Employee Health Plans
Health Plan
Garland ISD offers a self-funded group health plan to all benefits eligible employees and their dependents.
- Summary of Benefits
- Health Plan Frequently Asked Questions (FAQ)
- Premiums
- Pre-Existing Conditions Limitations
- Plan Document
- Provider Directory
Please visit the Texas True Choice website.
- Prescription Drug Benefit
- Full-Time Student Coverage Form
State Comparable Health Plan
This plan applies provisions of the State Plan (not to be confused with the TRS Active-Care Plan) to the population of Garland ISD. This plan is similar in plan provisions to the Garland ISD Health Plan with two exceptions: eligibility includes TRS retiree re-hires, and the benefit schedule is different resulting in higher premiums.
The Garland ISD State Comparable Health Plan is a self-funded health plan with in-network and out of network benefits.
- Summary of Benefits
- Premiums
- Pre-Existing Conditions Limitations
- Plan Document
- Provider Directory
Please visit the Texas True Choice website.
- Prescription Drug Benefit
Notice of HIPAA Exemption
The federal law known as HIPAA (Health Insurance Portability & Accountability Act) imposes upon group health plans the following requirements:
- Limits exclusions for pre-existing conditions
- Requires special enrollment periods
- Prohibits the discrimination against individual participants and beneficiaries based on health status
- Provides standards relating to benefits for mothers and newborns (Newborns’ and Mothers’ Health Protection Act of 1996)
- Parity in the application of certain limits to mental health benefits (Mental Health Parity Act of 1996)
- Required coverage for reconstructive surgery following mastectomies (Women’s Health and Cancer Rights Act of 1998)
As a non-federal governmental plan, the Garland ISD Health Plan may elect to be exempt from any or all of the requirements.
AS a non-federal governmental plan, the Garland ISD Health Plan is exercising its privelege to opt-out of the Health Insurance Portability and Accountabliity Act (HIPAA) effective January 1, 1998, as it relates ot recognizing creditable coverage under a previous medical plan and all other HIPAA requirements as stated above. Certificates of coverage will be provided to individuals whose mediacl coverage is terminated.
Please note: Effective September 1, 2005, this Plan is obligated to comply with the state portabillity requirements of the Texas Education Code. The state portability of coverage requirement, similar to the federal, requires this Plan to accept Certificates of Creditable Coverage from a prior plan to reduce the pre-existing exclusion period of this Plan.