1. Health Care Coverage for You and Your Family! Welcome

2. 2 Agenda What’s new this year Who is eligible to enroll Plan options Cost of health coverage How to enroll Enrollment support Questions

3. 3 What’s New for 2007-2008? ActiveCare 1: Plan year deductible increased from $1,050 to $1,100 per individual ActiveCare 2: $100 inpatient hospital copay per day ($500 maximum copay per admission, $1,500 maximum copay per plan year) $100 outpatient surgery copay per visit $100 emergency room copay per visit (copay waived if admitted) Copays are in addition to deductible and coinsurance ActiveCare 3: No plan changes Premium increase (approximately 7%)

4. 4 What’s New for 2007-2008? HMOs: New rates for all HMO plan options Rate decrease for Valley Baptist Health Plan Minor benefit changes to FirstCare Health Plans Scott and White Health Plan

5. 5 Regularly work 10 or more hours per week? Active contributing TRS member? You are not eligible If No You may be eligible If Yes Employees Eligible to Enroll

6. 6 Employees NOT Eligible to Enroll State of Texas employees or retirees Higher education employees or retirees Most TRS retirees, including those back at work These individuals are not eligible to enroll for TRS-ActiveCare coverage as employees, but they can be covered as a dependent of an eligible employee

7. 7 Eligible Dependents Spouse (including a common law spouse) Unmarried (including divorced) children under age 25 Natural child Adopted child Stepchild Foster child

8. 8 More Eligible Children An unmarried child under the legal guardianship of the employee An unmarried child in a regular parent-child relationship with the employee: The child's primary residence is the household of the employee The employee provides at least 50% of the child's support Neither of the child's natural parents resides in that household The employee has the legal right to make decisions regarding the child's medical care An unmarried grandchild whose primary residence is the household of the employee and who is a dependent of the employee for federal income tax purposes

9. 9 More Eligible Dependents Unmarried children (any age) mentally retarded or physically incapacitated Siblings over age 25 or parents are not the children of an employee and do not meet the definition of an eligible dependent Any other dependents required to be covered under applicable law

10. 10 Newborns Covered the first 31 days if employee has coverage To continue coverage, employee must add newborn within 60 days after the date of birth However, an employee has up to one year after the newborn’s date of birth if: Employee has “employee and family” or “employee and child(ren)” coverage at the time of birth and at the time of enrollment

11. PPO Plan Options ActiveCare 1, 2 and 3

12. 12 PPO Features ActiveCare 1, ActiveCare 2 and ActiveCare 3 Administered by Blue Cross and Blue Shield of Texas and Medco No primary care physician (PCP) required; no referrals required to see a specialist Select any provider for care within the PPO network or outside the network When you receive care inside the network, you receive the highest level of benefits When you receive care outside the network, you still have coverage but you may pay more of the cost Worldwide coverage for emergency and non-emergency care

13. 13 Network vs. Non-Network Providers Network Providers Receive highest level of benefits No claims to file No balance billing Non-Network Providers Receive non-network level of benefits Must file own claims May be billed for charges exceeding allowable amount

14. 14 Non-Network Providers ParPlan Providers Receive non-network level of benefits No claims to file in most cases (ParPlan provider will usually file the claims) No balance billing; ParPlan providers cannot bill for costs exceeding the allowable amount

15. 15 Coverage Outside Texas BlueCard PPO Program (for enrollees living or traveling outside of Texas) More than 85 percent of all doctors and hospitals contract with Blue Cross and Blue Shield Plans Outside of the U.S., you have access to doctors and hospitals in more than 200 countries Network level of benefits Claims filed by providers No balance billing

16. 16 Deductibles (Plan Year) ActiveCare 1ActiveCare 2ActiveCare 3 NetworkNon-NetworkNetworkNon-NetworkNetworkNon-Network $1,100 Individual $3,000 Family $500 Individual $1,500 Family None $500 Individual $1,500 Family Deductible: The amount of out-of-pocket expense that must be paid for health care services before becoming payable by the health care plan

