Mesquite

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Enrollment Opportunities

Important Healthcare Information for All Employees

Notice to Employees: Requirements of the Affordable Care Act
Aviso para empleados: Requisitos del Acto del Cuidado de Salud de Bajo Precio(Affordable Care Act)
Medicare Notice


Annual Benefits Enrollment

2018-19 Enrollment Banner

Benefits annual enrollment for 2018-2019

Login instructions for enrollment
Click here to enroll in your benefits


2018 - Annual Enrollment Calendar - Click here to see when/where enrolling agent will be at your campus to assist you.

Enrollment opportunity will be 7/1/18 to 8/24/18

We have a new benefits enrollment system. 

Everyone will need to go online to confirm insurance elections, make changes, add/cancel a dependent, or re-enroll in the flexible spending accounts (unreimbursed medical and/or dependent care).

If you are not enrolling in the MISD health insurance at this time, you will need to go online and waive the medical insurance.

2018-2019 Helpful Links

         2018-2019 Changes

2018-19 TRS-ActiveCare Plan Highlights
Puntos Importantes del Plan TRS-ActiveCare 2018-19 (Spanish)
2018-19 TRS-ActiveCare Plan Year Comparison
2018-19 TRS-ActiveCare Rates
2018-19 TRS-ActiveCare Annual Enrollment Guide
2018-19 TRS-ActiveCAre Plan Enrollment Video

Scott & White HMO – The Mesquite Employee Health Center (MEHC) is not a part of this network.


2018 Employee Benefits Booklet

Welcome

Coverages

A D & D Life Insurance
Auto Insurance
Critical Illness and Accident
Dental Insurance

Disability Insurance
Flexible Spending
Group Life Insurance
Group Long Term Care Insurance
Hospital Indemnity
Health Insurance and Prescription Insurance
Health Savings Account (H S A Bank)
ID Shield
Legal Insurance
Lone Star
National Plan Administrators (NPA)
Vision Insurance
Voluntary Permanent Life Insurance

Other

Beneficiary Information
Changes 2017-2018
Cobra
Dependent Eligibility
Does Your Spouse Work for MISD?
Employee Assistance Program (Aetna Resources for Living)
Enrollment Opportunities

Health Insurance Flyers

Aetna Beginning Right® Maternity Program
Aetna Beginning Right® Maternity Program (Spanish)
Aetna Discounts
Aetna Informed Nurse Line
Aetna Mobile
Aetna Navigator
MEA
Mesquite Employee Health Center (MEHC)
MEPA
When Does Coverage End?

 


Benefits Enrollment for New Hires

  • Each new hire must log onto the benefits/insurance enrollment system!
  • All employees must ENROLL in or DECLINE the Mesquite ISD health insurance.

You must complete your benefits/insurance enrollment within 31 days of your hire date. If you fail to do so, you will have no coverage. If you do not enroll within your 31-day election period, the next available enrollment will be the Annual Enrollment period (unless you have a life changing event during the plan year – i.e. birth, marriage, divorce; and complete paperwork within 31 days – see MISD Employee Benefits Booklet for more info).

If your Start Date is in June or July:

Benefits enrollment for new hires is online at www.in-roll.com. You cannot begin online enrollment until your information is entered in the MISD payroll system. If you are unable to log into the enrollment system a week after your hire date (the first day you begin working), please contact the Benefits Department for assistance. You do not want to miss your 31 day window to enroll in insurance. If you enroll for coverage within 31 days, insurance is effective the first of the month following your actively-at-work date. NOTE:  If you enroll in insurance after a payroll cycle has occurred, we will have to double your insurance premium(s) on your next paycheck. It is in your best interest to enroll in insurance as soon as possible so you can have access to your insurance, as it is effective on the 1st day of the month following your hire date.

The MISD Employee Benefits Booklet and TRS ActiveCare Enrollment Guide are on the Mesquite ISD website. The Employee Benefits Booklet contains MISD plan benefit summaries and premiums for all insurance products that the district offers. The TRS Enrollment Guide provides an overview of TRS-ActiveCare health plan benefits. Please note that the premiums listed in the TRS Guide do not reflect the employer contribution for the health insurance; however, the MISD Employee Benefits Booklet does.

