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HISD Benefits Office

Bringing Benefits To Life

2020 Plan and Legal Documents

Aflac Group Insurance Plans Overview

Life Insurance

HISD Life Certificate of Insurance

Houston ISD Certificate - Eff 1-1-2020.pdf 563.35 KB (Last Modified on November 21, 2019)

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Houston ISD Term life Policy

Houston ISD Term Life Policy 34018 Amd 10.pdf 1.74 MB (Last Modified on November 14, 2019)

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Accident

Cancer & Specified Diseases

Critical Illness

General

Hospital Indemnity

Legal Documents

Medical Plan Summary

Kelsey Select ACO Coverage

Kelsey Select ACO Summary of Benefits and Coverage FINAL APPROVED 12-11-2019.pdf 1.5 MB (Last Modified on December 11, 2019)

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Kelsey Basic ACO Coverage

Kelsey Basic ACO Summary of Benefits and Coverage FINAL APPROVED 12-11-2019.pdf 1.54 MB (Last Modified on December 11, 2019)

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Kelsey Plus ACO Coverage

Kelsey Plus ACO Summary of Benefits and Coverage FINAL APPROVED 12-11-2019.pdf 1.54 MB (Last Modified on December 11, 2019)

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Memorial Herman Basic ACO Coverage

Memorial Hermann Basic ACO Summary of Benefits and Coverage FINAL APPROVED 12-11-2019.pdf 1.5 MB (Last Modified on December 11, 2019)

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Memorial Herman Plus ACO Coverage

Memorial Hermann Plus ACO Summary of Benefits and Coverage FINAL APPROVED 12-11-2019.pdf 1.5 MB (Last Modified on December 11, 2019)

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TX Medical Neighborhood Basic Coverage

TX Medical Neighborhood Basic Summary of Benefits and Coverage FINAL APPROVED 12-11-2019.pdf 1.5 MB (Last Modified on December 11, 2019)

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TX Medical Neighborhood Plus Coverage

TX Medical Neighborhood Plus Summary of Benefits and Coverage FINAL APPROVED 12-11-2019.pdf 1.5 MB (Last Modified on December 11, 2019)

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Dental

Resumen de beneficios de Cigna Dental HISD

Houston ISD DPPO 2020_SP.PDF 284.48 KB (Last Modified on December 20, 2019)

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Cigna Dental Benefit Summary HISD

Houston ISD 2020.pdf 123.3 KB (Last Modified on December 20, 2019)

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Cigna Dental Care - DHMO Patient Charge Schedule

HIXV9_10198737.pdf 156.71 KB (Last Modified on December 20, 2019)

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Cigna Dental Care - DHMO

887430_HIXV9_DFO_Final.pdf 79.24 KB (Last Modified on December 20, 2019)

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Prescription Drugs

2020 High Performance Alpha Formulary

ESI-HighPerformanceAlphaPRMT1703A-20-191215.pdf 54.59 KB (Last Modified on January 6, 2020)

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2020 Natl. Preferred Formulary Exclusions

DL44109Q-SD-20-204612-ExclusionList191215.pdf 72.54 KB (Last Modified on January 6, 2020)

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2020 Natl. Preferred Alpha Formulary

NationalPreferredAlphaPRMT22157-20-191215.pdf 57.97 KB (Last Modified on January 6, 2020)

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2020 Natl. Preferred Alpha Formulary with exclusions

NationalPreferredAlphawithExclusionList-191215.pdf 112.19 KB (Last Modified on January 6, 2020)

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2020 Rx SPD - Select Plan

2020 Rx SPD_Select FINAL 12-17-2019.pdf 820.43 KB (Last Modified on December 17, 2019)

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2020 Rx SPD Consumer Plan - Open Access

2020 Rx SPD ConsumerPlan-OpenAccess FINAL 12-17-2019.pdf 587.1 KB (Last Modified on December 17, 2019)

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Personal Legal

Sumario de Plan Médico

Vision

Health Insurance Marketplace Coverage Options

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