17. 17 Coinsurance ActiveCare 1ActiveCare 2ActiveCare 3 Network Non- Network Network Non- Network Network Non- Network You Pay (after deductible) 20%40%20%40% 20% (no deductible) 40% Plan Pays 80%60%80%60%80%60% Coinsurance : The percentage of medical expenses that you and the health plan share

18. 18 Office Visit Copay ActiveCare 1ActiveCare 2ActiveCare 3 Network Non- Network Network Non- Network Network Non- Network 20% after deductible 40% after deductible $25/$35 per visit 40% after deductible $20/$30 per visit 40% after deductible Copayment (Copay): The amount paid at the time of service for certain medical services and prescription drugs; copays depend on whether the doctor is primary or a specialist Specialist: Any physician other than a family practitioner, internist, OB/GYN, and pediatricians

19. 19 Preventive Care ActiveCare 1ActiveCare 2ActiveCare 3 Network Non- Network Network Non- Network Network Non- Network No copay Plan pays 100% up to first $500 per person, per plan year 40% after deductible $25/$35 per visit 40% after deductible $20/$30 per visit 40% after deductible Copayment (Copay): The amount paid at the time of service for certain medical services and prescription drugs; copays depend on whether the doctor is primary or a specialist Specialist: Any physician other than a family practitioner, internist, OB/GYN or pediatrician

20. 20 Out-of-Pocket Maximum (excludes copays and deductibles) ActiveCare 1ActiveCare 2ActiveCare 3 NetworkNon-NetworkNetworkNon-NetworkNetworkNon-Network $2,000 Individual $6,000 Family $2,000 Individual $6,000 Family $1,000 per Individual $3,000 per Individual Out-of-Pocket Maximum: When you reach your plan’s of out-of-pocket maximum, the plan then pays 100% of any eligible expenses for the rest of the plan year.

21. 21 Preauthorization Required All inpatient hospital stays Treatment of all serious mental illness, mental health care and chemical dependency Home health care Hospice Skilled nursing facility Home infusion therapy

22. 22 Special Beginnings Prenatal Program Available now to ActiveCare 1, 2 and 3 plan participants—at no cost Program is available from pregnancy through six weeks after delivery Helps mothers take better care of themselves and their babies Assesses pregnancy risk level and provides close monitoring through a series of calls from an experienced obstetrical nurse Call 1-800-462-3275 to enroll or ask questions about the program

23. 23 Disease Management Programs ActiveCare 1, 2 and 3 PPO Plans Voluntary programs available now to ActiveCare 1, 2 and 3 plan participants—at no out-of-pocket cost Designed for those diagnosed with: Asthma Diabetes Congestive heart failure Coronary artery disease Metabolic syndrome (high blood pressure, high cholesterol) Lower back pain End stage renal disease

24. 24 Disease Management Programs (Cont.) Enrolling in a program can help: Decrease the intensity and frequency of symptoms Enhance self-management skills Minimize missed days at work Enrich quality of life Claims and pharmacy data review, preauthorization prior to a hospitalization or a physician referral are some of the factors that help determine if a disease management program is right for the plan participant Blue Cross and Blue Shield of Texas will notify doctor by letter if it finds that the plan participant would benefit by enrolling in a program Call 1-800-462-3275 to enroll

25. 25 Disease Management Programs What You will Receive If severity of the condition is mild Coverage for targeted preventive screenings Seasonal mailings with educational materials related to the condition Annual contact calls to encourage medication compliance Tools to help better self-manage the condition If the severity of the condition is moderate to severe Personalized self-management planning Regularly scheduled monitoring by a registered nurse 24-hour-a-day telephone access to a specialty nurse An audio library of topics related to the condition, available by telephone around-the-clock Assistance in getting durable medical equipment Home health visits and social service consultation, if needed If a representative from Blue Cross and Blue Shield of Texas or LifeMasters calls or leaves a message for you, talk to them! They are calling to help improve your health and well being.