Scroll to bottom of this page for RELATED LINKS (helpful enrollment information).

New Hire Packet (online enrollment instructions)
New Hire Presentation
2017 - New Hire Enrollment Calendar

If your Start Date is in or after August:

Benefits enrollment for new hires is online at 
myTBX360. You cannot begin online enrollment until your information is entered in the MISD payroll system. If you are unable to log into the enrollment system a week after your hire date (the first day you begin working), please contact the Benefits Department for assistance. You do not want to miss your 31 day window to enroll in insurance. If you enroll for coverage within 31 days, insurance is effective the first of the month following your actively-at-work date. NOTE:  If you enroll in insurance after a payroll cycle has occurred, we will have to double your insurance premium(s) on your next paycheck. It is in your best interest to enroll in insurance as soon as possible so you can have access to your insurance, as it is effective on the 1st day of the month following your hire date.

The MISD Employee Benefits Booklet and TRS ActiveCare Enrollment Guide are on the Mesquite ISD website. The Employee Benefits Booklet contains MISD plan benefit summaries and premiums for all insurance products that the district offers. The TRS Enrollment Guide provides an overview of TRS-ActiveCare health plan benefits. Please note that the premiums listed in the TRS Guide do not reflect the employer contribution for the health insurance; however, the MISD Employee Benefits Booklet does.

Scroll to bottom of this page for RELATED LINKS (helpful enrollment information).

New Hire Packet (online enrollment instructions)
2018 - New Hire Enrollment Calendar


Benefits Enrollment Throughout the Year

Enrollment (adding insurance, changes to insurance and/or cancelling insurance) throughout the year can be done within 31 days of a Section 125 qualified event status change. The employee must complete paperwork in the Benefits Office within 31 days of the qualified event. A phone call, telephone message or email notification is not enrollment in the plan. A qualified status change may be any of the following:

Birth or adoption of a child

  • It is not necessary to wait for the Social Security number to enroll your newborn; however, the Benefits Office will need this information as soon as it is available.
  • Please provide the Benefits Office with a copy of the Verification of Birth Facts (from the hospital).
  • TRS-ActiveCare automatically provides health coverage for a newborn child of a covered employee for the first 31 days after the date of birth, but this coverage ends unless the newborn is added to the employee’s health coverage within in the deadline.
  • For the newborn, the effective date of coverage with TRS-ActiveCare (health insurance) will be the newborn’s date of birth.The effective date of other coverage (i.e. life insurance, dental, vision, etc.) will be the first of the month following the date the paperwork is received in the Benefits Office (as long as paperwork is received within the 31 day deadline).
  • You may cancel your insurance within 31 days of birth of the baby.  The effective date will be the first of the month following the date paperwork is received in the Benefits Office (as long as paperwork is received within the 31 day deadline).  Please provide Verification of Birth Facts.

Marriage

  • Please provide the Benefits Office with a copy of the Marriage License.  The effective date of coverage with TRS-ActiveCare will be the first of the following month after the marriage date.  The effective date of other coverage (i.e. life insurance, dental, vision, etc.) will be the first of the month following the date the paperwork is received in the Benefits Office (as long as paperwork is received within the 31 day deadline).

  • You may cancel your insurance within 31 days of marriage.  The effective date will be the first of the month following the date paperwork is received in the Benefits Office (as long as paperwork is received within the 31 day deadline).  Please provide a copy of your Marriage License.

Divorce (if the divorce results in a loss of other coverage)

  • Please provide the Benefits Office with a copy of the Certificate of Creditable Coverage that shows each plan participant that lost health coverage, the effective and end date of coverage.  The effective date of coverage with TRS-ActiveCare (health insurance) will be the first of the following month after the loss of coverage date.  The effective date of other coverage (i.e. life insurance, dental, vision, etc.) will be the first of the month following the date the paperwork is received in the Benefits Office (as long as paperwork is received within the 31 day deadline).
  • You may cancel your insurance within 31 days of divorce.  The effective date will be the first of the month following the date paperwork is received in the Benefits Office (as long as paperwork is received within the 31 day deadline).  Please provide a copy of your final divorce decree.

