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Insurance benefits include medical, prescription drugs, dental, vision, flexible spending accounts, health savings accounts, optional term life insurance, dependent term life insurance, accidental death and dismemberment insurance, short term disability and long term disability.

The plan administrator for ERS health plans is Blue Cross Blue Shield of Texas (BCBSTX). OptumRx is the prescription drug provider.

Summer enrollment in State of Texas-sponsored health and optional benefits is scheduled each summer. Enrolled employees with a qualifying life event such as marriage, divorce, birth or adoption of a child may adjust benefits to accommodate that change within 30 days of its occurrence.