26. 26 Blue Access for Members (Registration required) Available to ActiveCare 1, 2 and 3 enrollees Blue Access for Members link on TRS-ActiveCare Web site and www.bcbstx.com/trs Check the status of a claim Confirm who is covered under the plan View and print detailed claim information (Explanation of Benefits) Opt-out of receiving paper copies of their Explanation of Benefits Sign up to receive email notifications of new claim activity Request a new or replacement ID card or print a temporary member ID card Access to health and wellness information

27. 27 Take a Health Risk Assessment Confidential online survey to help you learn more about your individual health risks Takes 10-15 minutes to complete Individualized report provided with guidance and suggestions for next steps to improving your health Available through Blue Access for Members Click on My Health tab, then select the Health & Wellness icon to Take a Health Risk Assessment Your information is kept confidential Information will not be released to your employer

28. Prescription Drug Benefits ActiveCare 1, 2 and 3

29. 29 Prescription Drug Benefits What’s New No plan changes, no copay changes Retail Pharmacy Program ActiveCare 2 and ActiveCare 3—No changes Retail copays for maintenance medications »First two fills of maintenance medication at retail = short-term copay »Third (3rd) fill of maintenance medication at retail = copay increase Retail copays for short-term medications did not change Mail order copays did not change Separate $50 drug deductible per family member for ActiveCare 2 and ActiveCare 3 did not change

30. 30 Prescription Drug Benefits ActiveCare 1 Retail (up to 30-day supply) Mail Order (up to 90-day supply) NetworkNon-Network You pay 100% of the discounted cost at the time of purchase and will be reimbursed 80% by Blue Cross and Blue Shield of Texas after your deductible You pay 100% of the total cost at the time of purchase and will be reimbursed 80% by Blue Cross and Blue Shield of Texas after your deductible You pay 100% of the discounted cost at the time of purchase and will be reimbursed 80% by Blue Cross and Blue Shield of Texas after your deductible

31. 31 Prescription Drug Benefits ActiveCare 2 Retail Network (up to 30-day supply) Mail Order (up to 90-day supply) Short-TermMaintenance Generic$10$15$20 Preferred Brand$25$35$62.50 Non-Preferred Brand $45$60$112.50 Note: When using a non-network pharmacy, you must pay the entire cost and submit a claim form to Medco. You will be reimbursed the amount that would have been charged by a network pharmacy, less the required copayment.

32. 32 Prescription Drug Benefits Note: When using a non-network pharmacy, you must pay the entire cost and submit a claim form to Medco. You will be reimbursed the amount that would have been charged by a network pharmacy, less the required copayment. ActiveCare 3 Retail Network (up to 30-day supply) Mail Order (up to 90-day supply) Short-TermMaintenance Generic$10$15$20 Preferred Brand$25$35$62.50 Non-Preferred Brand $40$55$100

33. 33 Prescription Drug Benefits ActiveCare 2 and 3: Applying the Deductible Example 1—Claim cost less than $50 Deductible Once the deductible is satisfied, the member pays the applicable copay Member-paid cost differences between a brand-name drug and a generic equivalent do not apply to the deductible Total Cost Deductible Applied CopayDeductible Remaining First Fill$18 $32 Second Fill$29 $3 Third Fill$101$3$3 + copay$0

34. 34 Prescription Drug Benefits ActiveCare 2 and 3: Applying the Deductible Example 2—Claim cost more than $50 Deductible Total Cost Deductible Applied CopayDeductible Remaining First Fill$100$50$25$0 Next Fill$100$0$25$0 Once the deductible is satisfied, the member pays the applicable copay Member-paid cost differences between a brand-name drug and a generic equivalent do not apply to the deductible

35. 35 Prescription Drug Benefits ActiveCare 2 and 3: Member pays the difference You pay the difference if a brand-name prescription is dispensed when a generic is available You pay the generic copay plus the difference in cost between the brand-name prescription and what the cost would be if the generic drug had been purchased, regardless of doctor DAW (Dispense As Written) Example: Full price of brand-name drug$120 Full price of generic$ 70 (Difference)$ 50 Plus retail generic copay$ 10 You pay$ 60

36. 36 Prescription Drug Benefits Drug Formulary Preferred and Non-Preferred Medications Copays Preferred Prescriptions Drug List Generic Medications

