Benefits FAQs
Learn about our most frequently asked questions. If you cannot find the answer to what you're looking for, please contact hr@txstate.edu or call 5.2557.
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Insurance
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How can I view my Benefits Summary?
A summary of an employee’s insurance coverage can be viewed within the ERS online portal. Once an ERS online account has been created, employees can use this portal to view their benefits summary, make insurance changes, and update beneficiary information.
Employees can also see their benefits by logging in to the SAP Portal and clicking on “My Benefits”.
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When can I make changes to my insurance?
New employees will have 31 days, including their date of hire, to make changes to their insurance coverages.
Existing employees can only make changes to their insurance during two periods. The first is during Open Enrollment which occurs each June through July. All changes made during this time go into effect on September 1st. Outside of Open Enrollment, employees are only able to make changes to their insurance coverages within 31 days of experiencing a Qualifying Life Event. Changes can be made by going online to the ERS online portal or by contacting the HR Benefits team.
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I will be separating from the university. When does my insurance end?
Insurance coverage will be active through the end of the month which you separate. For example, if your last day worked is April 13th, your insurance coverage will be active through April 30th.
After you leave state employment, you will be eligible to continue your insurance coverages under COBRA for up to 18 months. This coverage is coordinated directly with ERS. More information can be found on their COBRA Continuation Coverage webpage.
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Who is eligible to be added to my insurance plan?
Employees, their spouses, and their children are eligible to participate in the Group Benefits Program (GBP) administered by ERS. An employee’s spouse and children must meet the eligibility requirements to be added to coverage.
Employees cannot cover the following family members:
- ex-spouses,
- children who have reached or passed their 26th birthday, unless they are disabled*
- grandchildren who are not claimed on your federal income tax return and
- parents or grandparents.
*In order to continue coverage for a disabled dependent, you MUST submit an application to ERS before the 1st of the month following your covered child’s 26th birthday.
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How do I designate an insurance beneficiary?
Employees can designate a beneficiary for their life insurance by logging in to the ERS online portal. The step-by-step instructions on how to assign or change a beneficiary can be found on ERS’ webpage for Beneficiary Designation.
Employees should also designate a beneficiary for their retirement account by completing a TRS 15 and mailing directly to TRS. They do not allow changes to be made over the phone or online.
Teacher Retirement System of Texas
1000 Red River St.
Austin, TX 78701
Employees can view their current beneficiary designation by logging in to the TRS online portal.
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When do I need a referral from my Primary Care Physician (PCP)?
Referrals are required when receiving care under the HealthSelect of Texas In-Area plan. There are certain exceptions in which you do not need a referral, such as:
- Chiropractic visits
- Eye exams (both routine and diagnostic)
- Mental health counseling
- OB/GYN visits
- Occupational therapy, physical therapy, and speech therapy
- Virtual Visits, Urgent Care Centers, and Retail Health Clinics
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How can I assign a new Primary Care Physician (PCP)?
Employees who are enrolled in the HealthSelect of Texas In-Area plan must designate a PCP. A PCP is responsible for coordinating care, making referrals to see specialists, and writing orders for lab and imaging services.
Employees can change their PCP at any time by calling a BCBSTX Personal Health Assistant toll-free at 800-252-8039 or by logging in to Blue Access for Members.
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I signed up for the ConsumerDirected HealthSelect plan, how do I take advantage of the Health Savings Account included?
Employees who are enrolled in the ConsumerDirected HealthSelect plan will need to open their Optum Bank HSA as soon as possible so that they can begin getting the state’s contribution and access their funds. To open an account, employees can visit the Optum Bank HSA Online Enrollment website. For more information and frequently asked questions, visit ERS’ website for Health Savings Accounts.
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Summer Insurance
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I am working Summer 1 only. What months do I need to make payments?
You will need to make a payment for August only, since you will be paid on July 3 and August 1 for Summer 1.
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I am working Summer 2 only. What months do I need to make payments?
You will need to make a payment for June only, since you will be paid on August 1 and September 1 for Summer 2.
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I am being paid by a grant over the summer. Do I need to prepay?
If you will receive a payment from your grant for all three summer months, then you do not need to prepay as deductions will be taken from your paycheck as usual.
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I’m not sure if my class will make. Should I prepay?
You can either prepay or plan to pay by credit card/electronic check if the class does not make. If you prepay, but your class does make, we will refund the overpayment at the time you are paid. If you are in this situation, please email hrbenefits@txstate.edu.
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Can I pay by credit card or electronic check?
Yes! You may pay by credit card or electronic check by visiting our TouchNet website. If you are receiving pay from TXST over the summer, please do NOT pay by this method. Your insurance deductions will come out of the paychecks that you receive.
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Retirement
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How much can I contribute to a voluntary savings plan?
You may defer up to the limits shown below. These limits apply to the 403(b) Tax Deferred Account and the TexaSaver 457 Plan. You can contribute the maximum to each of these programs.
YEAR Deferral Amount
Age 50-Catch-up Amount*
2023 $22,500 $7,500 *These limits may be indexed for inflation in increments of $500 each year.
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Can I use any company and any representative I want for my 403(b) tax deferred account?
