ALERT - Visitation
YouTube icon image 

Health Insurance

New Hires and retirees will have a health coverage waiting period if there is no continuous Texas Employees Group Benefits Program (GBP) or state coverage. Health coverage will begin the first day of the month after the 60th day of employment. Health coverage includes comprehensive health and prescription drug benefits, along with the State paid $5,000 basic term life and $5,000 AD&D coverage. Employees enroll based on the county where they live or work.

The State pays the total cost of health coverage for full-time employees, and pays 50% health coverage costs for full-time employees’ eligible dependents. For part-time employees the State pays 50% of health coverage for employees and 25% for eligible dependents.

HealthSelect

HealthSelect of Texas, Blue Cross Blue Shield of Texas, is available to all State employees.

Co-payment

The co-payment amount is $25.00 per office visit when utilizing the selected primary care physician (PCP).

Network

  • 80/20
  • no deductible
  • $2,000 per person calendar year out-of-pocket coinsurance expense

Non-network

  • 60/40
  • $500 individual deductible
  • $7,000 per person calendar year out-of-pocket coinsurance expense

Out-of-area

  • 70/30
  • $200 individual deductible
  • $3,000 per person calendar year out-of-pocket coinsurance expense

Health Maintenance Organization (HMO)

Rates vary and coverage is not available statewide. HMOs are available to employees if you live or work in a county served by an HMO.

Co-payment

  • $25 per office visit
  • $150 day plus 20% for inpatient hospital care
  • $750 maximum up to 5 days per hospital stay

No evidence of insurability (EOI) is required and retirees are eligible for coverage.

Premium Conversion

Insurance premiums, other than for dependent life, short and long term disability, are deducted from gross pay prior to social security and federal withholding taxes.

Page updated: 10/12/2017