37. 37 Prescription Drug Benefits Prior Authorization Program designed to ensure the safety of participants and help contain costs May review some or all of the following information to assure an appropriate coverage decision: Patient diagnosis Indications for prescribed drug use Dosing Duration of therapy Patient drug profile Potentially dangerous drug interactions

38. 38 Prescription Drug Benefits Online Technology: www.trs.state.tx.us/trs-activecare Online services available prior to enrollment Compare pricing and coverage for brand-name and generic medication for both home delivery and retail View Retail Maintenance List Locate participating retail network pharmacies Access pharmacy benefits highlights Locate drug information Additional online services available after enrollment Request refills and renewals through mail service pharmacy Check status of orders Access health and wellness information Order supplies My Rx Choices

39. 39 My Rx Choices (Pilot Program: replaced Savings Advisor) Pilot Participant Initiated 12/1/2006; goes through 2/28/2007 Features include: Personal assessment of cost-saving opportunities based on the member’s prescription plan Best-value alternatives based upon greatest cost savings to the member presented in order from highest value to member Brand-to-generic and retail-to-mail compare options available Explanation of complicated concepts in easy-to- understand terms

40. 40 My Rx Choices Available through 800 # or on www.medco.com As of 3/1/2007:  8,813 registered TRS-ActiveCare members  17,129 wizard starts  1,694 forms downloaded  12% of the time members switched to cost saving alternatives

41. 41 My Rx Choices Medco can facilitate on generic equivalents received through mail order

42. 42 My Rx Choices Members may print a kit to discuss lower-cost alternatives with their doctor

43. HMO Plan Options 2007-2008 Plan Year

44. 44 HMO Features Live, work or reside within the HMO service area Primary Care Physician (PCP) must coordinate care to receive benefits Choose a different PCP for each family member or select the same one for the entire family Females may choose a network OB/GYN and schedule appointments with that physician without a PCP referral Worldwide coverage for emergency care No preexisting condition exclusions apply

45. FirstCare Health Plans HMO Plan Option

46. 46 FirstCare Health Plans Service Area 85 counties across Texas

47. 47 FirstCare Health Plans No claim forms or deductibles No pre-existing limitations Emphasis on preventive health care No referrals required Extensive provider network Local hospitals and doctors Nationwide network through PHCS Worldwide emergency care

48. 48 FirstCare Health Plans Member Satisfaction Timely Customer Service Minimum automation, calls answered in Lubbock, Texas Limited wait time to talk to a live representative High member satisfaction for claims processing (92%) Easy Web site accessibility for information 24 hours a day Regional offices in Abilene, Amarillo, Lubbock and Waco to serve local communities

49. 49 FirstCare Health Plans What’s new for 2007-2008: $100 emergency room copay $100 ambulance copay $40 minor emergency copay Retail prescription drug copays $15 generic drug $30 preferred brand-name drug $50 non-preferred brand-name drug Mail order prescription drug copays $45 generic drug $90 preferred brand-name drug $150 non-preferred brand-name drug Increased maximum prescription benefit to $10,000/plan year Premium increase of approximately 7%

50. 50 FirstCare Health Plans BenefitCopay PCP office visit$20 Specialist office visit$40 Preventive care$20 Outpatient surgery facility$150 Inpatient hospital$150 per day ($750 maximum) Emergency room$100 (waived if admitted) Urgent care$40 Out-of-pocket maximum2x annual premium

51. 51 FirstCare Health Plans Prescription Drugs Retail (up to 30-day supply) Mail Order (up to 90-day supply) Generic$15$45 Preferred Brand$30$90 Non-Preferred Brand$50$150 Self-Injectable and High Technology Drugs * † 20% *Excludes insulin and allergy serum † Not subject to $10,000 benefit maximum $10,000 maximum prescription benefit per person per plan year

52. 52 FirstCare Health Plans Member Portal Link from the TRS-ActiveCare Web site for easy access to: Change PCP Request ID Cards Print Temporary ID Cards Change address Check status of claims Check status of authorizations

