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Enrollment is now closed for the 2011-12 school year. No changes will be allowed except during the two noted open enrollment periods unless you experience a Special Enrollment Event.

2011-12 Plan Highlights & Rates

Mansfield ISD Benefits Guide

TRS-Activecare Benefits Booklet

NOTE - Mansfield ISD contributes $247.70 to each ActiveCare premium. Effective 9/1/2011, TRS ActiveCare/BCBS will have an increase in premiums and changes to benefits.

• When can I enroll or make changes? - Employees have two opportunities to enroll or make changes (April 18 – May 20 and August 1 – August 31, 2011).  Any changes made during either enrollment period will be effective September 1, 2011. 
  
  
• How do I enroll or make changes? - Go to www.mansfieldisdbenefits.com and follow the login instructions. 

• Do I have to complete a new online application? - Only employees making changes to their plan or declining coverage are required to complete a new online application.  
  
  
  • If no changes are being made, you will automatically be enrolled in the same plan elected for 2010-11 at the same level of coverage.  Premiums will be adjusted to reflect the new rate on the September 28 paycheck.  New rate changes can be found here.
    
    
  • If you are continuing to decline, complete a TRS Declination form and return it to Benefits.  Declinations must be completed EACH year for any employee/dependents waiving medical coverage.
    
    
  • If you had medical insurance last year and wish to drop medical for 2010-11, go online and Waive coverage then complete the TRS Declination form and return it to Benefits.  (Any employee declining medical coverage this year will automatically be enrolled in the Hospital Indemnity Plan, at no cost to the employee.  You need to complete the HIP Beneficiary sheet. Please call Benefits for details.)

• What happens if I miss the medical enrollment period? - No changes will be allowed except during the two noted open enrollment periods unless you experience a Special Enrollment Event. Qualifying Events are Marriage, Divorce (resulting in loss of coverage), Birth, Adoption, Death, Termination or change in employee or spouse’s employment (full-time to part-time or part-time to full-time status), Change in eligibility status of a dependent (attains max eligibility age/meets and/or ceases to meet full-time student status qualification), Loss or curtailment in health coverage of employee or spouse due to change in spouse’s employment and upon meeting a required eligibility period in spouse’s open enrollment.
  
  
  • TRS Enrollment/Drop Form (for Special Enrollment Event) - PLEASE NOTE: The form must be turned in within 31 days of a Qualifying Event with the proof of loss or new coverage showing effective date.
    
    
• Important Update: Revised IRS Guidance on Debit Card Use for Over-the-Counter Purchases - On December 23, 2010, IRS issued Notice 2011-5, to clarify the new prescription requirement for Over-the-Counter (OTC) medicines and drugs. Effective on January 1, 2011, the new IRS Notice 2011-5 applies to health FSA debit cards.

  Background of IRS Notice 2010-59
  IRS Notice 2010-59 (Patient Protection and Affordable Care Act - PPACA) provided guidance that a doctor’s prescription was required prior to reimbursement of medicines and drugs in a Health FSA Plan. The ruling further restricted the use of a health debit card for purchase of over-the-counter medicines and drugs after January 15, 2011. Effective for tax years beginning on January 1, 2011, over-the-counter medicines or drugs (e.g. Advil, Ibuprofen, cough syrup) are not eligible for reimbursement under an FSA without a doctor’s prescription. Insulin is the only medicine that doesn’t require a prescription.  Also supplies that you need for medical care (e.g. contact lens solutions, bandages for wounds, thermometers) will continue to be eligible for reimbursement.

  New IRS Notice Guidance
  This Notice modifies IRS Notice 2010-59. It allows health FSA debit card purchases for OTC medicines and drugs at drug stores and pharmacies, pharmacies housed at non-health care merchants, mail order and internet vendors that sell prescription drugs.

  The following provisions must be met prior to purchase of OTC’s:

  1. The doctor’s prescription must be submitted to a pharmacist
  2. The drug must be dispensed by the pharmacist in accordance with applicable law
  3. A prescription number (Rx number) is assigned by the pharmacy
  4. The Rx number must include the name of the purchaser or the name of the individual designated for the prescription, the date and the amount of the purchase, and must meet IRS recordkeeping requirements
  5. Records must be accessible to the employer or its agent upon request. 

  The debit card will not work without an assigned Rx number that contains this information. After January 15, 2011, other vendors (such as Walmart, Target, Sam’s Club) that use health care related Merchant codes for purchases of medicines and drugs may also accept the health FSA debit card. Purchases must meet the same requirements as outlined above.
  Health FSA cards may also be used at authorized “90 percent pharmacies,” for over-the-counter medicines and drugs, but purchases will be subject to substantiation with a doctor’s prescription and valid receipts.

• Manual Reimbursement Claims - Participants have the option of filing a manual claim for reimbursement of OTC medicines and drugs. To be eligible for a reimbursement from your flex account, you will need to pay for your purchases with your own funds and file a MGM Health FSA claim form along with a doctor’s prescription and a valid receipt.

A valid receipt shows the purchased item along with a copy of the prescription. An alternate form of documentation is a receipt that includes the name of the purchaser, or patient, the prescription number, date and amount of purchase.

Please contact MISD Benefits with any questions regarding enrollment procedures:
Michelle Fry – michellefry@misdmail.org | 817-299-6335
Lucy Peeples – lucypeeples@misdmail.org | 817-299-6336

All personal claim issues must be directed to TRS at 866-355-5999.

For more information, visit: http://www.mansfieldisdbenefits.com

The District, in accordance with state law, provides workers’ compensation benefits to employees who suffer a work-related illness or are injured on the job. The District’s coverage is through Texas Mutual. Workers comp benefits pay for medical treatment and make up for part of the income lost while recovering.

All work-related accidents or injuries must be reported immediately to the employee’s supervisor. The supervisor will then report the injury to the Benefits Department.

Employees who are unable to work due to a work-related injury must contact the Benefits Department immediately and will be notified of their rights and responsibilities under the Texas Labor Code.

The Family Medical Leave Act entitles eligible employees to take up to 12 workweeks (duty days) of unpaid, job-protected leave in a 12-month period for specified family and medical reasons, or for any “qualifying exigency” arising out of the fact that a covered military member is on active duty, or has been notified of an impending call or order to active duty, in support of a contingency operation.

The FMLA also allows an eligible employee who is a spouse, son, daughter, parent, or next of kin of a covered service member with a serious injury or illness up to a total of 26 workweeks of unpaid leave during a single 12-month period to care for the service member.

Family Medical Leave Act (FMLA) FAQS

Family Medical Leave Act (FMLA) Request Form

Destination Wellness

Blue Care Connection

BlueExtras - Through the BlueExtras discount program, all Blue Cross and Blue Shield of Texas (BCBSTX) members are eligible to save money on value-added health care products and services that help support healthy lifestyles.