A court orders the employee to provide health coverage for an eligible child

  • If Mesquite ISD receives a National Medical Support Notice (NMSN) from the Attorney General’s Office, it is mandatory that we enroll your court-ordered dependent in a health plan.  If your court-ordered dependent is not already enrolled in a health plan, that child will be added to the existing health plan that employee is already enrolled in.  If employee is not enrolled in health insurance, employee will have opportunity to enroll in a health plan.  If no election is made, employer reserves the right to enroll employee + child in least expensive health plan available.
  • Effective date of coverage is date that NMSN is received in MISD Benefits Office.
  • Health insurance may not be cancelled and/or terminated without a release form from the Attorney General’s office.

Death of spouse or dependent

The employee involuntarily loses other coverage

(The following reasons do not qualify as special enrollment events:  voluntary termination of coverage such as spouse’s annual enrollment or failure to pay premium; any additional surcharge or benefit reduction for spouse coverage; an increase in the premium cost; a reduction in the employer’s contribution to the premium; any reduction in benefits; or a doctor/provider no longer participates in the plan’s network).

Please provide the Benefits Office with a copy of the Certificate of Creditable Coverage that shows each plan participant that lost health coverage, the effective and end date of coverage.  The effective date of coverage with TRS-ActiveCare (health insurance) will be the first of the following month after the loss of coverage date.  The effective date of other coverage (i.e. life insurance, dental, vision, etc.) will be the first of the month following the date paperwork is received in the Benefits Office (as long as paperwork is received within the 31 day deadline).

An eligible dependent involuntarily loses other coverage

(The following reasons do not qualify as special enrollment events: voluntary termination of coverage such as spouse’s annual enrollment or failure to pay premium; any additional surcharge or benefit reduction for spouse coverage; an increase in the premium cost; a reduction in the employer’s contribution to the premium; any reduction in benefits; or a doctor/provider no longer participates in the plan’s network).

Please provide the Benefits Office with a copy of the Certificate of Creditable Coverage that shows each plan participant that lost health coverage, the effective and end date of coverage. The effective date of coverage with TRS-ActiveCare (health insurance) will be the first of the following month after the loss of coverage date. The effective date of other coverage (i.e. life insurance, dental, vision, etc.) will be the first of the month following the date paperwork is received in the Benefits Office (as long as paperwork is received within the 31 day deadline).

The employee and/or dependent(s) obtains coverage elsewhere

You may cancel insurance within 31 days of obtaining new coverage elsewhere. The effective date will be the first of the month following the date paperwork is received in the Benefits Office (as long as paperwork is received within the 31 day deadline). Please provide a copy of enrollment paperwork with effective date of new coverage.

Change in dependent status

  • If a dependent ceases to meet eligibility status for one of the plans, you have 31 days to cancel them from the plan.  Please see benefit summaries and/or plan descriptions for dependent eligibility requirements.

  • The dependent’s insurance will terminate at the end of the month following the month that eligibility ceases; however, the premium will terminate on the first of the month following the date paperwork is received in the Benefits Office.

 

If you experience one of the above changes, you will need to complete paperwork at the Benefits Office within 31 days of the event. If the 31st day is on a non-working day, you need to complete paperwork on a working day prior to the deadline.

To enroll in or change your Benefit Election Form Cafeteria Plan, you will be required to submit documentation to substantiate your request. You may be subject to pre-existing condition benefit limitations.

 

RELATED LINKS:

2018-2019

2018-19 TRS-ActiveCare Plan Highlights
2018-19 TRS-ActiveCare Plan Year Comparison
2018-19 TRS-ActiveCare Rates

Scott & White HMO – The Mesquite Employee Health Center (MEHC) is not a part of this network.





2017-2018

2017-2018 TRS ActiveCare Plan Highlights - Aetna

Click HERE to find an in-network provider in the Aetna Network

2017-2018 TRS ActiveCare Plan Highlights - Scott & White Health Plan
Scott & White HMO provider search tool

Click HERE to find an in-network provider in the Scott & White HMO health plan

Mesquite Education Association (MEA) membership information

Forms

Mesquite ISD Health Declination Forms