53. HMO Plan Option Legacy Health Solutions

54. 54 Service Area 18 counties West Texas Legacy Health Solutions

55. 55 Copay Covers It Predictable medical expense No deductibles No coinsurance All disease states covered from day one No preexisting conditions Women may self refer to their OB/GYN Participants may self refer to ophthalmologist/optometrist (annual eye exam), dermatologist or orthopedic surgeon Local management means timely feedback for participant questions, concerns, medical appointments Legacy Health Solutions

56. 56 Emergencies covered anywhere Disease and case management for chronic conditions Diabetes High risk pregnancy Hypertension Organ transplant LHS network has 180 physicians representing over 41 specialties throughout West Texas Legacy Health Solutions

57. 57 Legacy Health Solutions What’s new for 2007-2008: No plan changes Approximately 11% premium increase

58. 58 BenefitCopay PCP office visit$20 Specialist office visit$35 Preventive carePCP $20 / Specialist $35 Outpatient surgery facility$150 Inpatient hospital$150 per day (5-day maximum) Emergency room$100 (waived if admitted) Urgent care$25 Out-of-pocket maximum $2,000 (individual) $6,000 (family) Legacy Health Solutions

59. 59 Prescription Drugs Retail (up to 30-day supply) Mail Order (up to 90-day supply) Generic$8$16 Preferred Brand$20$40 Non-Preferred Brand$200 or 50% of charges, whichever is less N/A Injectable Prescription Drugs - 25% of charges Legacy Health Solutions

60. 60 $10,000 maximum prescription drug benefit When a generic equivalent is available and the brand name is dispensed, enrollee will be responsible for the difference between the cost of the generic drug and the cost of the brand-name drug Generic sampling program offers $0 copay for first prescription of identified generic agents (list is available online) Legacy Health Solutions

61. Mercy Health Plans HMO Plan Option

62. 62 Mercy Health Plans Service Area 4 Texas counties: Webb Jim Hogg Zapata Duval

63. 63 Mercy Health Plans No coinsurance No claim forms No lifetime maximum No preexisting condition limitations

64. 64 Mercy Health Plans Low out-of-pocket expense Emergencies covered anywhere Case management Diabetes mellitus Hypertension Asthma Other chronic diseases CuraScript Injectable Program

65. 65 Mercy Health Plans Mercy Health Plans ranked #1 on Consumer Assessment Health Plans Survey (CAHPS)* on the following: How people rated their plan How people rated their health care How people rated their doctor How people rated their specialist How people rated the efficiency and helpfulness of customer service * Office of Public Insurance Council

66. 66 Mercy Health Plans Referrals To visit a specialist, a PCP referral is required; however, referrals are not required for the following: Women may self refer to a designated OB/GYN Ophthalmologist/optometrist (annual eye exam) Orthopedic surgeon Dermatologist No benefits available for non-emergency care outside the network or for a specialist visit without a referral from a PCP

67. 67 Mercy Health Plans What’s new for 2007-2008: No plan changes Approximately 18% premium increase

68. 68 Mercy Health Plans BenefitCopay PCP/Specialist office visit$10 Preventive care$10 Outpatient surgery facility$0 Inpatient hospital$0, after $500 plan year deductible Emergency room$50 (waived if admitted) Urgent care$25 Out-of-pocket maximum$1,000 maximum (individual) $2,000 maximum (family)

69. 69 Mercy Health Plans Prescription Drugs Retail (up to 30-day supply) Mail Order (up to 90-day supply) Generic$5$10 Preferred Brand$20$40 Non-Preferred Brand$35$70 Infertility drugs are covered at 50% $2,000 maximum prescription drug benefit per person per plan year

70. Scott & White Health Plan HMO Plan Option

71. 71 Scott and White Health Plan Somervell Erath Hill Bosque Coryell Bell Burnet Llano Blanco Hays Williamson Regional Office Milam Falls Travis Caldwell Bastrop Lee Burleson Robertson Leon Madison Walker Grimes Brazos Washington Austin Waller Lampasas San Saba Hamilton MillsMcLennan Scott & White Approved TRS Service Area Waco Temple Georgetown College Station Service Area: 32 counties across Texas

