtual care options already offered under your TRS Medical Plan.
• Login and complete your benefit enrollment from 05/13/2024 - 06/08/2024
• Enrollment assistance is available by calling Higginbotham Public Sector at (866) 914-5202.
• Update your information: home address, phone numbers, email, and utilizing the district’s Employee Self Service Section.
• 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.
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 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
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.
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.
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 eligibility 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 Higginbotham Public Sector 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/tylerisd
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 Tyler ISD benefit website: www.mybenefitshub.com/tylerisd. 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.
Annual Benefit Enrollment
Employee Eligibility Requirements
Medical and Supplemental Benefits: Eligible employees must work 15 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 2024 benefits become effective on September 1, 2024, you must be actively-at-work on September 1, 2024 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 Higginbotham Public Sector, 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 Higginbotham Public Sector, or contact the insurance carrier for additional information on dependent eligibility.
Theft
age 26
To age 26
To age 26
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 Higginbotham Public Sector 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.
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 09/1/2024 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 prescriptions 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).
Description
Health Savings Account (HSA) (IRC Sec. 223)
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.
Flexible Spending Account (FSA) (IRC Sec. 125)
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
Contribution Source Employee and/or employer
Account Owner Individual
Underlying Insurance Requirement High deductible health plan
Minimum Deductible
Maximum Contribution
Permissible Use Of Funds
Cash-Outs of Unused Amounts (if no medical expenses)
Year-to-year rollover of account balance?
$3,200 single (2024)
Employee and/or employer
Employer
None
$6,400 family (2024) N/A
$4,150 single (2024)
$8,300 family (2024) 55+ catch up +$1,000
Employees may use funds any way they wish. If used for non-qualified medical expenses, subject to current tax rate plus 20% penalty.
$3,050 (2023)
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.
Access to some funds may be extended to 75 days due to the grace period or $640 rollover provision.
Does the account earn interest? Yes No
Portable?
Yes, portable year-to-year and between jobs. No
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/tylerisd
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/tylerisd
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 (High Deductible Health Plan) 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, nor should your spouse be contributing towards 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 under your HDHP.
Maximum Contributions
Your HSA contributions may not exceed the annual maximum amount established by the Internal Revenue Service. The annual contribution maximum for 2024 is based on the coverage option you elect:
• Individual – $4,150
• Family (filing jointly) – $8,300
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 EECU. 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. to 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: www.eecu.org/ locations
Flexible Spending Account (FSA)
National Benefit Services (NBS)
ABOUT FSA
A Flexible Spending Account (FSA) lets you set aside a portion of your paycheck—before taxes—into an account to help you pay for medical, dental, vision, and dependent care expenses. An FSA is a planning tool with great tax benefits. With an FSA, you must use the account balance in full before the end of the plan year or it will be forfeited. *
For full plan details, please refer to your Summary Plan Description (SPD) and visit the NBS Participant Portal: mynbsbenefits.com
There are three types of Flexible Spending Accounts you may be able to choose from. Make sure you understand the purpose of each account before you make your elections!
Health Flexible Spending Account (FSA)
The Health FSA allows you to pay for medical, dental, and vision expenses for yourself and your eligible dependents. For plan years that start in 2024, you may contribute up to $3,200.00 to your Health FSA. This benefit is funded up-front, so you will have access to your whole annual election on the first day of the plan year. You can use your NBS Smart Debit Card to pay for expenses or pay out of pocket and submit claims for reimbursement.
Some examples of common eligible expenses are co-pays and deductibles, orthodontia, eyeglasses, prescription medicines, menstrual care products, over-the-counter medicines, chiropractor, hearing aids, monitoring devices (blood pressure, cholesterol), physical therapy, laser eye surgery, and many more. Complete lists of eligible and non-eligible expenses can be found in IRS Publication 502
*The FSA is a “use-it-or-lose-it” benefit, so plan carefully to ensure you don’t forfeit funds. Your employer may offer you a grace period or rollover option. Refer to your Summary Plan Description (SPD) for more information.
Limited-Purpose Flexible Spending Account (LFSA)
If you contribute to a Health Savings Account, you cannot participate in the Health FSA. However, your employer may offer you the option to participate in a Limited Health Flexible Spending Account (LFSA). The LFSA is similar to the Health FSA but is designed to be paired with a Health Savings Account. The LFSA will allow you to be reimbursed for out-of-pocket dental and vision expenses incurred by you and your dependents.
