Ector County Independent School District

ECISD Medical Plan

 
The ECISD Medical Plan is a self-funded group health plan that provides hospitalization, major medical and prescription drug coverage to employees and, if elected, their dependents. Two plan options are offered. One of these options is a high deductible plan that is eligible for a Health Savings Account. High - Deductible plans do not cover any expenses, other than preventive, before the deductible has been met. An In-hospital Indemnity option, intended for employees with other group coverage, is also offered.  Hospitalization and major medical claims are administered by BlueCross BlueShield of Texas. The prescription drug program is administered by Express Scripts. 
 
  • Eligibility and coverage information can be found in the Plan Booklet. 
  • Covered lab work, when performed at specified stand-alone labs, is covered 100% without having to meet deductibles  
  • Employee contribution rates depend on the option and level of coverage selected. Rates for the 2017 plan year.
  • The prescription drug program includes generic($10), formulary/preferred ($50) and non-preferred ($75) co-pays at preferred retail pharmacies. Accredo is used for specialty drugs that are usually very expensive. Details of the prescription drug are included here. 
  • Health Savings Accounts (HSAs) are available when the employee is enrolled in the high-deductible plan and is not covered by another non-high deductible plan. If these employees open HSA's, ECISD will contribute $25 per month to their accounts. Employee can also make contributions by payroll deduction. Special rules apply to these accounts.
  • Cobra coverage is available to participants who have become ineligible due to termination of employment, expiration of FMLA, divorce, 26th birthday of child, etc. When they become ineligible, participants will be contracted by Health Care Services Corp. for COBRA election. COBRA rates for the 2017 plan year.
  •  BlueCrossBlueShield of Texas   
  • Express Scripts
Optional Medical Benefits
  • Allstate Heart & Stroke Insurance- This supplemental coverage pays for many of the heart & stroke costs not covered by your major medical. Various riders are available.
  • Genworth Long Term Care- This long-term care insurance program is a for active TRS members, TRS retirees, and certain family members. Under this plan, eligible individuals may apply for completely portable long-term care insurance coverage at favorable group rates.
    • TRS LTC website: 


       
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