72. 72 Scott and White Health Plan Highest Ranked Health Plan in Texas according to U.S. News & World Report – November 2006 No claim forms, no deductibles Coverage for preexisting conditions Worldwide emergency care Direct access to OB/GYN and ophthalmology Regional customer service centers in Georgetown, Temple, Bryan/College Station and Waco 24-hour Nurse Advice Line 800-975-6612

73. 73 Scott and White Health Plan Expanding Network...New Hospitals Expanding network throughout the service area Capital Area 2007 Expansion... The Hospital at Westlake Medical Center – Austin Lakeside Hospital – Bastrop S&W University Medical Campus Hospital – Round Rock (Open July 2007) 76 Bed Hospital (Phase II: 150 Beds; Phase III: 300 Beds)

74. 74 Scott and White Health Plan Scott & White University Medical Campus Specialty Clinic 300 University Blvd Round Rock, TX

75. 75 Scott and White Health Plan New Scott & White Primary Care Clinics February 2007 Hutto Georgetown Central (2 nd location) Cedar Park (2 nd location) April 2007 Pflugerville Liberty Hill September 2007 Round Rock

76. 76 Scott and White Health Plan What’s New for 2007-2008: Outpatient specialty drugs (requires approval of Medical Director) Level 1 $50 copay Level 2 (preferred) $100 copay Level 3 (premium preferred) $250 copay Level 4 (non-preferred) 50% of charges* *Level 4 copayment does not apply to out-of-pocket maximum

77. 77 Scott and White Health Plan What’s New (Continued): Prescription drug copays Preferred brand retail $25 Preferred brand mail $50 Non-formulary retail – Greater of $50 or 50% Premium increase of approximately 3%

78. 78 Scott and White Health Plan BenefitCopay Deductible$0 PCP/Specialist office visit$25 Preventive care$25 Outpatient surgery facility$100 Inpatient hospital$200 per day ($1,000 maximum) Emergency room$100 (waived if admitted) Urgent care$40 Out-of-pocket maximum $3,000 maximum per individual $6,000 maximum per family

79. 79 Scott and White Health Plan Prescription Drugs Retail (up to 34-day supply) Mail Order (up to 90-day supply) Generic$5$10 Preferred Brand$25$50 Non-Preferred Brand lesser of $50 or 50% copay lesser of $100 or 50% copay Non-Formularygreater of $50 or 50% copay N/A $2,000 maximum benefit per person per plan year

80. 80 Scott and White Health Plan Prescription Drugs $2,000 plan year maximum per person If a brand-name prescription is dispensed when a generic is available, enrollee pays: 50% of brand-name cost

81. Valley Baptist Health Plans HMO Plan Option

82. 82 Valley Baptist Health Plans Service Area Rio Grande Valley Counties Cameron Hidalgo Starr (partial) Willacy Provider Network More than 800 providers 9 hospitals Valley-wide

83. 83 Valley Baptist Health Plans No deductibles or coinsurance No claim forms No lifetime maximum No preexisting condition limitations Predictable costs

84. 84 Valley Baptist Health Plans Free diabetic supplies available Free maternity care education program available Worldwide emergency care Locally owned and operated in the Rio Grande Valley by Valley Baptist Health System

85. 85 Valley Baptist Health Plans 99% member satisfaction (employer group survey) 97% of our providers would recommend our plan to their patients (provider survey)

86. 86 Valley Baptist Health Plans PCP will refer you to a specialist No referral needed for a designated OB/GYN Case management services Diabetes mellitus Hypertension Asthma Other chronic diseases

87. 87 Valley Baptist Health Plans What’s new for 2007-2008: No plan changes Approximately 3% premium decrease

88. 88 Valley Baptist Health Plans BenefitCopay PCP office visit$25 Specialist office visit$35 Preventive care$25 PCP/$35 Specialist Outpatient surgery facility$250 Inpatient hospital$300 per day ($1,500 maximum) Emergency room$150 (waived if admitted) Urgent care$25 Out-of-pocket maximum$3,000 maximum (individual) $6,000 maximum (family)

