Welcome

Eligibility

As a fulltime employee regularly working 30 or more hours per week, you and your qualified dependents are eligible to enroll in our group benefit plans. You are eligible to participate in the North Texas Preferred Health Partners benefits program on the first day of the month that follows your date of hire. It is your responsibility to enroll in and manage your benefits program. An employee’s spouse and children who are under the age of 26 are eligible for coverage. 

Enrollment Forms

2025 Benefits Guide

Benefit Election | Employee Acknowledgement of Receipt of SPD

Informational Notices

Wrap Summary Plan Description | Wrap Plan Document | Premium Conversion Plan

Contribution

NTPHP contributes towards the employee-only medical, and 100% towards the employee only dental and vision plan costs. You are responsible for any difference in the employee cost and 100% of dependent costs. Employees electing the HDHP must open an account with Optum Bank in order to receive the employer HSA contribution, they may also contribute additional funds to their Health Savings Account through payroll deductions. The combined employer and employee HSA contributions may not exceed the IRS annual contribution limits.

Employee Portion

The employee portion of the costs is included below for policy period January 1, 2025 to December 31, 2025. 

Semi-Monthly Cost Medical Dental Vision
DQ5J EPO Plan $2500 EABA EPO HSA $4000 EABU EPO HSA $6350 DQ2J HMO Plan $2000 EACU HMO HSA $4000 EACF HMO HSA $6350
Employee Only $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Employee & Spouse $392.08 $331.95 $284.44 $325.51 $308.26 $264.13 $24.25 $3.52
Employee & Child(ren) $391.29 $331.28 $283.87 $324.78 $307.63 $263.59 $39.08 $3.91
Employee & Family $783.54 $663.23 $568.30 $683.85 $615.89 $527.71 $71.90 $7.59

Employees electing the HDHP EPO HSA plan $4000 will receive, from their employer, a contribution to their HSA account of $120.00 per month, $220.00 per month for the HDHP PPO HSA plan $6350, $170.00 per month for the HDHP HMO HSA plan $4000, and $260.00 per month for the HDHP HMO HSA plan $6350.

Enrollment

You must enroll prior to the effective date, and you are responsible to enroll and manage your benefit selections. 

Details of each plan are contained in various insurance contracts and other legal documents. In the event of a conflict between information contained here and the contracts and plan documents, the contracts and plan documents prevail.

Medical

Medical Benefit Plan Description

North Texas Preferred Health Partners offers medical coverage with United Healthcare and offers multiple plan options.  To review the plans please click the links below. Employees electing an HDHP/HSA plan must complete the HSA enrollment forms in order to receive employer contributions to their HSA account.

UHC Medical Benefit Summary
DQ5J EPO $2500 | EABA EPO HSA $4000 | EABU EPO HSA $6350 | DQ2J HMO $2000 | EACU HMO HSA $4000 | EACF HMO HSA $6350

UHC Medical Certificate of Coverage
DQ5J EPO $2500 | EABA EPO HSA $4000 | EABU EPO HSA $6350 | DQ2J HMO $2000 | EACU HMO HSA $4000 | EACF HMO HSA $6350

Group Number: 939981 - Please have your Group Number & Identification Number available when contacting the insurance carrier.

OnePass Select | Maternity Support

NOTE: The HMO plans are with the Navigate HMO provider network.

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Sign-up for myUHC.com

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Use the mobile app to access provider finder, get your ID card, view benefits and claims.

Claims & Customer Service: 1.800.585.6586 | HealthSafe ID Online Registration | Provider Finder | Wellness Site | Rx Mail Order Program | Step Therapy | Preferred Drug (3 Tier Formulary) | Preferred Drug (4 Tier Formulary)

UHC Rewards | 24-7 Virtual Care | Real Appeal | Digital Tools | EAP | myuhc.com Account Activation Instructions

UHC'S PPO FAQs

It's 8 p.m. and you remember you were supposed to order a health care ID card for your son going off to college.

Now what do you do?

Go to google_play_icon

Registration to use myuhc.com is quick and simple. All you need is Netscape or Internet Explorer 4.0 or higher. Once you register, a password will be mailed to your home. You will have full access to the myuhc.com site once you receive your password (5-7 days).*

United Healthcare is pleased to offer you a powerful new way to manage your health care. Myuhc.com is a self-service health and well-being website for UnitedHealthcare members. It is secure and easy to use. Through myuhc.com, you will be able to:

  • Make real-time inquiries into the status and history of your health claims
  • View your eligibility information
  • Search for providers available in your plan through our online provider directory
  • Select a new Primary Physician
  • Order a new or replacement ID card
  • Access a wealth of health and well-being information

With myuhc.com, you are connected directly to UnitedHealthcare's administrative systems in a real-time environment. You can, of course, still call us and enjoy our industry-leading customer service. But we think you will enjoy the convenience and simplicity of myuhc.com. Your requests will be processed and confirmed quickly and accurately.

In addition to these health benefit transactions, myuhc.com provides access to a wealth of personalized health information, email newsletters, live events, quarterly health information packages, and interactive tools such as health quizzes. All designed with you in mind.

Myuhc.com helps you manage your personal health care so you can make better, more informed health care decisions. It's what works for you.

Register today to get your password and take control of your personal health and well-being.

