Benefits

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Annual Enrollment will be July 15, 2020 - August 7, 2020.  Click on the Annual Enrollment link below to access the Enrollment Presentation:

 

Annual Enrollment Presentation

 

GCCISD Employee Wellness Clinic Now Open(For Benefits Eligible Employees Only)

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Operating days and times are listed below:

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  • Monday 10 AM – 6 PM
  • Wednesday 10 AM – 6 PM
  • Friday 10 AM – 6 PM

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Visits are set up by appointment only!  To schedule an appointment you can call (281) 707 - 3411, go online to www.nextlevelurgentcare.com, or downlad the app by texting NLUCAPP to 313131.

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COVID - 19 Information

Goose Creek CISD follows the guidance and expertise of national and local health officials to help protect our students and staff from all communicable diseases. The District is aware that the Texas Department of State Health Services (DSHS) along with the Centers for Disease Control & Prevention (CDC) are monitoring an outbreak of respiratory illness COVID-19, caused by a new coronavirus first identified in Wuhan, Hubei Province,  China.

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For additional information on the Coronovirus (COVID-19) please click here.

Contact Information

Please send all Benefits Department correspondence to:
benefits@gccisd.net | Fax number: 346-216-3000
Benefits Department
Name
Title
Email
Phone
Stephanie Myers
Coordinator
281.707.3601
Vanessa Garcia
Benefits Clerk [Services Employees A-L]
281.707.3599
Vanessa Williams
Benefits Clerk [Services Employees M-Z]
281.707.3886
Leticia "Letty" Arredondo
Workers' Compensation Specialist
281-707-3705
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COBRA
Employee Assistance Program
Privacy Act Notification

Provider Contact Information

Benefit
Vendory
Phone
Website
Medical
TRS ActiveCare BCBS
866.355.5999
403(b) Retirement Plan
TCG Administrators
800.943.9179
457 Retirement Plan
TCG Administrators
800.943.9179
Accident Insurance
MetLife
800.438.6388
Basic Term Life and Group Term Life Insurance
Sun Life
888.724.0525
Cancer Plan
American Fidelity
800.662.1113
Critical Illness
AFLAC
800.433.3036
Dental Insurance
Humana
800.233.4013
Flexible Spending Accounts (FSAs)
First Financial Group
866.853.3539
Gap Insurance
NexStep
800.767.6811
Health Savings Account (HSA)
First Financial Group
866.853.3539
Individual Life Insurance
Texas Life
800.283.9233
Legal Plan
ARAG
800.247.4184
Long-term Disability (Short-term)
Standard
855.757.4717
Mail Order Prescriptions
CVS/CareMark
800.222.9205
Vision Insurance
Ameritas
800.877.7195
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Benefit Options

  • Vision—Ameritas
    • $10 co-pay for eye exam
    • $10 co-pay for eyeglass basic lenses
    • $180 frame allowance OR $180 contact lens allowance
    • Frequency of benefit: Exam—once every 12 months; lenses or contact lenses— once every 12 months; frame—once every 12 months
    • Must choose an in-network provider for less out-of-pocket expense
    • Employees will receive ID cards via USPS
  • Accident Plan - Metlife

    This plan is designed to help you cope with the costs associated with unexpected accidents. Despite having health insurance, out-of-pocket costs may add up quickly when you factor in expenses like co-payments and deductibles.

     

    Critical Illness Plan - AFLAC

    Receiving news that you’ve been diagnosed with a critical illness can impact your financial and emotional stability. Paying for treatment can be costly and your savings may not cover everything. These plans are designed to help you through the illness.

     

    Cancer Plan - American Fidelity

    If you are suddenly diagnosed with cancer, it might present a challenge to your family’s financial and emotional stability. This plan can help provide financial security as you undergo treatment and are not able to work.

     

    Legal Plan - ARAG

    This plan can give you the peace of mind to know that you have access to legal assistance for qualifying services when you need it.

     

  • Flexible Spending Accounts (FSAs)

    Flexible spending is medical reimbursement account that allows you to set aside money from your paycheck to use for medical, dental, vision, and prescription cost for you and your dependents. Maximum benefit amount per year is $2750.

     

    If funds are not used by 08/31/2020, you lose them.

     

    Dependent Care Account

    Dependent reimbursement account allows you to set aside money from your paycheck to use for child care expenses for children up to age 13, or disabled dependents.

