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Contacts for Benefits AdministratorsTRS Pharmacy District AmbassadorExamples of when to contact a Pharmacy DA include:%u2022 You want to share feedback for improvements when several employees have similar challenges with pharmacy benefits.%u2022 District leadership has questions or concerns about pharmacy costs and benefits.%u2022 You need specialized pharmacy support for a benefits fair. %u2022 An employee has contacted Express Scripts by Evernorth%u00ae customer service but needs further help to resolve their issue.Pharmacy DAs are experts on your pharmacy coverage. They're here to help district leaders, Benefits Administrators and employees with questions or anything they need. DAs:%u2022 act as an extension of TRS related to pharmacy benefits%u2022 proactively monitor and identify trends in pharmacy use%u2022 offer health fair support%u2022 provide resolution assistance on escalated service issues and operational deliverableswww.trs.texas.gov/health-benefits/active-care/employers/benefit-admins/ambassadorsBenefits Administrator AdvocateExamples of when to contact a BAA include:%u2022 An employee in the system is shown as covered but doesn't show as having coverage with Blue Cross and Blue Shield of Texas.%u2022 Someone who is no longer employed by your district is on your bill.%u2022 You need help with an exception or understand the resolution.%u2022 You want to check the status of a split bill application.%u2022 You need to help an employee make a change and understand how that will affect their effective date or premiums.%u2022 An employee wants to know if their prescription is covered with Express Scripts.TRS Medical District AmbassadorExamples of when to contact a Medical DA include:%u2022 District leadership has questions or concerns about health care costs, TRS-ActiveCare offerings and budgeting issues.%u2022 Multiple employees are experiencing similar challenges with benefits or access and you have feedback for improvement.%u2022 District leadership is hosting a benefits fair and would like specialized support to talk about medical benefits or help coordinating vendor attendance.%u2022 District leadership is getting a lot of the same questions about employee benefits and would like to partner with a trusted advisor.Medical DAs interact with district leaders to provide unique and personalized support to every Texas school district. DAs:%u2022 act as strategic partners for district leadership and an extension of TRS%u2022 help with wellness initiatives and programs%u2022 analyze trends in the employee health care market to assist district decision making and reduce participant costs%u2022 offer Annual Enrollment and health fair support%u2022 understand developments in TRS that affect your district's health plansDA Directory: www.bcbstx.com/trsactivecareba/daBA Toolkit:www.bcbstx.com/trsactivecareba/ba-toolkitbswift Portal:trsactivecare.bswift.comBAA Directory:www.bcbstx.com/trsactivecareba/daBAAs respond to questions from Benefits Administrators about eligibility, enrollment and district billing. BAAs:%u2022 support eligibility questions, escalations and exceptions%u2022 reconcile bills and split billing%u2022 provide access to the bswift%u00ae portal%u2022 confirm disability determinations%u2022 handle third-party administrator discrepancy reports