NBS Smart Debit Card
If you participate in the FSA or LFSA benefits, you will receive a card in the mail. You can use this card to pay for eligible expenses, thus avoiding out-of-pocket expenses and submitting claim forms. Please make sure you keep any bills, receipts, statements, and/or explanations of benefits (EOBs) corresponding to your card purchases. You may be asked to substantiate your purchase to show it was an eligible expense.
Flexible Spending Account (FSA)
National Benefit Services (NBS)
Dependent Care FSA aka Dependent Care Assistance Program (DCAP)
The Dependent Care Flexible Spending Account (DCAP) enables you to pay for out-of-pocket, work-related dependent daycare expenses using pre-tax funds. Please see your Summary Plan Description (SPD) for the definition of eligible dependent. Generally, your reimbursement may not exceed the lesser of: (a) $5,000 (if you are married filing a joint return or you are head of a household) or $2,500 (if you are married filing separate returns); (b) your taxable compensation; (c) your spouse’s actual or deemed earned income.
Examples of eligible expenses:
¾ Before and after school/extended day programs
¾ Daycare in your home or elsewhere
¾ Base cost of day camps or similar programs
Examples of ineligible expenses:
¾ Schooling for a child in kindergarten or above
¾ Babysitter while you go to the movies or dinner
¾ Cost of overnight camps
DCAPs are not funded up-front like Health FSAs. You will gain access to your contributions only after they are deducted from your paycheck. You may choose to be reimbursed automatically each pay period by filling out and submitting the Continual Reimbursement form at the beginning of the plan year. Alternatively, you can choose to submit individual claims for reimbursement. Some employers may allow you to use your NBS Smart Debit card to pay your dependent care provider.
Review your Summary Plan Description (SPD)
Your Summary Plan Description (SPD) will give you important information about these benefits that is specific to your employer’s plan. Please read your SPD so you understand your spending deadline, deadline to submit claims, whether you have a grace period and if so, when it ends, whether you have the option to carryover some remaining FSA funds and if so, how much, which qualifying life events may allow you to change your elections outside of open enrollment, and more.
NBS Participant Portal and Mobile App
To get the most out of your benefits, register for our participant portal and/or download our mobile app. On the portal and app, you can submit claims, pay providers, check your balance, set up direct deposit, order cards for your dependents and replacement cards, review transactions and spending deadlines, manage your alerts, and more.
To register, visit http://mynbsbenefits.com/, click “Register” in the top right corner, and follow the prompts. Your employee ID is your SSN.
NBS Service Center
Our dedicated service center is available to help with any of your individual needs, including accessing your account, questions about your benefits, and requesting new debit cards.
Phone: 855-399-3035, option 2
Fax: (844) 438-1496
Email: service@nbsbenefits.com
Hours of Operation:
7:00 a.m. - 7:00 p.m. CT Mon - Fri
Scan to access the NBS portal!
Hospital Indemnity Cigna
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/tylerisd
Even with the best primary health insurance plan, out-of-pocket costs from a hospital stay can add up. Cigna’s Hospital Care plan pays a scheduled benefit if you or an insured dependent (spouse or child) are confined in a hospital for a covered illness or injury.
The benefits are paid to you, and can help offset expenses that primary health insurance doesn’t cover (like deductibles, co-insurance amounts or co-pays), or benefits can be used for any non-medical expenses (like housing costs, groceries, car expenses, etc.).
Plan Highlights
• No Pre-existing Limitations!
• HSA Compatible Claims
Options for filing Claims
Call : (800)754-3207 to speak with a representative
Online: Visit SuppHealthClaims.com
Email: Send your scanned documents to: SuppHealthClaims@Cigna.com
Available Coverage:
The benefit amounts shown in this summary will be paid regardless of the actual expenses incurred and are paid on a per day basis unless otherwise specified. Benefits are only payable when all policy terms and conditions are met. Please read all the information in the plan summary document on the benefit website to understand limitations and conditions.
Hospitalization
Hospital Admission
No Elimination Period. Limited to 1 day, 1 benefit(s) every 90 days.