     

    If funds are not used by 08/31/2020, you lose them.

     

    Health Savings Account (HSA)

    Employee only coverage

    Medical reimbursement account that allows you to set aside money from your paycheck to use for medical, dental, vision, and prescription cost for you. Maximum bene t amount per year is $3500.

     

    Account balance will rollover from year to year.

     

    Family coverage

    Medical reimbursement account that allows you to set aside money from your paycheck to use for medical, dental, vision, and prescription cost for you. Maximum benefit amount per year is $7000.

  • DHMO - Humana

    • No claim forms
    • No deductibles
    • No pre-existing conditions
    • No annual maximum
    • Must choose from the Directory of Dentists
    • Orthodontia coverage for up to 24-months
    • New enrollees will receive ID card via USPS

     

    PPO - Humana

    • Freedom to choose dentists in- or out-of-network
    • Out-of-pocket costs are lower if you chose from the Preferred Provider list of “in-network” dentists
    • Annual deductible of $50 per individual; $150 per family; annual maximum benefit of $1,500 per person per year
    • Preventive care (e.g., cleaning, exams) is paid at 100% and not subject to the deductible
    • Basic restorative care (e.g., x-rays, fillings, gum treatments) is paid at 80% up to annual maximum
    • Major services are covered at 50% up to annual maximum
    • Twelve-month waiting period for major services
    • Orthodontia lifetime maximum of $1,000, for eligible dependents under age 19
  • Life Insurance - SunLife Group Term

    • Coverage available for spouse and child(ren) ONLY if you have coverage for yourself
    • For amounts of coverage still in underwriting after September 1, 2017, the effective date of coverage will be the first day of the month following the date of approval by Sun Life
    • This policy has age-banded rates for employees, spouse and children. The policy will age the insured as of their age on September 1 of each year and rates will be based on your age-band for that plan year

     

    Life Insurance - Texas Life Whole Life

    • Express Issue coverage available for employee, spouse, child(ren) and grandchildren
    • Chronic Illness Rider – the policyholder is eligible to withdraw 92% of the face value to help cover the cost of unexpected expenses caused by long term care facilities and in home nursing. See brochure in Reference Center for details.
    • Employees age 49 and under: eligible to receive up to $300,000 Express Issue
    • Employees age 50-65: eligible to receive up to $100,000 Express Issue
    • Spousal express issue coverage up to $50,000, varies based on spouse age.
    • Additional coverage amounts available subject to medical underwriting and approval.
    • Child(ren) and Grandchildren eligible to receive up to $50,000
  • Disability Combination Plan—Standard (Short and Long Term Disability)

    • Pays 60% of salary up to $8000 a month.
    • 7, 14, 30, 60, 90, 180 days elimination period.  (Elimination period is how long you have to be off work before your disability payment will start.)
    • Guaranteed issue coverage for everyone, pre-existing may apply
    • Policy pays from according to elimination period up to a maximum of 90 days for short term benefits.
    • Pays after day 90, up to social security age or retirement for long term benefits.

Employee Resources

Employee Assistance Program

The Employee Assistance Program assist you with providing services such as:

  • Confidential Counseling on Personal Concerns for up to 3 sessions per person, per problem, per year.
  • Referrals and Resources for Work-life Needs
  • Legal information, Resources and Consultation
  • Financial Information, Resource Tools
  • Free Online Will Preparation

 

Please note that these services are free and confidential.

 

Employee Assistance Program Flyer

Houston Methodist Complimentary Assistance Program

Services provided:

  • Preferred access to Houston Methodist
  • Priority primary care appointments within two business days
  • Dedicated Goose Creek liaisons to coordinate services and care

 

Complimentary Assistance Program Flyer

Wellness

The GCCISD Employee Wellness Clinic is now open!  The clinic is located at 2102 E Archer Rd, Baytown, TX 77521 (Stallworth Stadium, behind Gate 3).  We are open to see full-time eligible employees on Mondays, Wednesdays, and Fridays from 10 AM - 6 PM.  All employees must schedule an appointment to be seen by using one of the following methods:

 

  • Call (281) 707 - 3411
  • Go online to www.nextlevelurgentcare.com, click on Onsite Clinic and Goose Creek
  • Download the Next Level App, click on 3 white bars on the top left of the screen and select schedule.

 

The Wellness Clinic is available to all full-time eligible employees regardless of their insurance coverage.  Employees can be seen for acute medical care such as: colds, flu, strep, infections, or other minor conditions.  All services provided at the clinic are free of charge to the employee.

