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Enrollment Application and Change Form Please print in blue or black ink. Group Number 085000 www.trs.state.tx.us/trs-activecare Are you actively employed and making monthly contributions to TRS?
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TRS ActiveCare is a health insurance program for eligible public school employees and their dependents.
Public school employees who are eligible for TRS ActiveCare insurance are required to enroll in the program during the specified enrollment period.
To fill out TRS ActiveCare insurance, you need to complete the enrollment forms provided by your school district's benefits department and submit them during the enrollment period.
The purpose of TRS ActiveCare insurance is to provide affordable healthcare coverage to eligible public school employees and their dependents.
The information required to be reported on TRS ActiveCare insurance includes personal details, dependent information, and any other relevant information necessary for enrollment and eligibility verification.
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