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HISD Benefits Office

Bringing Benefits To Life

2019 Plan and Legal Documents

Accident

2019 AFLAC Accident Certificate High

HISD_2019_Acc_Cert_High_101216.pdf 196.21 KB (Last Modified on Friday at 8:21 AM)

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2019 AFLAC Accident Certificate Low

HISD_2019_Acc_Cert_Low_101216.pdf 196.12 KB (Last Modified on Friday at 8:22 AM)

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2019 AFLAC Accident Low Plan Dependent Rider

HISD_2019_AFLAC_Accident_Low_Plan_Dependent_Rider.pdf 265.88 KB (Last Modified on Friday at 8:26 AM)

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2019 HISD AFLAC Accident High Plan Dependent Rider

HISD_2019_AFLAC_Accident_High_Plan_Dependent_Rider.pdf 138.15 KB (Last Modified on Friday at 8:23 AM)

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2019 AFLAC Cancer Certificate Low

HISD_2019_CA_Cert_Low_101216.pdf 885.35 KB (Last Modified on Friday at 8:35 AM)

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AFLAC Cancer Certificate High

HISD_2019_CA_Cert_High_101216.pdf 884.32 KB (Last Modified on Friday at 8:34 AM)

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Critical Illness

2019 AFLAC Critical Illness Certificate

HISD_2019_CI_Cert_101216.pdf 922.44 KB (Last Modified on Friday at 8:39 AM)

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General

2019 New Hire Booklet

HISD-135-2017_2018NewHireBooklet_R22-02232019.pdf 2.46 MB (Last Modified on October 29, 2018)

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Hospital Indemnity

2019 AFLAC Hospital Indemnity Certificate High

HISD_2019_SHI_Cert_High_101216.pdf 865 KB (Last Modified on Friday at 8:42 AM)

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2019 AFLAC Hospital Indemnity Certificate Low

HISD_2019_SHI_Cert_Low_101216.pdf 865.8 KB (Last Modified on Friday at 8:43 AM)

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Legal Documents

Dept. of Labor National Healthcare Exchange

department of labor national heath care exchange.pdf 163.18 KB (Last Modified on October 26, 2018)

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HISD Legal Notices

2019 Legal Notices.pdf 266.27 KB (Last Modified on October 26, 2018)

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Notice for Employers Offering Health Plans

model-notice-for-employers-who-offer-a-health-plan-to-some-or-all-employees FULL.pdf 162.55 KB (Last Modified on October 26, 2018)

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Medical Plan Summary

2019 Select Plan Guide

2019-selectplan_guide-english.pdf 480.4 KB (Last Modified on September 18, 2018)

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SBC HISD Basic Choice 2019

SBC Houston ISD_Basic Choice 01.01.2019.pdf 488.03 KB (Last Modified on October 4, 2018)

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SBC HISD Basic Limited 2019

SBC Houston ISD_Basic Limited 01.01.2019.pdf 487.41 KB (Last Modified on October 4, 2018)

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SBC HISD Open Access 2019

SBC Houston ISD_Open Access 01.01.2019.pdf 483.53 KB (Last Modified on October 4, 2018)

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SBC HISD Plus Choice 2019

SBC Houston ISD_Plus Choice 01.01.2019.pdf 487.83 KB (Last Modified on October 4, 2018)

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SBC HISD Select 2019

SBC Houston ISD_Select 01.01.2019.pdf 459.85 KB (Last Modified on October 4, 2018)

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SBS HISD Plus Limited 2019

SBC Houston ISD_Plus Limited 01.01.2019.pdf 487.19 KB (Last Modified on October 4, 2018)

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Personal Legal

2019 Hyatt Legal Fee Reimbursement Schedule

HISD_2019_FeeReimbursementSchedule.pdf 161.66 KB (Last Modified on Friday at 8:48 AM)

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2019 Hyatt legal Plan

HISD_2019_Hyatt_Legal_Plans.pdf 116.62 KB (Last Modified on Friday at 8:50 AM)

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2019 Hyatt Legal Summary Plan

HISD_2019_Hyatt_legal_Summary_Plan_Description.pdf 176.71 KB (Last Modified on Friday at 8:51 AM)

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Prescription Drugs

2019 Consumer National Preferred Alpha with exclusion list

National Preferred Alpha with Exclusion List.190101.pdf 104.35 KB (Last Modified on Thursday at 3:05 PM)

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2019 High Performance Formulary Alpha Select Plan

High Performance Alpha PRMT1703A-19.190101.pdf 53.73 KB (Last Modified on Thursday at 2:49 PM)

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2019 National Preferred Formulary Apha

National Preferred Alpha PRMT22157-19.190101.pdf 57.54 KB (Last Modified on Thursday at 2:55 PM)

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2019 National Preferred Formulary Exclusions

DL44109Q-SD-19 204612 Exclusion List 181205.pdf 64.93 KB (Last Modified on Thursday at 3:06 PM)

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Sumario de Plan Médico

Cobertura HISD Basic Limited 2019

SBC Houston ISD_Basic Limited 01.01.2019_SP.pdf 1.16 MB (Last Modified on October 26, 2018)

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Cobertura HISD Choice Plan 2019

SBC Houston ISD_Basic Choice 01.01.2019_SP.pdf 1.19 MB (Last Modified on October 26, 2018)

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Cobertura HISD Open Access 2019

SBC Houston ISD_Open Access 01.01.2019_SP.pdf 1.15 MB (Last Modified on October 26, 2018)

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Cobertura HISD Plus Choice 2019

SBC Houston ISD_Plus Choice 01.01.2019_SP.pdf 1.16 MB (Last Modified on October 26, 2018)

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Cobertura HISD Plus Limited 2019

SBC Houston ISD_Plus Limited 01.01.2019_SP.pdf 1.16 MB (Last Modified on October 26, 2018)

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Cobertura HISD Select Plan 2019

SBC Houston ISD_Select 01.01.2019_SP.pdf 1.13 MB (Last Modified on October 26, 2018)

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Vision

2019 EyeMed Members App Infographic

HISD-2019_EyeMed_Members_App_Infographic.pdf 928.37 KB (Last Modified on Friday at 8:59 AM)

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2019 Vision Plan Certificate High

HISD_2019_High_Plan_Vision_Certificate_101216.pdf 612.08 KB (Last Modified on Friday at 8:55 AM)

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2019 Vision Plan Certificate Low

HISD_2019_Low_Plan_Vision_Certificate_101216.pdf 612.15 KB (Last Modified on Friday at 8:57 AM)

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2019 Vision Plan Summary High

HISD_2019_High_Plan_Vision_Summary_101216.pdf 293.23 KB (Last Modified on Friday at 8:55 AM)

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2019 Vision Plan Summary Low

HISD_2019_Low_Plan_Vision_Summary_101216.pdf 293.15 KB (Last Modified on Friday at 8:57 AM)

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