Hospital Chronic Condition Admission
No Elimination Period. Limited to 1 day, 1 benefit(s) every 90 days.
Hospital Stay
No Elimination Period. Limited to 30 days, 1 benefit(s) every 90 days.
Hospital Intensive Care Unit (ICU) Stay
No Elimination Period. Limited to 30 days, 1 benefit(s) every 90 days.
Hospital Observation Stay
24 hour Elimination Period. Limited to 72 hours.
Newborn Nursery Care Admission
Limited to 1 day, 1 benefit per newborn child. This benefit is payable to the employee even if child coverage is not elected.
Newborn Nursery Care Stay*
Limited to 30 days, 1 benefit per newborn child. This benefit is payable to the employee even if child coverage is not elected.
per day
per 4-hour period
per day
per day
Hospital Indemnity Cigna
Additional Information:
• Hospital Admission: Must be admitted as an Inpatient due to a Covered Injury or Covered Illness. Excludes: treatment in an emergency room, provided on an outpatient basis, or for re-admission for the same Covered Injury or Covered Illness (including chronic conditions).
• Hospital Chronic Condition Admission: Must be admitted as an Inpatient due to a covered chronic condition and treatment for the covered chronic condition must be provided by a specialist in that field of medicine. Excludes: treatment in an emergency room, provided on an outpatient basis, or for re-admission for the same Covered Injury or Covered Illness (including chronic conditions).
• Hospital Stay: Must be admitted as an Inpatient and confined to the Hospital, due to a Covered Injury or Covered Illness, at the direction and under the care of a physician. If also eligible for the ICU Stay Benefit, only 1 benefit will be paid for the same Covered Injury or Covered Illness, whichever is greater. Hospital stays within 90 days for the same or a related Covered Injury or Covered Illness is considered one Hospital Stay.
• Intensive Care Unit (ICU) Stay: Must be admitted as an Inpatient and confined in an ICU of a Hospital, due to a Covered Injury or Covered Illness, at the direction and under the care of a physician. If also eligible for the Hospital Stay Benefit, only 1 benefit will be paid for the same Covered Injury or Covered Illness, whichever is greater. ICU stays within 90 days for the same or a related Covered Injury or Covered Illness is considered one ICU Stay.
• Hospital Observation Stay: Must be receiving treatment for a Covered Injury or Covered Illness in a Hospital, including an observation room, or ambulatory surgical center, for more than 24 hours, on a non-Inpatient basis and a charge must be incurred. This benefit is not payable if a benefit is payable under the Hospital Stay Benefit or Hospital Intensive Care Unit Stay Benefit.
• Newborn Nursery Care Admission and Newborn Nursery Care Stay: Must be admitted as an Inpatient and confined in a Hospital immediately following birth at the direction and under the care of a physician.
Hospital Indemnity
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/tylerisd
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 highdeductible 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 nonemergency 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.
Inter-
Transportation
Disclaimer: 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.
Telehealth
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/tylerisd
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
• Stomach ache
• Cold
• Flu
• Allergies
• Fever
• Urinary tract infections Do not use telemedicine for serious or life-threatening emergencies.
MDLIVE Behavioral Health:
Managing stress or life changes can be overwhelming but it’s easier than ever to get help right in the comfort of your own home. Visit a counselor or psychiatrist by phone, secure video, or MDLIVE App.
• Talk to a licensed counselor or psychiatrist from your home, office, or on the go!
• Affordable, confidential online therapy for a variety of counseling needs.
• The MDLIVE app helps you stay connected with appointment reminders, important notifications and secure messaging.
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/fbsbh
• 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.
Dental Insurance
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/tylerisd
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?
• Go to metlife.com
• Select “Find a Dentist”
• Select PDP Plus next to “Choose a network”
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 copay- ments, deductibles, cost sharing and benefits maximums. Negotiated fees are subject to change.
* Reimbursement for out-of-network services is based on the lesser of the dentist’s actual fee or the Maximum Allowable Charge (MAC) . The out- of-network Maximum Allowable Charge is a scheduled amount determined by MetLife.
**R&C fee refers to the Reasonable and Customary (R&C) charge, which is based on the lowest of (1) the dentist’s actual charge, (2) the dentist’s usual charge for the same or similar services, or (3) the charge of most dentists in the same geographic area for the same or similar services as determined by MetLife.
