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TABLE OF CONTENTSWelcome............................................................................................................................ 5Your Guide to Success as a Benefits Administrator.............................................................. 5Quick Reference Information................................................................................................ 7TRS-ActiveCare Service Teams for BAs ............................................................................ 10Express Scripts ................................................................................................................. 11Enrollment....................................................................................................................... 12Enrollment Period for the 2025-26 Plan Year ..................................................................... 12bswift Enrollment Portal ..................................................................................................... 13bswift Enrollment Steps ..................................................................................................... 14Eligibility .......................................................................................................................... 16Employee Eligibility ............................................................................................................ 17Dependent Eligibility .......................................................................................................... 20Disabled Dependents ........................................................................................................ 21Court-ordered Dependent Children.................................................................................... 22Other Court-ordered Dependents ...................................................................................... 22Active Contributing vs. Active Working............................................................................... 22New Hire Event.................................................................................................................. 23Making Changes/Special Enrollment Events ...................................................................... 23New Dependents............................................................................................................... 23Loss of Coverage .............................................................................................................. 24Dropping Coverage ........................................................................................................... 24Coverage Continuation while on Leave without Pay ........................................................... 25Pooling Funds/Split Premium............................................................................................. 27Pooling.............................................................................................................................. 27Split Premium.................................................................................................................... 27Processing Guidelines ................................................................................................... 29Effective Date of Coverage ................................................................................................ 29When Coverage Ends........................................................................................................ 35Changing Employment between Participating Employers and Rehires ............................... 37Membership Processing Guidelines ................................................................................... 39Membership Processing Example...................................................................................... 40Request for Exceptions ..................................................................................................... 40Request for Appeals Resulting in a Denial of Eligibility ........................................................ 41www.bcbstx.com/trsactivecareba 3