ESC Region XI Employee Benefits Cooperative

Cooperative Advantages
Cooperative Advantages
Employees working 20+ hours per week are eligible
ESC Region 11 Benefits Cooperative (RegionXIBC) with
Financial Benefit Services, provides a cooperative bid service
arrangement for regional school districts , charter schools and
political subdivisions receiving:
Competitive Premiums
Broad Selection of Quality Products
Superior Service
Alvord ISD
Lipan ISD
Argyle ISD
Millsap ISD
Arlington Classics Academy
Morgan Mill ISD
Bluff Dale ISD
Newman International
Majority of Products are Guaranteed Issue
Bonham ISD
Palmer ISD
No health questions or applications to complete!
Callisburg ISD
Palo Pinto ISD
Electronic & Personalized Benefit Enrollment
Chico ISD
Pheonix Charter School
“The Hub” system is password secured, HIPAA compliant and
integrates with your payroll system. Import employee elections
into your payroll system and export to appropriate carriers.
Dell City ISD
Poolville ISD
Dublin ISD
Reconciliation Academy
East Fort Worth Montessori
S & S CISD
Consolidated Billing/Common Remitter
www.RegionXIBC.com
Region XI Benefit Co-op Members
Era ISD
Sivells Bend ISD
One submission for all payroll deduction benefits, reduced data
entry, vendor forms, mailing cost, and report preparations for
increased efficiency
Evolution Academy
Stephenville ISD
Garner ISD
Three Way ISD
Full Service Administration -NO FEES!
Gaford ISD
Treetops Int’l
Huckabay ISD
Trinity Basin Prep
Jean Massieu Academy
Valley View ISD
Benefits Website 24/7 and Employee Support
Kennedale ISD
Van Alstyne ISD
Personalized website and group benefit meetings held at each
campus helps alleviate your workload!
Lake Dallas ISD
Walnut Bend ISD
Lindsay ISD
Westlake Academy
Individual Service/One-Stop-Shop
Lingleville ISD
Whitesboro ISD
Administration for Section 125, 403(b), 457(b) deferred
compensation and COBRA (optional).
Dental
A single point of contact for questions and assistance!
Vision
www.REGIONXIBC.com
Online access to forms, benefit information,
provider searches, and carrier links.
Contact information on how to participate in the Co-op or for benefit questions:
Richard Peace
Benefit Consultant
Cell Phone: (214) 557-0339
Toll Free: (800) 583-6908
RichardP@FBSBENEFITS.COM
Contact us now for Spring 2014 Benefits Enrollment
Cancer
Accident
Disability Protection
Basic Life Insurance
Group Term Insurance
Flex SpendingAccounts
Section 125Administration
2121 N. Glenville Drive I Richardson, Texas 75082
Toll Free : (800) 583-6908 I Fax : (469) 385-4641
Web: http://www.fbsbenefits.com
ESC Region XI Employee
Benefits Cooperative
www.regionxibc.com
Contact us now for Spring 2014
Benefits Enrollment
2014‐2015 Benefit & Rates
2014 ‐ 2015 Benefits & Rates Disability Insurance ‐ UNUM
www.RegionXIBC.com Rates are subject to change upon renewal
Six elimina on period op ons are offered. Premiums are based on the monthly benefit and elimina on period selec on. All new or increases in coverage are subject to Pre‐X. Pregnancy covered same as any Illness. Cafeteria Plan Administra on (Sec on 125, Flex Spending) ‐ NBS
Cau onary Note: Because of IRS regula ons, before elec ng pre‐tax benefits, it is impera ve that employees
understand the restric ons regarding changes to benefits during the plan year.
Health Care Reimbursement ‐ Maximum deduc on: $2,500/year Dependent Care Reimbursement ‐ Annual Maximum: $5,000/year or $2,500/year if married filing single NO FEES FOR FLEX CARDS Dental Insurance ‐ Cigna Rates are subject to change upon renewal
High, Low and DHMO Op ons Available
High Op on Calendar Year Max: $1000 (100/80/50/50); Orthodon cs $1000 Life me Max under 26, No Wai ng Periods Network www.RegionXIBC.com Radius Employee Employee Employee & Employee Only & Spouse Child(ren) & Family $29.74 $67.44 Network Radius Employee Employee Employee & Employee Only & Spouse Child(ren) & Family $22.64 $45.30 $47.56 Network Managed Dental Guard Employee Only $12.41 Employee & Spouse $19.62 Employee & Child(ren) $26.90 Employee & Family $31.95 $100.40 Low Op on Calendar Year Max: $1000 (100/80); Orthodon cs not covered. No Wai ng Periods Selecting a 30 day elimination period or less allows your benefits to begin immediately (should you be confined to the hospital as an inpatient due to your disability) and the remainder of the elimination period will be waived. Plan B Elimina on Cost Per Period $500 Elimina on Cost Per Period $500 0/7 $17.05 0/7 $14.05 14/14 $14.45 14/14 $11.40 30/30 $12.35 30/30 $8.90 60/60 $9.90 60/60 $5.95 90/90 $5.60 90/90 $3.05 180/180 $3.90 180/180 $1.85 Max Duration to age 65
Basic Life & Accidental Death & Dismemberment Eligible employees receive Basic Life and AD&D coverage as an employer paid benefit. $72.78 Voluntary Group Term Life
$10 Exam Copay/$10 Materials $125 In‐Network Frame Allowance, $70 Out‐of‐Network Frame Reimbursement, $150 Contact Lens Allowance 12/12/12/12 New Enrollee, Guarantee Issue: $230,000 or 7x Salary (lesser of) Spouse Guarantee Issue: $50,000 up to 100% of Employee Amount Child Guarantee Issue: $10,000 Pla num Employee Employee Employee & Employee Only & Spouse Child(ren) & Family $8.60 $14.65 $15.50 Voluntary Group Accidental Death &
Dismemberment Benefits available in $10,000 $23.25 increments up to $500,000. No Evidence of Insurability required. Individual and Family plan op ons are available under the AD&D. Accident Insurance ‐ Loyal American Rates are subject to change upon renewal