† Applies only to Type B & C Services.
• Orthodontia included for adults. Available for dependent children up to age 26.
Vision Insurance MetLife
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/tylerisd
We’re Here to Help
• Find a Vision provider at www.metlife.com/vision
• Download a claim form at www.metlife.com/mybenefits
• For general questions, go to www.metlife.com/mybenefits or call 1-833-EYE-LIFE (1-833-393-5433)
• These plans use the Superior Network
High Plan
Eye Exam - Once every 12 months
• Eye health exam, dilation, prescription, and refraction for glasses: Covered in full after a $5 copay.
• Retinal imaging: Up to a $39 copay on routine retinal screening when performed by a private practice.
Frame - Once every 12 months
• Allowance: $150
• You will receive an additional 20% savings on the amount that you pay over your allowance.
Standard Corrective Lenses - Once every 12 months
• Single vision, lined bifocal, lined trifocal, lenticular: Covered in full after $5 eyewear copay.
Standard Lens Enhancements - Once every 12 months
• Standard Polycarbonate (child up to age 18): Covered in full. Progressive lenses, Standard Polycarbonate (adult), UVcoating, Scratch-resistant coatings, Tints, Anti-reflective, Photochromic, Blue Light filtering, Digital Single Vision, Polarized, High Index (1.67 / 1.74): Your cost will be limited to a member out of pocket amount (MOOP) that MetLife has negotiated for you. These amounts may be viewed after enrollment at metlife.com/mybenefits
Contact Lenses (instead of eyeglasses) - Once every 12 months
• Contact lens fitting (standard): Covered in full after $25 copay.
• Contact lens fitting (premium): $50 retail allowance after $25 copay.
• Elective lenses: $150 allowance
• Necessary lenses: Covered in full.
Low Plan
Eye Exam - Once every 12 months
• Eye health exam, dilation, prescription, and refraction for glasses: Covered in full after a $5 copay.
• Retinal imaging: Up to a $39 copay on routine retinal screening when performed by a private practice.
Frame - Once every 12 months
• Allowance: $150
• You will receive an additional 20% savings on the amount that you pay over your allowance.
Standard Corrective Lenses - Once every 12 months
• Single vision, lined bifocal, lined trifocal, lenticular: Covered in full after $5 eyewear copay.
Standard Lens Enhancements - Once every 12 months
• Standard Polycarbonate (child up to age 18): Covered in full. Progressive lenses, Standard Polycarbonate (adult), UV coating, Scratch-resistant coatings, Tints, Anti-reflective, Photochromic, Blue Light filtering, Digital Single Vision, Polarized, High Index (1.67 / 1.74): Your cost will be limited to a member out of pocket amount (MOOP) that MetLife has negotiated for you. These amounts may be viewed after enrollment at metlife.com/mybenefits
Contact Lenses (instead of eyeglasses) - Once every 12 months
• Contact lens fitting (standard): Covered in full after $25 copay.
• Contact lens fitting (premium): $50 retail allowance after $25 copay.
• Elective lenses: $150 allowance
• Necessary lenses: Covered in full.
Disability Insurance
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/tylerisd
What is Educator Disability Insurance?
Educator Disability insurance is a hybrid that combines features of short-term and long-term disability into one plan. Disability insurance provides partial income protection if you are unable to work due to a covered accident or illness. The plan gives you flexibility to be able to choose an amount of coverage and waiting period that suits your needs.
Definition of Disability: “Disability” or “Disabled” means that, solely because of a covered injury or sickness, you are unable to perform the material duties of your regular occupation/regular job and you are unable to earn 80% or more of your indexed earnings from working in your regular occupation/regular job. After benefits have been payable for 24 months, you are considered disabled if solely due to your injury or sickness, you are unable to perform the material duties of any occupation for which you are (or may reasonably become) qualified by education, training or experience, and you are unable to earn 80% or more of your indexed earnings. We will require proof of earnings and continued disability.
Pre-Existing Condition Limitation: Benefits are not payable for medical conditions for which you incurred expenses, took prescription drugs, received medical treatment, care or services (including diagnostic measures), during the 3 months just prior to the most recent effective date of insurance. Benefits are not payable for any disability resulting from a preexisting condition unless the disability occurs after you have been insured under this plan for at least 12 months after your most recent effective date of insurance.
