Insurance

Notices: Open Enrollment:
October 2020 Open Enrollment Calendar
ABA Open Enrollment Instructions 2021
Insurance Open Enrollment Presentation

Instructions for the Medical Health Plan Changes:

Site: www.clftpaedi.com

ABA Online Benefit Elections Changes

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Health Plan Rates Schedule:

Health Plan Benefit Schedule Rates

Alternate Plan Benefit Schedule

Temporary Health ID Card
ABA Temporary ID Card

Fast Track Medical Services - $10 CoPay
Mission Health Clinic Dr Kaur
PCI Brochure

Urgent Care/Night Clinic
Urgent Care and Night Clinic Brochure

Health Plan Provider and Facility Lookup:
Independent Medical Systems (IMS)
Call 1-800-853-7003 or go online at http://www.imsppo.com

90 Day Retail Pharmacy Network:
SISD Retail 90 Day Pharmacy Network List

RX Mail Order Form:
Prescription Mail Order Form

Imaging Centers:

PCI - Preventative Care Institute:

PCI Brochure

Preventive Care Institute With Map

Mission Regional Medical Center:

Mission Regional Medical Center

Plan Claim Forms:

Medical Plan Claim Form

Alternate Plan Benefit Claim Form

Preferred Lab Facility Information: LabCorp

LabCorp Information

Flexible Spending Account Information & Claim Forms:

Frates FSA Brochure

Medical Reimbursement Form

Dependent Care Reimbursement Form

FSA Dependent Care Reimbursement Annual Receipt Form

Ambulance Services:
MASA Ambulance Services

Dental Plan:
Ameritas Dental ID Card Access
Ameritas Dental Brochure
Ameritas Dental Claim Form
Ameritas Dental InNetwork Providers List

Vision Plan:
Ameritas Vision ID Card Access
Ameritas Vision Brochure

Ameritas Vision Provider List
Ameritas Vision Claim Form

Disability:

Disability Claim Forms

Voluntary Life Insurance:
Term Life and AD and D Brochure.

Health Benefit
Health Screening Claim MyBenefits Instructions
Health Screening Claim Form

Cancer
Cancer Plan Claim Form

Hospital Indemnity
Hospital Indemnity Claim Form

Critic alIllness

Critical Illness Claim Form

Accident

Accident Plan Claim Form

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COBRA Premium Rate Schedule - Need to contact the TPA ABA at 1-800-850-7166 for Rates.

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Student Accident Insurance:

Student Voluntary Accident Enrollment Form

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Alternate to Social Security Information:

457b FICA Alternative Plan

Annuity TPA (Third Party Administrator) Website:
www.tcgservices.com
403b Savings Plan
457b Savings Plan

SHARYLAND

Insurance

Sharyland ISD

DISTRICT

High School

Alternative Education

Junior High

Elementary

SHARYLAND

Insurance

Sharyland ISD