89. 89 Valley Baptist Health Plans Prescription Drugs Retail (up to 30-day supply) Mail Order (up to 90-day supply) Generic$15$30 Preferred Brand$25$50 Non-Preferred Brand$45$90

90. Cost for Health Coverage 2007-2008 Plan Year

91. 91 Coverage Categories Employee Only Employee and Spouse Employee and Child(ren) Employee and Family

92. 92 Choosing a Coverage Category If employee and spouse both work for a participating entity: A spouse may be covered as an employee or as a dependent of an employee Only one parent can cover dependent children

93. 93 Choosing a Coverage Category A child (under age 25) employed by a participating entity and a contributing TRS member cannot be covered as a dependent The child must be covered as an employee of the participating entity If the child is not a contributing TRS member, the child may be covered as a dependent

94. 94 Monthly Cost of Coverage Page 33 of the Enrollment Guide

95. 95 Application to Split Premium Married couples working for different participating entities may “pool” funds Optional Requires an Application to Split Premium form to be completed by both employees and employers

96. How to Enroll 2007-2008 Plan Year

97. 97 Who needs to enroll? For new coverage or changes, complete an Enrollment Application and Change Form If you enrolled in 2006-2007 and do not wish to make changes to your current health benefit plan, you do not need to submit an enrollment application You must complete an application if declining coverage – even if you previously declined coverage Complete, sign, date and submit forms to your Benefits Administrator

98. 98 Can Changes in Coverage Be Made After Your Application Has Been Submitted? Changes can be made up to the end of your enrollment period Plan choices will remain in effect through August 31, 2008 unless there’s a special enrollment event such as: Marriage or divorce Birth, adoption or placement for adoption of a child A child marries or reaches age 25 A court order to provide health coverage for an eligible child Loss of coverage Changes must be made within 31 days after the event date (special rules apply to newborns) New application must be submitted for any change

99. 99 Cafeteria Plan Vendor(s) Making a change through the Section 125 vendor does not automatically generate a change to coverage under TRS-ActiveCare All changes to TRS-ActiveCare must be signed, dated and submitted on an Enrollment Application and Change Form

100. 100 Important Notice Supplemental Coverage TRS does not offer or endorse any supplemental coverage for any of the health coverage plans available under TRS-ActiveCare To obtain information about any coverage that claims to be a companion or supplement to any TRS-ActiveCare plan, employees should contact: The organization making such offering and/or The Texas Department of Insurance (TDI) http://www.tdi.state.tx.us or the TDI Consumer Helpline (800) 252-3439

101. 101 Your TRS-ActiveCare ID card will be mailed to your home ActiveCare 1 and 3 New ID cards will not be issued to current participants unless changing plans; new enrollees will receive new cards ActiveCare 2 All enrollees will receive new cards HMO plans All HMO participants will receive new cards (except for Mercy Health Plans) Each individual covered under the plan will receive a card

102. 102 Enrollment Support Dedicated Customer Service ActiveCare 1, 2 or 31.866.355.5999 (Blue Cross and Blue Shield of Texas and Medco) FirstCare Health Plans 1.800.884.4901 Legacy Health Solutions1.877.410.2432 Mercy Health Plans1.800.617.3433 Scott and White Health Plan1.800.321.7947 Valley Baptist Health Plans1.800.829.6440

103. 103 Enrollment Support Available Online Enrollment guide (English and Spanish) Downloadable forms (enrollment application, split premium, claim form, etc.) Provider locator Frequently asked questions www.trs.state.tx.us/trs-activecare

104. 104 Blue Access for Members Available to ActiveCare 1, 2 and 3 enrollees BAM link now on TRS Web site and www.bcbstx.com/trs Check the status of a claim Confirm who is covered under the plan View and print detailed claim information (Explanation of Benefits) Opt-out of receiving paper copies of your Explanation of Benefits Sign up to receive e-mail notifications of new claim activity Request a new or replacement ID card or print a temporary member ID card Take a Health Risk Assessment

106. Questions Thank you for attending