The Insurance Company will waive the Pre-Existing Condition Limitation for the first four weeks of Disability even if the Employee has a Pre-Existing Condition. The Disability Benefits as shown in the Schedule of Benefits will continue beyond 4 weeks only if the Pre-Existing Condition Limitation does not apply.
Maximum Benefit Duration: Once you qualify for benefits under this plan, you continue to receive them until the end of the benefit or until you no longer qualify for benefits, whichever occurs first. Should you remain Disabled, your benefits continue based on a schedule. See your benefit website at www.mybenefitshub.com/tylerisd for full details.
Eligibility: All active, Full-time Employees of the Employer who are citizens or permanent resident aliens of the United States working a minimum of 15 hours per week. You will be eligible for coverage the first of the month on or after 30 days of active service.
Effective Date: Your coverage takes effect on the later of the policy’s effective date, the date you become eligible, the date we receive your completed enrollment form, or the date you authorize any necessary payroll deductions. If you’re not actively at work on the date your coverage would otherwise take effect, your coverage will take effect on the date you return to work. If you have to submit evidence of good health, your coverage takes effect on the date we agree, in writing, to cover you.
Disability Insurance
New York Life
Effects of Other Income Benefits: This plan is structured to prevent your total benefits and post-disability earnings from equaling or exceeding pre-disability earnings. Therefore, we reduce this plan’s benefits by Other Income Benefits payable to you, your dependents, or a qualified third party on behalf of you or your dependents. Disability benefits will be reduced by amounts received through Social Security disability benefits payable to you, your dependents, or a qualified third party on behalf of you or your dependents. Your disability benefits will not be reduced by any Social Security disability benefits you are not receiving as long as you cooperate fully in efforts to obtain them and agree to repay any overpayment when and if you do receive them. Disability benefits will also be reduced by amounts received through other government programs, employer’s sabbatical leave, employer’s assault leave plan, employer funded retirement benefits, workers’ compensation, franchise/group insurance, auto no-fault, and damages for wage loss. For details, see your outline of coverage, policy certificate, or your employer’s summary plan description.
Choose the plan and elimination period best for your situation. Remember the elimination period is the number of days of your disability that are NOT covered. Only plans with elimination periods 30 days or less waive the elimination period during a 24 hospital stay.
Please refer to the “Maximum Benefit Period” Schedules on your benefit website for full details.
Cancer Insurance CHUBB
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/tylerisd
Cancer Insurance
This Cancer Insurance covers all active employees working 15 hours per week.
First Cancer Benefit
Alternative Care Benefit
Diagnosis of Cancer Benefit
Medical Imaging Benefit
Skin Cancer Initial Diagnosis Benefit
Attending Physician Benefit
Hospital Confinement Benefit
Hospital Confinement ICU Benefit
Hospital Confinement Sub-Acute
Intensive Care Unit Benefit
Family Care Benefit
$100
Plan 1
paid upon receipt of first covered claim for Cancer; only one payment per Covered Person per Certificate per Calendar Year
$75 per visit
Maximum Visits per Calendar Year: 4
$5,000
Waiting Period 0 days
Benefit Reduction: None
$500 per Imaging Study
Maximum Studies per Calendar Year: 2
$100 per Diagnosis
Lifetime Maximum: 1
$50 per Visit
Maximum Visits per Confinement: 2
Maximum Visits per Calendar Year: 4
$100 Per Day – Days 1 through 30
Additional Days: $200
Maximum Days per Confinement: 31
$600 Per Day – Days 1 through 30
Additional Days: $600
Maximum Days per Confinement: 31
$300 Per Day – Days 1 through 30
Additional Days: $300
Maximum Days per Confinement: 31
Childcare: $100 per Day per Child
Maximum Days per Calendar Year: 30
Adult Day Care or Home Healthcare:
$100 per Day
Maximum Days per Calendar Year: 30
Plan 2
$100
paid upon receipt of first covered claim for Cancer; only one payment per Covered Person per Certificate per Calendar Year
$75 per visit
Maximum Visits per Calendar Year: 4
$10,000
Waiting Period 0 days
