Employee Benefits - Forms, Links & Resources

Name ▲		Size	Date	Category
	2010 - 2012 Allstate Cancer Brochure	473.57 Kb	05/06/10	Cancer Insurance
	2011-2012 Information about the Debit Card	326.76 Kb	04/22/11	Medical Reimbursement (Flexible Spending)
	2011-2012 Summary	13.07 Kb	04/22/11	Medical Reimbursement (Flexible Spending)
	2012-2013 Enrollment Guide	4.90 MB	10/29/12	Health Insurance - TRS ActiveCare
	2012-2013 HEB Benefits Guide Booklet	2.19 MB	03/30/12	Employee Benefits
	2012-2013 Plan Highlights	1.67 MB	10/29/12	Health Insurance - TRS ActiveCare
	2012-2013 TRS ActiveCare Benefits Guide	5.48 MB	10/29/12	Health Insurance - TRS ActiveCare
	Advantages of a Flexible Spending Account	499.46 Kb	04/22/11	Medical Reimbursement (Flexible Spending)
	Allstate - Wellness Claim Form	2.73 MB	03/26/09	Cancer Insurance
	Allstate Cancer Application 2010-2011	137.01 Kb	01/05/11	Cancer Insurance
	Allstate Plan Summary Comparison	72.39 Kb	05/11/10	Cancer Insurance
	Basic AD&D Certificate	105.25 Kb	09/30/09	Life Insurance
	Basic Life Certificate	57.00 Kb	09/30/09	Life Insurance
	Bilingual Dental Info Card.pdf	86.41 Kb	04/09/12	CHIPS
	Bilingual ER Brochure.pdf	1.62 MB	04/09/12	CHIPS
	Bilingual Fever Brochure.pdf	2.31 MB	04/09/12	CHIPS
	Bilingual Perinatal Brochure.pdf	1.79 MB	04/09/12	CHIPS
	Bilingual Prevention Brochure.pdf	446.67 Kb	04/09/12	CHIPS
	Bilingual Renewal Brochure.pdf	986.55 Kb	04/09/12	CHIPS
	Blue Cross Blue Shield Member Login	N/A bytes	08/01/07	Health Insurance - TRS ActiveCare
	CCHP Income Guidelines.pdf	334.88 Kb	04/09/12	CHIPS
	CHIP-Bilingual General Rack Brochure.pdf	355.50 Kb	04/09/12	CHIPS
	Chip-Medicaid Application.pdf	320.69 Kb	04/09/12	CHIPS
	CIGNA Claim Form (For Out-of-Network Claims)	113.34 Kb	03/27/08	Dental Insurance
	CIGNA High - Dental Plan Document	341.47 Kb	11/05/10	Dental Insurance
	CIGNA ID Card	144.24 Kb	04/11/08	Dental Insurance
	CIGNA Life Insurance Benefit Summary	189.55 Kb	08/26/10	Life Insurance
	CIGNA Low - Dental Plan Document	336.05 Kb	11/05/10	Dental Insurance
	CIGNA PPO - Provider Search Please select "Dentist" as the Provider Type! Then Select the "PPO" Plan.	N/A bytes	08/01/07	Dental Insurance
	Cigna PPO Dental Summary	16.97 Kb	04/22/11	Dental Insurance
	CIGNA Term Life Enrollment/Change Form (Fill-in-Form)	175.35 Kb	04/10/09	Life Insurance
	Claim Form	204.13 Kb	01/18/12	Disability Insurance
	Claim Form	861.27 Kb	07/20/10	Accident Insurance - Transamerica
	Claim Form (Any out-of-network claims)	N/A bytes	08/01/07	Health Insurance - TRS ActiveCare
	Claim Form C (Plan 2 and 3 Pharmacy Claims) - Medco Pharmacy Reimbursement	N/A bytes	08/01/07	Health Insurance - TRS ActiveCare
	Contact Fill Brochure	163.31 Kb	02/05/10	Vision Insurance - NVA
	Declination Form	12.82 Kb	04/22/11	Health Insurance - TRS ActiveCare
	Eligible Expenses	405.44 Kb	04/22/11	Medical Reimbursement (Flexible Spending)
	Family Status Change Information	112.53 Kb	01/18/12	Family Status Change
	Find a Vision Provider If you are not a registered subscriber, you can still search our providers online by selecting the "Find a Provider" link on the home page. Enter group #51151000001 then enter in the search parameters. It's that easy!	N/A bytes	10/19/09	Vision Insurance - NVA
