TRS 2024-25 Benefits Administrative Guide

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  • Welcome

  • Your Guide to Success as a Benefits Administrator (BA)

  • Quick Reference Information

  • TRS-ActiveCare Service Teams for BAs

  • Express Scripts

  • Enrollment

  • Enrollment Period for the 2024-25 Plan Year

  • bswift Enrollment Portal

  • bswift Enrollment Steps

  • Eligibility

  • Employee Eligibility

  • Dependent Eligibility

  • Disabled Dependents

  • Court-ordered Dependent Children

  • Other Court-ordered Dependents

  • Active Contributing vs. Active Working

  • New Hire Event

  • Making Changes/Special Enrollment Events

  • New Dependents

  • Loss of Coverage

  • Dropping Coverage

  • Coverage Continuation while on Leave without Pay

  • Pooling Funds/Split Premium

  • Pooling

  • Split Premium

  • Processing Guidelines

  • Effective Date of Coverage

  • When Coverage Ends

  • Changing Employment between Participating Employers and Rehires

  • Membership Processing Guidelines

  • Membership Processing Example

  • Request for Exceptions*

  • Request for Appeals Resulting in a Denial of Eligibility

  • Transition of Care

  • Out-of-State Dependent Coverage

  • TRS-ActiveCare ID Cards

  • Billing

  • Billing Summary

  • Remittance

  • View Billing Summaries Online

  • Split Premium

  • Cobra Administration

  • Qualifying Events for COBRA Continuation Coverage

  • Eligibility

  • Notification

  • Employer Responsibilities

  • When COBRA Coverage Ends

  • Online Resources

  • Website Features

  • Supplies

  • Forms

  • Benefits Administrator Training Guide

  • How To Order Replacement or Temporary BCBSTX ID Cards

  • How To Order Replacement or Temporary Express Scripts ID Cards

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