Benefit Reduction: None
$500 per Imaging Study
Maximum Studies per Calendar Year: 2
$100 per Diagnosis
Lifetime Maximum: 1
$50 per Visit
Maximum Visits per Confinement: 2
Maximum Visits per Calendar Year: 4
$300 Per Day – Days 1 through 30
Additional Days: $600
Maximum Days per Confinement: 31
$600 Per Day – Days 1 through 30
Additional Days: $600
Maximum Days per Confinement: 31
$300 Per Day – Days 1 through 30
Additional Days: $300
Maximum Days per Confinement: 31
Childcare: $100 per Day per Child
Maximum Days per Calendar Year: 30
Adult Day Care or Home Healthcare: $100 per Day
Maximum Days per Calendar Year: 30
Cancer Insurance CHUBB
Prescription Drug Inpatient Benefit
Private Full-Time Nursing Services Benefit
U.S. Government or Charity Hospital Benefit
Family Member Transportation and Lodging Benefit
Home Health Care Benefit
Hospice Care Benefit
Skilled Nursing Care Facility Benefit
Per Confinement: $150
Maximum Confinements per Calendar Year 6
$150 per Day
Maximum Days per Confinement: 5
Days 1 through 30: $100
Additional Days: $200
Maximum Days per Confinement: 15
Family Transportation: $100 per Trip
Maximum Trips per Calendar Year: 12
Family Lodging: $100 per Day
Maximum Days per Calendar Year: 100
$100 per Day not to exceed the number of days confined
Maximum Days per Calendar Year: 30
$100 per Day
$300 per Day
Maximum Days per Calendar Year: 30
Per Confinement: $150
Maximum Confinements per Calendar Year 6
$150 per Day
Maximum Days per Confinement: 5
Days 1 through 30: $300
Additional Days: $600
Maximum Days per Confinement: 15
Family Transportation: $100 per Trip
Maximum Trips per Calendar Year: 12
Family Lodging: $100 per Day
Maximum Days per Calendar Year: 100
$300 per Day not to exceed the number of days confined Maximum Days per Calendar Year: 30
$300 per Day
$300 per Day
Maximum Days per Calendar Year: 30
Accident Insurance Cigna
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 website: www.mybenefitshub.com/tylerisd
Office Visit – Includes urgent care, Virtual Care accepted. Limited to 1 per
Accident Insurance Cigna
Online: Visit SuppHealthClaims.com
Email: Send your scanned documents to: SuppHealthClaims@Cigna.com
Critical Illness Insurance Cigna
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/tylerisd
Who Can Elect Coverage:
You: All active, Employees of the Employer who are regularly working a minimum of 15 hours per week who are United States citizens or permanent resident aliens regularly working in the United States. You will be eligible to elect coverage on the first of the month after 30 days from date of hire or Active Service. Your Spouse:* Up to age 100, as long as you apply for and are approved for coverage yourself. Your Child(ren): Birth to age 26; 26+ if disabled, as long as you apply for and are approved for coverage yourself.
Available Coverage:
The benefit amounts shown will be paid regardless of the actual expenses incurred. The benefit descriptions are a summary only. There are terms, conditions, state variations, exclusions and limitations applicable to these benefits. Please read all of th e information in this Summary and your Certificate of Insurance for more information. All Covered Critical Illness Conditions must be due to disease or sickness.
Critical Illness Insurance
Cigna
For Childhood Conditions please refer to the beginning of the Available Coverage section above for details on how much coverage is available for covered children. Health Screening
Test Benefit
Examples includes (but are not limited to) mammography, and certain blood tests. The benefit amount shown will be paid regardless of the actual expenses incurred and is paid on a per day basis. Virtual Care accepted.
Benefit for a diagnosis made after the effective date of coverage for each Covered Condition shown above. The amount payable per Covered Condition is the Initial Benefit Amount multiplied by the applicable percentage shown. Each Covered Condition will be payable one time per Covered Person, subject to the Maximum Lifetime Limit. A 90 days separation period between the dates of diagnosis is required.* Recurrence Benefit
Maximum Lifetime Limit
Benefit for the diagnosis of a subsequent and same Covered Condition for which an Initial Critical Illness Benefit has been paid, payable after a 6 month separation period from diagnosis of a previous Covered Condition, subject to the Maximum Lifetime Limit.
The maximum benefit payable per Covered Person is the lesser of 5 times the elected Benefit Amount or $150,000.
