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Phone 1-800-521-2227 Blue Cross/Blue Shield Texas website Group# 041672 ID Number is 921 followed by the Round Rock ISD six-digit employee ID#

Round Rock ISD offers employees and their families a self funded health plan with three coverage options. Details of each plan may be viewed by selecting the plan name. Each plan has the same preventive care benefit. The deductibles, co-share and co-pays vary between the plans. Changes between plans may be made only during Open Enrollment.

Standard Health Plan
Coverage Total Cost of Coverage District Contribution Cost to Employee
Employee Only

$400

$400

$0

Employee/Child(ren)

$792

$400

$392

Employee/Spouse

$1,053

$400

$653

Employee/Family

$1,187

$400

$787

*If employee and spouse both work for the district, contact the Benefit Office for rates
Intermediate Health Plan
Coverage Total Cost of Coverage District Contribution Cost to Employee
Employee Only

$468

$400

$68

Employee/Child(ren)

$950

$400

$550

Employee/Spouse

$1,335

$400

$935

Employee/Family

$1,522

$400

$1,122

*If employee and spouse both work for the district, contact the Benefit Office for rates
Premium Health Plan
Coverage Total Cost of Coverage District Contribution Cost to Employee
Employee Only

$595

$400

$195

Employee/Child(ren)

$1,173

$400

$773

Employee/Spouse

$1,707

$400

$1,307

Employee/Family

$1,971

$400

$1,571

*If employee and spouse both work for the district, contact the Benefit Office for rates
Substitute Health Plan
Coverage Total Cost of Coverage District Contribution Cost to Employee
Employee Only $320.04 $225 $95.04
Employee/Child(ren) $639 $225 $414