Employee Benefits Plan Documents

2023-2024

BCBSTX Blue Choice PPO HDHP Summary Plan Description 09.01.2023pdf

BCBSTX Blue Essentials HMO Summary Plan Description 09.01.2023pdf

BCBSTX Blue Premier HMO Summary Plan Description 09.01.2023pdf

2022-2023

BCBSTX Blue Choice PPO HDHP Summary Plan Description 09.01.2022pdf

BCBSTX Blue Essentials HMO Summary Plan Description 09.01.2022pdf

BCBSTX Blue Premier HMO Summary Plan Description 09.01.2022pdf

OptumRx Pharmacy Benefits Program Summary Plan Description 09.01.2022pdf

2021-2022

UnitedHealthcare Charter Kelsey-Seybold Summary Plan Description 09.01.2021pdf

UnitedHealthcare Nexus ACO R Memorial Hermann Summary Plan Description 09.01.2021pdf

UnitedHealthcare Choice Plus HDHP Summary Plan Description 09.01.2021pdf

UnitedHealthcare Choice Plus Out-of-Area Dependents Summary Plan Description 09.01.2021pdf

OptumRx Pharmacy Benefits Program Summary Plan Description 09.01.2021pdf

2020-2021

UnitedHealthcare Charter Kelsey-Seybold Summary Plan Description 10.1.2020pdf

UnitedHealthcare Nexus ACO R Memorial Hermann Summary Plan Description 10.1.2020pdf

UnitedHealthcare Choice Plus HDHP Summary Plan Description 10.1.2020pdf

UnitedHealthcare Choice Plus Out-of-Area Dependents Summary Plan Description 10.1.2020pdf

Aetna Dental Maintenance Organization (DMO) Certificate of Coveragepdf

Aetna Dental Maintenance Organization (DMO) Summary of Coverage/Copay Schedulepdf

Aetna Preferred Dental Network (PDN) Bookletpdf

Aetna Preferred Dental Network (PDN) Low Option Schedule of Benefitspdf

Aetna Preferred Dental Network (PDN) High Option Schedule of Benefitspdf

Ameritas (VSP) Certificate of Group Eye Care Insurancepdf

Conroe ISD Alternate Plan – Plan Document and Summary Plan Description (Dental and Hospital Indemnity Benefits)pdf

Conroe ISD Alternate Plan – Group Term Life Certificate of Insurancepdf

Accident Plan Certificate – High Plan

Accident Plan Certificate – Low Plan

AD&D Certificate of Insurance (Reliance Standard)

Cancer Insurance Certificate of Coverage (Guardian)

Critical Illness Insurance Policy (Aflac)

Disability Insurance (American Fidelity) – Log in to your online account to view your policy

Flexible Benefits Plan Booklet (First Financial Administrators)

FF Flex Mobile App Guide (First Financial Administrators)

Health Savings Account Guide (First Financial Administrators/UMB)

Hospital Indemnity Plan Certificate – High Plan

Hospital Indemnity Plan Certificate – Low Plan

Legal Protection Plan Certificate of Coverage (Legal Access Plans)

Life Insurance – Group Term – Certificate of Coverage (Unum)

Life Insurance – Term (American Fidelity) – Log in to your online account to view your policy

Life Insurance – Universal/Permanent (Texas Life) – Log in to your online account to view your policy

Long-Term Care Insurance (LifeSecure) – Log in to your online account to view your policy