Portability Feature: You can continue 100% of coverage for all Covered Persons at the time Your coverage ends. You must be covered under the policy and be under the age of 100 in order to continue your coverage. Rates may change and all coverage ends at age 100. Applies to United States Citizens and Permanent Resident Aliens residing in the United States.
Guaranteed Issue: If you are a new hire you are not required to provide proof of good health if you enroll during your employer’s eligibility waiting period and you choose an amount of coverage up to and including the Guaranteed Issue Amount. If you apply for an amount of coverage greater than the Guaranteed Issue Amount, coverage in excess of the Guaranteed Issue Amount will not be issued until the insurance company approves acceptable proof of good health. Guaranteed Issue coverage may be available at other specified periods of time. Your employer will notify you when these periods of time are available. Your Spouse must be age 18 or older to apply if evidence of insurability is required.
To file a claim:
Call: 800. 754.3207
Fax: 860.730.6460
Email scanned documents to: accidentinjury/criticalillness@Cigna.com
Claim Forms are located at: Cigna.com/customer-forms
Life and AD&D
Lincoln Financial Group
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/tylerisd
Tyler Independent School District provides this valuable benefit at no cost to you. All Full-Time Employees
Safeguard the most important people in your life.
Consider what your loved ones may face after you’re gone. Term life insurance can help them in many ways, like covering everyday expenses, paying off debt, and protecting savings. Accidental death and dismemberment (AD&D) insurance provides additional benefits if you die or suffer a covered loss in an accident, such as losing a limb or your eyesight.
At a glance:
• A cash benefit of $10,00 to your loved ones in the event of your death, plus an additional cash benefit if you die in an accident.
• AD&D Plus: If you suffer an AD&D-covered loss in an accident, you may also receive benefits for the following in addition to your core AD&D benefits: coma, plegia, education, childcare, spouse [OR domestic partner] training. Additional conditions are outlined in your policy.
• Includes LifeKeys® services, which provide access to counseling, financial, and legal support services.
• TravelConnect® services, which give you and your family access to emergency medical assistance when you’re on a trip 100+ miles from home.
You also have the option to increase your cash benefit by securing additional coverage at affordable group rates. Under the Voluntary Life Section, refer to the voluntary section on your employee portal, www.mybenefitshub.com/tylerisd.
Additional details
Continuation of coverage for ceasing active work: You may be able to continue your coverage if you leave your job for reasons including, but not limited to, Family and Medical Leave, layoff, leave of absence, leave of absence due to disability, sabbatical leave, or temporary reduction in hours.
Waiver of premium: This provision relieves you from paying premiums during a specified time of disability.
Continuation of coverage: You may be able to continue your coverage if you leave your job for any reason other than sickness, injury, or retirement.
Accelerated death benefit: This enables you to receive a portion of your policy death benefit while living. To qualify, a medical professional must diagnose you with a terminal illness with a life expectancy of fewer than 12 months.
Conversion: You may be able to convert your group term life coverage to an individual life insurance policy if your coverage decreases or you lose coverage due to leaving your job or for other reasons outlined in the plan contract.
Benefit reduction: Your employee Life/AD&D coverage amount will reduce by 50% when you reach 70. Benefits end when you retire.
REMINDER: Please review your beneficiary(ies) to ensure they are up to date. It’s good practice to review and, if necessary, update your beneficiary(ies) annually. A complete list of benefit exclusions is available under the policy certificate located on the employee site: www.mybenefitshub.com/tylerisd
Identity Theft Aura | Identity Guard
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/tylerisd
E-mail solicitation/junk mail prevention
Robo-call/robo-text protection
Safe browsing extension
Have you wondered:
• How do I know if my information has been comprised?
• What do I do if my personal information has been stolen?
• Can I protect myself and my family on social media?
• Can I protect my children from identity theft?
Aura Identity Guard protects you and your family against cybercrime.