* With myuhc.com, you'll be granted partial access to the site even before your password is delivered! Instant access will allow you to log on immediately. You'll be able to access and customize health and well-being information and run generic self-service transactions to get an idea of what you'll be able to do with myuhc.com once your password arrives.

 

Dental

Dental Benefit Plan Description

North Texas Preferred Health Partners offers dental coverage through United Healthcare. Your dentist office will need the social security number of the insured employee to access benefits. To review the plan please click the link below.

Dental Benefit Summary

UHC Dental Certificate of Coverage

Group Number: 939981 - Please have your Group Number & Identification Number available when contacting the insurance carrier.

lb_uhc-logo

Sign-up for myUHC.com

apple_app_store_icongoogle_play_icon

Use the mobile app to access provider finder, get your ID card, view benefits and claims.

Claims & Customer Service: 1.800.585.6586

HSA

HSA Custodian

Health Savings Accounts are savings accounts that allow employees to pay for qualified out-of-pocket medical, dental and vision expenses using pre-tax dollars. The funds in the HSA belong to the employee and the employee can spend their funds as they wish. The funds may be used to pay any eligible expense incurred by the employee and their immediate family members. In order to establish an HSA, the employee must enroll in a qualified High Deductible Health Plan (HDHP). In order for expenses to be eligible for reimbursement from an HSA, the account must be open prior to incurring the expense.

Your employer has elected to use Optum Bank as their HSA custodian for employee deposits. You will need to establish an HSA account in order to receive employer and/or employee contributions. You may have additional HSA accounts and you may elect to transfer funds to other HSA accounts with investment options.

Employees may contribute funds through payroll deductions to their Health Savings Accounts. The IRS provides annual maximum contributions limits which are the annual limits for combined employer and employee contributions.  Key HSA Features

Enrolling in benefits for the first time or becoming eligible for Medicare creates partial-year eligibility HSA contribution questions. HSA Contributions and Partial-Year Eligibility | HSA & Medicare

Investment Options | Income Tax Regulations / Eligible Expenses / Medicare and HSA's

Optum Bank HSA enrollment form is online.

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Life

Life Benefit Plan Description

North Texas Preferred Health Partners offers Life coverage through Dearborn National/BCBS. To review the plan please click the link below.

Life/AD&D Benefit Summary
Voluntary Life/AD&D Benefit Summary
Voluntary Life/AD&D Rates
Evidence of Insurability Information

Beneficiary Review Guide

Dearborn National/BCBS Certificate of Coverage
Life/AD&D & Voluntary Life/AD&D

Providing for your family in the event or your death is a fundamental of risk management. And life insurance benefits that replace your income may be one of the best ways to meet your family’s ongoing financial needs. This calculator is designed to help you estimate the amount of life insurance you would need to produce a sufficient income stream for your family.

Group Number: VF027881 - Please have your Group Number & Identification Number available when contacting the insurance carrier.

dearbornbcbs-tx

Claims & Customer Service: 1.877.442.4207 Beneficiary Resource Services | Dearborn Cares - Support for Beneficiaries | Travel Resources | Downloadable Forms

If you need additional life insurance for yourself or other family members, or if you simply want to compare individual term life insurance rates, click here for additional insurance quotes and information.

Vision

Vision Benefit Plan Description

North Texas Preferred Health Partners offers vision coverage through United Healthcare. Your vision provider will need the social security number of the employee and the group number to access benefits. To review the plan please click the link below.

Vision Benefit Summary

UHC Vision Certificate of Coverage

Group Number: 939981 - Please have your Group Number & Identification Number available when contacting the insurance carrier.

 

Customer Service & Provider Locator: 800-638-3120

Disability

Disability Benefit Plan Description

North Texas Preferred Health Partners provides Long Term Disability and Short Term Disability coverage through Dearborn National/BCBS. To review the plans please click the links below.

Benefit Summary
Long Term Disability | Short Term Disability

Dearborn National/BCBS Certificate of Coverage
Long Term Disability | Short Term Disability

Chances of Disability Protect Your Most Valuable Asset – Your Paycheck | Real-life Disability Story Videos | Disability Insurance Calculator

Group Number: VF027881 - Please have your Group Number & Identification Number available when contacting the insurance carrier. bcbs-tx

Customer Service: 877.442.4207 | Member Flyer | Disability Resource Services | Downloadable Forms

Legal Plan

Affordable, Personal Legal Services

MetLife Legal Plans provides you and your family members with convenient access to legal services at an affordable monthly cost. Many consumers who need a lawyer do not seek legal help, partly because they fear the cost or struggle to find the right attorney. MetLife Legal Plans offers fully covered legal services for $24 per month through payroll deduction. Enroll online during Annual Enrollment or when you are newly hired.

Legal Plan attorneys: https://www.legalplans.com/

MetLife Legal Plan Overview

Compliance

NTPHP 2024-2025 Legal Notice Medicare Part D Notice of Creditable Coverage For Active Employees

Health Insurance Exchange Notice

The following is a compilation of various required federal compliance notices which are to be provided to employees. If you have questions or need a copy of a specific notice, please contact your Human Resources administrator. If any conflicts between the plan documents and the information provided exist, the plan document language is to be relied upon.

The information and notices are provided in the following order:

New Hires / Upon Eligibility for Health Plan  Upon Enrollment in Group Health Plan

*Documents Included in Wrap Summary Plan

Upon Coverage Termination General