 

Click on the link below for more information:

 

GCCISD Health Clinic

Sick Leave Bank

The Sick Leave Bank (SLB) is a voluntary pool of local leave days for a full-time District employee whose documented health condition extends beyond his or her own accumulated state and local leave.

 

A maximum of 60 SLB leave days may be granted in a school year.

 

An illness or injury is a condition or combination of conditions that:

  1. Is life-threatening, requires 5 or more days of hospitalization or major medical treatment, such as surgery, chemotherapy, and radiation; and requires the services of a licensed healthcare provider throughout the period of the sick leave; or
  2. Has totally physically incapacitated the individual from work; and requires the services of a licensed healthcare provider throughout the period of the sick leave.

 

To be eligible to apply for SLB leave, an employee must participate in the SLB, must have used all available compensatory time and all available state, local, and/or vacation leave days, and must have been absent due to a documented health condition for at least two consecutive workdays.

Family Medical Leave Act

FMLA requires covered employers to provide up to 12 weeks of unpaid, job-protected leave to eligible employees for the following reasons:

  • For incapacity due to pregnancy, prenatal medical care or child birth;
  • To care for the employee’s child after birth, or placement for adoption or foster care;
  • To care for the employee’s spouse, son or daughter, or parent, who has a serious health condition; or
  • For a serious health condition that makes the employee unable to perform the employee’s job.

 

As a requirement for FMLA, employees must be employed with the district at least 12 months prior to taking medical leave.

Temporary Disability Leave

Any full-time employee shall be eligible for temporary disability leave due to their own serious medical condition. The maximum length of temporary disability leave shall be 180 calendar days, which runs concurrent with Family Medical Leave.

Alliance Medical Centers

Goose Creek employees who have reported an injury on the job may go to their own doctor if he/she is on The Political Subdivision Workers' Compensation Alliance list of medical providers. For a complete list or to search specific doctors please go to www.pswca.org .

Occupational Medicine-Norman Quesada M.D.

Houston Methodist San Jacinto Occupational Health Clinic

TMH Physician Associates, PLLC

dba Methodist Academic Medicine Associates

1677 West Baker Road

Baytown, TX 77521

Phone: 888-977-3319

Fax: 877-769-0320

Office Hours: 8 AM - 4 PM, Monday - Friday

 

(Please contact before you go)


 

Lorenzo Perez MD

AFC Urgent Care

American Family Care General Medicine

8831 N. Hwy 146

Baytown, TX 77523

Phone: 281.573.4100

Fax: 281.533.8354

Office Hours: 8 AM - 8 PM, Monday - Sunday

Located by I-10 and Hwy 146 Wal-Mart

 

(Please contact before you go)

Primary Care Clinic, Urgent Care

US Health Works

1309 W. Fairmont Pkwy., Suite S

La Porte, TX 77571

Phone: 281.470.0543

Fax: 281.470.1542

Office Hours: 8 AM - 5 PM, Monday - Friday

 

(Please contact before you go)


 

Anthony Capili MD and John Redman MD

West Chambers Medical Clinic Family Medicine

9825 Eagle Drive

Baytown, TX 77523

Phone: 281.576.0670

Fax: 281.576.0673

Office Hours: 7:15 AM - 5:30 PM, Monday - Friday

Saturday, 8 AM - 12 PM


 

Houston Methodist San Jacinto Emergency Room

4401 Garth Road

Baytown, TX 77521

Phone: 281.420.8600

Office Hours: Open 24 Hours a day, 7 days a week

Workers' Compensation

Workers' Compensation is a state-regulated insurance program that provides employees with income and medical benefits if they sustain a work-related injury or illness.

 

Workers' Compensation pays for work injury medical bills and replaces a portion of your lost wages. 

  • Procedures

    All principals, assistant principals, supervisors, nurses, secretaries and administration personnel are required to immediately report any on the job injury an employee reports to them, or one of which they have knowledge to their campus or department WC reporting contact. 


    Campus/department WC contacts must file the online First Report of Injury (FROI) on all incidents and injuries and ensure the following is done within 24 hours.

     

      Do you need help with the FROI? 

      These instructions will walk you through the process and give you answers when you are not sure.

      Remember!

      A FROI must be filed on all incidents or injuries regardless of loss time, medical treatment, or if employee refuses to sign or cooperate!