Individual and Family Plans
Traditions, Engage, and Saver

Welcome to the renewal center!
This center contains all the forms you need to change your current coverage.
You recently received your renewal letter in the mail giving you our good news about your November 1 renewal! The cost of your medical plan will not change when it renews on November 1, and your benefits will remain the same. If you also have prescription drug coverage, there will be no change in cost or benefits.
Please note: Even though our rates remain the same, some of you have had birthdays and will move to a new age bracket with higher rates. If you or another adult on your plan will be age 30, 35, 40, 45, 50, 55, 60, or 65 on or before October 31, 2011, we want to help you review your choices for a lower-cost plan. Please call our renewal team at 877-845-3902 Monday - Friday, 8 to 5.
Please note that this is the only time during the year (renewal) that you can add or drop optional coverages (prescription drug, dental, and life insurance). Applications for prescription drug coverage are subject to medical review---prescription drug coverage is not guaranteed.
Dental rates will change on November 1. If you currently have dental coverage, provided by MetLife, please note the following change:
| Current Premium | Effective November 1 |
| $27 single/ $80 family | $29 per person |
Some helpful things for you to remember...
If you want to make changes you will need to submit the appropriate form from the list below. If you need us to send you a form, call us at 877-845-3902. Completed forms must be received in the Scott & White Health Plan office by November 1, 2011.
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I want to... |
Form Required |
| Keep my current coverage without making changes |
There's nothing more you need to do. |
| Change to a new medical plan option* |
Enrollment Change Request Form |
| Add or drop Prescription Drug Coverage |
Prescription Drug Coverage Application |
| Add or drop Dental coverage | Dental Coverage Enrollment Form Health Plus Disenrollment form |
| Add or drop Life insurance coverage | Life Insurance Application Health Plus Disenrollment form |
*Changing to a new medical or prescription benefit plan may require Medical Underwriting. Acceptance is not guaranteed. If Medical Underwriting denies your plan change, you may remain on your current medical plan.
| Submit forms during September & October for a November 1 effective date. Remember, your forms must be received by November 1, 2011. |
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Mail |
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Fax 254-298-3567 |
| Questions? Call 877-845-3902 from 8 a.m. to 5 p.m., Monday - Friday. If you would like us to call you, please submit our Call Request form. |
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