No, you must use one of our approved companies and one of the assigned representatives. You can find a list of the approved companies & representatives on the Human Resources website.
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If I am not satisfied with the 403(b) company that I choose, can I switch companies?
Yes, you can change companies each payroll cycle. You have the choice of leaving the money you have contributed with the old company or rolling it to the new one. You can find a list of approved companies on the Human Resources website. Please note that you must notify our office of the change by completing the form titled ORP/TDA Change of Carrier on our HR Forms page.
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Can I contribute to both a 457 Plan and a 403(b) tax deferred account?
Yes. In 2023, you can contribute $22,500 to each and if you are age 50 or older by the end of the calendar year, you may contribute another $7,500 to each.
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Can I borrow from my TRS account?
No, the Teacher Retirement System does not allow this. Other considerations may be your 403(b) TDA or your Texa$aver (457) Plan if you are enrolled in either of those plans. Contact your TDA vendor representative for options. Contact information is on the Human Resources website at http://www.hr.txstate.edu/benefits/Retirement-Programs-and-Information-/orpvendors.html. You can contact a representative of the Texa$aver Plan at 800-634-5091.
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When can I retire and qualify for retiree insurance benefits?
You can retire with State paid retiree insurance when your age plus years of service equals 80 or when you reach age 65 with 10 years of service. Your years of service must include at least 10 years of service in a benefits eligible position with a GBP participating agency. If you retire before age 65 with 10 years of service, you can elect interim retiree insurance at your own expense until you reach age 65. Then at age 65 you can enroll in the state paid retiree insurance plan. If you retire before age 65 with less than 10 years of service, you will never be able to enroll in the retiree insurance.
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When should I start the retirement process?
Teacher Retirement System asks that you contact them 4 - 6 months ahead of time, if possible, to request a packet. The packets can take 60-90 days to receive and will be mailed to your home address on file.
For both TRS and ORP retirees, if you qualify for retiree insurance, you can schedule your virtual appointment with our retirement specialist no more than 90 days before your retirement date. Access the Retiree Checklist to help you get navigate the retirement steps.
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How can I get an estimate of what my TRS payments will look like?
You can log in to your TRS portal to request an estimate. In this estimate, you can select a few potential retirement dates to see what your annuity payments would look like depending on the dates selected. Just because you request the packet does not mean you must retire. The estimate is simply a helpful planning tool.
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How do I enroll in Medicare?
Medicare age is 65. In the 3 months prior to your 65th birthday, you can enroll in Medicare by visiting www.medicare.gov or by contacting your local Social Security Office.
If you are still actively employed and covered under Texas State University’s medical plan, you only need to enroll in Part A. Since Part B comes with a monthly premium, you can defer Part B until separation or retirement.
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Do I need to notify HR if I enroll in Medicare while still actively employed?
No, if you enroll in Medicare Part A and/or Part B, you do not need to notify HR. Your Texas State University medical plan will remain as your primary insurance while still employed in a benefits eligible position. If you retire and return to work in a benefits-eligible position (at least 50% time), your health plan through Texas State University becomes primary while you are working.
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Leave
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When can I start using my leave (vacation, sick and comp)?
Once you’ve earned it, comp time is available for immediate use with supervisory approval. Sick leave is also available to use immediately once you have earned your accruals for the month and you have physically worked part of the month. Vacation use requires six continuous months of state service before the accruals are available to use. If you do not have six continuous months of state service (including prior state service), then vacation accruals cannot be used until six months from the date of hire.
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If an employee was a non-student, non-regular (NSNR) employee and gets hired as a regular employee, will that time count toward his/her six continuous months of state service?
Yes, provided there was no break in service between the termination date of the NSNR appointment and employment date as a regular employee.
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Can part-time exempt (unclassified) employees earn state compensatory time?
Yes. A part-time exempt employee earns state comp for each hour over their FTE in a week. For example, if a 50% employee works 20 hours a week, any hours over 20 are banked as state comp time.
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I am a part-time non-exempt (classified) employee. How can I earn state compensatory time for Spring Break and other energy conservation days?
Part-time non-exempt employees only earn FLSA overtime or state comp time for hours over 40 in a work week. Therefore, most part-time non-exempt employees do not bank FLSA overtime or state comp time for use at a later date. Instead, supervisors should allow the employee to work additional hours in another week (or combination of weeks) which are paid at the time they are worked. This additional pay should offset the loss of income for any LWOP during an energy conservation day.
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Why can't I get paid for my state compensatory time when I terminate?
State law does not allow Texas State to pay for state compensatory time at termination of employment. If you don’t use what you’ve earned, you will lose it when you terminate.
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Does my sick leave balance automatically get donated to the sick leave pool when I terminate?
No. You can complete a Request for Sick Leave Pool/Donation form to have your sick leave balance donated to the sick leave pool at termination. You can find the form on the HR website at https://www.hr.txstate.edu/forms.html. If you do not donate your sick leave, and you come back to state employment within 12 months, your sick leave balance will be restored.
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If I am on vacation and I get sick during my vacation, can I change my leave to sick leave when I return to the office?
