Benefits :: Forms & Documents

Please call the benefits department at Michelle Fry 817-299-6335 or Lucy Peeples 817-299-6336 with any questions.

2009-10 Insurance Information:

For information on our district 403(b) Retirement Plan, please visit us on the Web at our new information portal. List of Approved 403(b) Vendors

Fall Enrollment for Medical Insurance and Supplemental Insurance Open Enrollment is now closed.

Current Insurance Information:

TRS ActiveCare administered by BlueCross BlueShield of Texas

2009-2010 Medical Plan Highlights & Rates

Note: Mansfield ISD contributes $247.70 to each of the ActiveCare premiums

www.bcbstx.com/trs/ (BlueCross BlueShield)

www.medco.com (Prescriptions)

www.mansfieldisdbenefits.com (Supplemental Insurances - Vision, Dental, Etc.)

12/8/08 Important information from BlueCross BlueShield

Yearly Open Enrollment Periods:

Medical (TRS-ActiveCare/Blue Cross Blue Shield)
There is a Spring and a Fall Open Enrollment period for the Medical (BCBS) coverage. Any changes during either of these periods will be effective September 1st. Please watch your Groupwise and/or the MISD website for the dates as they vary a little year to year).

Supplementals Open Enrollment
Open Enrollment is in October every year. Please watch your Groupwise and/or the MISD website for the dates as it varies a little year to year.

Workers' Compensation Information:

Along with a new school year we are proud to present you with a new Worker's Compensation Program effective SEPTEMBER 1, 2009 (new carrier, enhanced network of doctors, etc.).

Each employee MUST go to the following link and read or familiarize themselves with the nine pages, PRINT AND SIGN page nine AND RETURN IT TO THEIR SECRETARY. The campus and department secretaries will collect these, account for their campus/department and return them to the Benefits Department for our SAFE KEEPING.

As always we hope that SAFETY will play a big part in your job. If you have any SAFETY CONCERNS please feel free to contact Shelley Trammell in the Risk Management Department.

http://www.texasmutual.com/forms/NetPacketE.pdf

For questions, contact Lucy Peeples 817-299-6336.

For FMLA (Family Medical Leave Act) contact Michelle Fry at 817-299-6335.

Wellness Works Newsletters:

Wellness Works is a quarterly newsletter from BlueCross BlueShield we would like to share with employees.

Fall 2009 - (September)

Don't see the form you need? Try the Intranet Documents & Forms page.
Note: This page is only accessible from a district computer on the network.