	Genworth Website Group ID: TRS Access Code: groupltc For assistance please call: 866-659-1970	N/A bytes	08/26/10	Long Term Care
	Health Rewards Brochure (CIGNA)	75.64 Kb	05/12/10	Life Insurance
	Healthy Rewards Dental Only	88.31 Kb	01/31/11	Dental Insurance
	How do I submit a RX to Medco by Mail	402.40 Kb	04/05/10	Health Insurance - TRS ActiveCare
	http://www.moreheb.com/	N/A bytes	07/26/11	Real Estate Benefits
	ID Theft Brochure (CIGNA)	183.49 Kb	04/10/09	Life Insurance
	ID Theft Customer Agreement (CIGNA)	22.67 Kb	04/10/09	Life Insurance
	Lasik Flyer	62.57 Kb	02/05/10	Vision Insurance - NVA
	List of Providers	N/A bytes	08/01/07	Health Insurance - TRS ActiveCare
	Mail Order Form	770.40 Kb	12/12/07	Health Insurance - TRS ActiveCare
	Medco Health - Pharmacy Website	N/A bytes	08/01/07	Health Insurance - TRS ActiveCare
	New - 2011 The Standard Plan Highlights	53.45 Kb	04/22/11	Disability Insurance
	NutriSystem.pdf	220.57 Kb	02/06/09	Health Tips
	NVA Claim Form	341.92 Kb	07/21/10	Vision Insurance - NVA
	OLD - 2009 Allstate Cancer Brochure	185.62 Kb	04/03/09	Cancer Insurance
	OLD - Central United Life Cancer Claim Form (Previously EMC)	540.08 Kb	02/11/11	Cancer Insurance
	OLD - EMC, National Travelers, Central Life Cancer Brochure	4.12 MB	9/28/2005	Cancer Insurance
	Permanent Life Insurance Presentation	N/A bytes	04/11/11	Permanent Life Insurance - Fidelity Life
	Pre Paid Legal Brochure	75.31 Kb	06/24/09	Pre Paid Legal
	Safeguard DHMO - Provider Search Step 1: Under "Plan Type" Select "Managed Dental Plan Step 2: Under "Plan Name" Select "SG225-TX" Step 3: Enter your Zip Code and select your search radius Click "Go" Optional: You can also search by dentist name or select a language	N/A bytes	01/13/10	Dental Insurance
	Safeguard DHMO Schedule of Benefits	66.65 Kb	03/12/10	Dental Insurance
	Schedule of Benefits	118.32 Kb	08/27/12	Accident Insurance - Transamerica
	Secure Travel Brochure (CIGNA)	154.97 Kb	04/10/09	Life Insurance
	Status Change Enrollment Form 2012-2013	209.66 Kb	11/14/12	Family Status Change
	TASC - Flex and Day Care Website If you need help with your log in please conatact TASC at 1-800-422-4661.	N/A bytes	09/28/11	Medical Reimbursement (Flexible Spending)
	Texas Legal Protection Plan Website	N/A bytes	08/26/09	Pre Paid Legal
	The Standard Disability Brochure	811.80 Kb	05/27/11	Disability Insurance
	TransAmerica Accident Brochure	1.09 MB	08/27/12	Accident Insurance - Transamerica
	TRS Enrollment/Change Application	216.76 Kb	01/18/12	Health Insurance - TRS ActiveCare
	TRS Enrollment/Change Application	216.76 Kb	01/18/12	Family Status Change
	Vision Benefit Summary	225.00 Kb	02/05/10	Vision Insurance - NVA
	Voluntary AD&D Certificate	116.47 Kb	09/30/09	Life Insurance
	Voluntary Life Insurance Certificate-Class 1	73.73 Kb	09/30/09	Life Insurance
	Voluntary Life Insurance Certificate-Class 2	73.52 Kb	09/30/09	Life Insurance
	Weight Watchers.pdf	162.89 Kb	02/06/09	Health Tips
	Wellness Works.pdf	1.00 MB	02/06/09	Health Tips
	Will Preparation Brochure (CIGNA)	280.99 Kb	05/12/10	Life Insurance