COMPREHENSIVE IDENTITY PROTECTION
• $1M in insurance protection1 from financial losses and legal fees
• 24/7 expert guidance, if a threat is detected
• Protect your loved ones for one low price with our family plan
• Around-the-clock scan of billions of online resources
• Reduce exposure to cybertheft
• Be alerted within seconds of possible cyberthreats POWERFUL FINANCIAL TOOLS
• Keep an eye on your spending and get alerted to suspicious transactions
• Access to your credit report and real-time alerts to changes that impact your credit
• Complete protection and monitoring of online accounts and passwords
How to file a Claim:
Customer Service Concierge: customercare@identityguard.com or (855) 443-7748
Safe browsing: anti-ransomware & anti-malware
VPN / WiFi security
COMPREHENSIVE IDENTITY PROTECTION
$1 Million insurance with stolen funds reimbursement
401(k) & HSA reimbursement
Address monitoring
Auto-on monitoring
Compromised credentials scan
Court records monitoring
Criminal record monitoring
Cyberbullying monitoring
Dark web monitoring
Data broker list monitoring/removal
Device/cookie tracking protection
Fictitious identity monitoring
Home title monitoring
Human-sourced intelligence
Medical ID monitoring
Social media monitoring
Social security and ID authentication monitoring
FINANCIAL FRAUD PROTECTION
Bank account transaction monitoring
Credit card monitoring
Debit card monitoring
Financial accounts monitoring
High-risk transaction monitoring
Lost wallet protection
Online accounts monitoring
POWERFUL FINANCIAL TOOLS
Annual credit report
Credit bureau monitoring
Credit report lock
Credit score tracker
Monthly credit score
Near real-time alerts
Security freeze assistance
Student loan activity alerts
CUSTOMER CARE
End-to-end remediation
Mobile App
Online identity dashboard
U.S.-based customer care
Employee Assistance Program (EAP) Lincoln Financial Group | LifeKeys
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/tylerisd
No matter how well you plan, unexpected challenges arise. When they do, help and support are nearby— thanks to LifeKeys® services from Lincoln Financial Group.
LifeKeys services include:
Discounts on shopping and entertainment : GuidanceResources® includes 24/7 online access to the Working Advantage discount network. You can save up to 60% on a variety of products and services, including electronics, health and fitness, Broadway shows, and much more. Discounts are also available in the GuidanceNow mobile app, available in the Apple App Store and on Google Play.
Help with important life matters: You’ll find support tools and advice on a wide range of topics, including legal, financial, family, and career, on GuidanceResources online. Stay in the know on matters that impact your personal and professional life.
Protection against identity theft: Identity theft is widespread, and everyone is vulnerable. LifeKeys includes an online resource for information that can help you recognize and prevent identity theft — and restore your good name should your identity be compromised.
Online will preparation: Creating a will allows you to make vital decisions ahead of time, including naming a guardian for your children or designating who will receive your property and assets after you pass away. Without a will, state officials will distribute your estate. EstateGuidance® offers a secure, efficient way to create and execute a will so you can rest easy knowing you’ve planned ahead for your family.
Guidance and support for your beneficiaries: LifeKeys is a comprehensive program that offers resources to help your loved ones address a range of common concerns should they experience a loss. Services include grief counseling, financial and legal advice, and support when coping with the challenges of day -to-day life.
Your life and accidental death and dismemberment (AD&D) insurance policies include access to a wide range of services
to help you and your loved ones navigate life’s most important matters.
Help, guidance, and support for beneficiaries following a loss
The emotional impact of losing a loved one can be deep and long -lasting. All too often, financial or legal issues can add to the stress. LifeKeys services can be a welcome resource for your beneficiaries.
Your beneficiaries will have access to six in-person sessions for grief counseling, legal or financial information, and unlimited phone counseling. Services are available for up to one year after a loss.
Grief counseling — advice, information, and referrals on:
• Coping with loss
• Stress, anxiety, and depression
• Memorial planning information
• Concerns about family, including children and teens
Legal support — access to legal information on:
• Estate and probate law
• Real estate transactions
• Social Security survivor and child benefits
• Important documents for beneficiaries
Financial services — online resources and advice from financial specialists on:
• Estate planning
• Bankruptcy
• Budgeting
• Investments
• Overcoming debt
Help with everyday life — comprehensive information on:
• Finding child care or elder care
• Financing a home
• Moving and relocation
• Making major purchases
Access LifeKeys services. Visit GuidanceResources.com, download the GuidanceNow mobile app, or call 888-628-4824.
Username LFGSupport
Password LFGSupport1
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 Sample 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 Sample 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.