Ambulance and Indemnity Benefit, Hospital Benefit and AD&D Benefit, Family Lodging and Transporta on Benefit Plan Op ons Unit 1 Other Benefit Offerings Employee Employee Employee & Employee Only & Spouse Child(ren) & Family $12.70 $19.50 $20.40 MEDlink
$27.20 Iden ty The
Cancer Insurance ‐ American Public Life Rates are subject to change upon renewal
Guarantee Issue (12 Month Pre‐X); Low and High Plans offered with an op onal ICU Benefit; Includes Transporta on/Lodging Benefit, $50 Diagnos c Tes ng Benefit Tier Low Low + ICU High High + ICU TeleHealth
Individual $16.30 $19.60 $32.40 $35.70 HSA
Single Parent Family $22.80 $27.30 $44.60 $49.10 $35.90 $56.60 $63.50 Family Max Duration 2 years
Term Life Insurance ‐ UNUM Rates are subject to change upon renewal
Vision Insurance ‐ Block Vision Rates are subject to change upon renewal
Plan Op ons 2014‐2015 Benefit & Rates $61.98 DHMO Requires In‐network Providers. $5.00 Co‐pay. No Wai ng Periods, No Life me Max. Pays Based on Schedule of Benefits. Plan A $29.00 Employee/Spouse Rates per $10,000 Dependent Child(ren) Rates Age Rate Unit Rate <29 $0.45 $5,000 $0.90 30‐34 $0.60 $10,000 $1.80 35‐39 $0.70 40‐44 $0.80 45‐49 $1.20 Employee $0.40 50‐54 $2.00 Family $0.70 55‐59 $3.30 60‐64 $5.10 65‐69 $9.50 70‐74 $15.50 AD&D Rates per $10,000 Contact us now for Spring 2014 Benefits Enrollment EDUCATION SERVICE CENTER REGION 11 BENEFITS COOPERATIVE
INTERLOCAL AGREEMENT RESOLUTION AND AGREEMENT
WHEREAS,
, of
, Texas,
(“Participant”) pursuant to the authority granted under Chapter 791 Government Code, as
amended, desires to join together with other school districts, charter schools, or governmental
entities to participate in employee benefits offered by the Education Service Center Region 11
Employee Benefits Cooperative (the “ESC Region 11 BC”), holding the opinion that
participation in these programs will be beneficial to the school district, charter school, or
governmental entities and its employees;
WHEREAS, the ESC Region 11 BC is managed by a committee called the Board of Record that
consists of the superintendents or chief executive officers or their designees from each of the
Participants in the Coop;
NOW, THEREFORE BE IT RESOLVED that Board of Trustees of Participant requests the
ESC Region 11 BC to include
as a
participant. Participant acknowledges and agrees to the following:
1. The purposes of the ESC Region 11 BC are governmental functions or services that each
party to this agreement is authorized to perform individually;
2. Any obligation to pay any fees will come from current revenues available to the
Participant;
3. Such fees fairly compensate the parties performing the functions and services under the
agreement;
4. This agreement incorporates the Operational Procedures developed by the Board of
Record as it currently exists or may be hereafter amended by action of the Board of
Record;
5. Participant delegates to the Board of Record authority to modify the Operational
Procedures as the Board of Record deems in the best interests of the ESC Region 11 BC;
6. Participant delegates to the Board of Record all purchasing functions related to the
purposes of this interlocal agreement to the maximum extent permitted by law;
7. Participant shall comply with the Operational Procedures as established, modified, and/or
approved by the Board of Record;
8. The ESC Region 11 BC shall comply with the purchasing requirements for the purchase
of personal property and services as required by Chapter 44 of the Education Code and
Chapter 791 of the Local Government Code;
9. The term of this agreement shall be one year, from September 1, 2014, to August 31,
2015; and
10. Participant or the ESC Region 11 BC may terminate Participant’s participation in the
ESC Region 11 BC for any reason by giving written notice to the ESC Region 11 BC
Board of Record sixty (60) calendar days before the anniversary date of this agreement.
BE IT FURTHER RESOLVED that the Board of Trustees of Participant authorizes its
superintendent to execute any and all documents and take whatever action necessary to carry out
the desires of the Board of Trustees as stated herein.
1
I certify that the foregoing is a true and correct copy of the resolution and agreement adopted by
the Board of Trustees of
and that the same is reflected in the
minutes of the Board meeting held
.
In witness thereof, we hereunto affix our signatures this
, 20
.
day of
BY:
Signature of School Board or Charter
School Board President
Typed Name of School Board or Charter
School Board President
Signature of School Board or Charter
School Board Secretary
Typed Name of School Board or Charter
School Board Secretary
Signature of School Board or Charter
School Superintendent/Chief Financial
Officer
Typed Name of School Board or Charter
School Board Superintendent/Chief
Financial Officer
Name of Agency:
Address:
Name of Contact Person:
Phone Number:
Signature of ESC Region 11 BC Board
President
WesEversole
Typed Name of ESC Region 11 BC Board
President
Signature of ESC Region 11 BC Board
Secretary
WilliamStokes
Typed Name of ESC Region 11 BC Board
Secretary
Signature of ESC Region 11 Executive
Director
Dr. Clyde W. Steelman, Jr.
Typed Name of ESC Region 11
Executive Director
Date Approved by ESC Region 11 BC
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