Yes.
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Can I use sick leave pool for childbirth?
No. Sick Leave Pool does not cover routine childbirth. If the pregnancy is considered to be a complicated pregnancy, then you may request hours from the sick leave pool to help you through until the baby’s birth. Once the child is born, you are no longer covered by the sick leave pool.
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I am terminating on the first day of the month, but I don't want to come in that day. Can I use vacation on my last day?
Policy prohibits an employee from remaining on the payroll to exhaust compensatory time without divisional Vice President’s approval, or vacation leave without Human Resources approval. The employee must be removed from the payroll on the last day worked unless these approvals are obtained. See UPPS 04.04.30, section 3.13 c concerning vacation leave and UPPS 04.04.16, section 2.03 (b) (3) concerning compensatory time. These policies can be found at www.txstate.edu/effective/upps/upps4-index.html#04.
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When will my vacation leave accruals increase?
You will find a chart in the Staff Handbook found online here. You can also find a chart in UPPS 04.04.30, section 3.03 at www.txstate.edu/effective/upps/upps-04-04-30.html. Vacation accruals are based on years of state service. Your total state service consists of work performed at other state agencies and institutions of higher education (including prior Texas State employment) whether student, part-time or full-time service.
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If an employee is on leave without pay the entire day before a holiday, does he get the holiday paid?
No. See UPPS 04.04.30, section 13.06 at www.txstate.edu/effective/upps/upps-04-04-30.html.
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How many days do you get for funeral leave?
A supervisor may approve funeral leave for a death in an employee’s immediate family. The general guideline is 3 days for an in-state service and up to 5 days for an out-of-state service. Any request for more than 5 days requires VP approval. See UPPS 04.04.30, Section 9 for a list of family members that would qualify at www.txstate.edu/effective/upps/upps-04-04-30.html.
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How do I code my timesheet when the university closes for bad weather or other days that are not on the normal holiday schedule?
When the university closes for unforeseen occurrences, the Office of Human Resources will issue a campus-wide e-mail to all employees providing instructions on how to code their timesheets. Sometimes we are required to have skeleton crews and other times we close the campus completely, including classes that are scheduled. In most cases, these hours or days would be coded 2070 for “University Closure.”
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If an employee works on a holiday, does he still get the paid holiday?
Yes. He would get credit for his hours worked plus holiday hours. The holiday hours would then convert to compensatory time which the employee could take off at another time within the next 12 months.
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Wellness Leave
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Does the nature of the activity and time/place for which I am requesting to use wellness leave must be specified to the supervisor?
A supervisor may, at their discretion, require that an employee requesting wellness leave submit the nature and the time/place of the activity for consideration for granting of the leave.
This not only fosters transparency but also helps supervisors understand and support their team’s needs more effectively. -
Is wellness leave intended to shorten the workday?
No, wellness leave is intended to be used to engage in wellness activities during an employee’s regular workday. The decision of whether to allow an employee to use wellness leave at the start or end of the workday rests with the supervisor.
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Is wellness leave limited to 30 minutes per day?
No, the maximum wellness leave is 2.5 hours per week. An employee may request to use the leave in 30-minute increments over 5 days, or they may request to use another variation (e.g., 2.5 hours in one day). The employee’s supervisor has discretion to grant the use of wellness leave.
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Can wellness leave be used for any health and wellness-related activity?
In accordance with the state of Texas government code, state agencies have the option of offering wellness leave for the purpose of “exercising three times a week.” Texas State University has opted into this program, offering its employees up to 2.5 hours per week of wellness leave as part of UPPS 04.04.30 University Leave Policy, while broadening the scope of health and wellness-related activities. These may include, but are not limited to, relaxation or stress management activities, fitness activities or classes, healthy eating initiatives, team sports, and attending wellness-related workshops. Employees are required to provide a clear rationale for their leave to their supervisor. This ensures that both parties understand the purpose of the leave and its impact on the employee’s overall performance. Wellness leave may not be used in situations where sick leave is appropriate. (see question Q8)
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Does wellness leave accrued time off?
No, wellness leave is not accrued. Up to 2.5 hours may be used each week if approved in advance by the employee’s supervisor.
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Can I bank my wellness leave time?
No, wellness leave cannot be banked for future use.
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Is wellness leave paid out at the time of separation?
No, wellness leave is not accrued time off, thus there is no ‘balance’ and it is not paid at the time of separation.
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Can I use wellness leave to attend medical or mental health appointments with off-campus providers or health screenings off-campus?
No, wellness leave is not intended to be used for medical or mental health appointments with off-campus providers or health screenings off-campus. Sick leave is the most appropriate time off category for these purposes. If sick leave is not available, an employee may use vacation or compensatory leave.
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Can I use wellness when on paid leave (i.e., vacation)?
No, wellness leave cannot be used in conjunction with paid leave.
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Can I use wellness leave when working remotely?
A supervisor may, at their discretion, approve wellness leave for an employee who is working remotely.
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If employees injure themselves while participating in a wellness activity, are they covered by workers compensation benefits?
No. Workers’ compensation benefits cover employees who are injured while in the course and scope of their duties.
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