North Texas Preferred Health Partners 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.
Benefit Election Notice | Online Enrollment Notice | Enrollment Login | Employee Acknowledgement of Receipt of SPD
Wrap Summary Plan Description | Wrap Plan Document | Premium Conversion Plan
NTPHP contributes towards the employee-only medical, and 100% towards the employee only dental and vision plan costs. The employee is responsible for for any difference in the employee cost and 100% of dependent costs. NTPHP provides basic life, long term disability, and short term disability insurance. The employee may purchase supplemental life insurance for themselves and their eligible dependents. 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.
The employee portion of the costs is included below for policy period January 1, 2024 to December 31, 2024.
| Semi-Monthly Cost | Medical | Dental | Vision | |||||
| PPO Plan $2500 | PPO HSA $4000 | PPO HSA $6000 | HMO Plan $1500 | HMO HSA $4000 | HMO HSA $6000 | |||
| Employee Only | $5.68 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Employee & Spouse | $371.47 | $322.07 | $269.94 | $247.09 | $232.96 | $195.21 | $19.84 | $2.91 |
| Employee & Child(ren) | $370.73 | $321.43 | $269.40 | $246.47 | 232.49 | $194.82 | $31.97 | $3.23 |
| Employee & Family | $736.51 | $643.50 | $539.34 | $550.27 | $465.44 | $390.03 | $58.82 | $6.28 |
Employees electing the HDHP PPO HSA plan $4000 will receive, from their employer, a contribution to their HSA account of $75.00 per month, $180.00 per month for the HDHP PPO HSA plan $6000, $250.00 per month for the HDHP HMO HSA plan $4000, and $330.00 per month for the HDHP HMO HSA plan $6000.
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.
North Texas Preferred Health Partners offers medical coverage with BlueCross BlueShield 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.
BCBS Medical Benefit Summary
PPO $2500 | PPO HSA $4000 | PPO HSA $6000 | HMO $1500 | HMO HSA $4000 | HMO HSA $6000
BCBS Medical Certificate of Coverage
PPO $2500 | HSA $4000 | HSA $6000 | HMO $1500 | HMO HSA $4000 | HMO HSA $6000
Group Number: 333817 Please have your Group Number & Identification Number available when contacting the insurance carrier.
Blue Access for Members Virtual Tour | Go Mobile with the BCBSTX App
Use the mobile app to access provider finder, get your ID card, view benefits and claims.
Claims & Customer Service: 1.800.521.2227 | Making Your Insurance Work For You | Provider Network | PPO & HMO Provider Finder Instructions | Sanitas Medical Centers
Wellness Services | Wellness Site | Blue Points Reward Program | Member Rewards | Fitness Program | Behavioral Health | Blue365
BCBS Claims Online | BCBS Rx Claims | Preferred Pharmacy Network | Express Scripts Mail Order Pharmacy | Rx Formulary | Downloadable Forms
Blue Cross Blue Shield PPO FAQs
Refer to your Combined Evidence of Coverage and Disclosure Form or Plan Agreement for a more detailed listing of benefits and coverage, including exclusions, limitations and conditions applicable.
North Texas Preferred Health Partners offers dental coverage through BlueCross BlueShield. 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.
Group Number: 333817 Please have your Group Number & Identification Number available when contacting the insurance carrier.
Member Services: 1.800.521.2227 | Provider Finder
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 & MedicareInvestment Options | Income Tax Regulations / Eligible Expenses / Medicare and HSA's
Optum Bank HSA enrollment form is online.
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
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.
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.
North Texas Preferred Health Partners offers vision coverage through Dearborn National/BCBS. 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.
Dearborn National/BCBS Vision Certificate of Coverage
Group Number: VF027881 Please have your Group Number & Identification Number available when contacting the insurance carrier.
Customer Service: 855.556.8796 | Vision Benefit Information & Resources | Vision Benefit App - Powered by EyeMed
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.
Customer Service: 877.442.4207 | Member Flyer | Disability Resource Services | Downloadable Forms
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/
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*Documents Included in Wrap Summary Plan
Upon Coverage Termination General
