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Benefits at a Glance

LCISD is committed to recruiting and maintaining the best employees and believes that quality employee health benefits are an important part of reaching that goal. LCISD strives to maintain competitive and cost-effective benefits with insurance options to best meet your individual and family needs.

The Employee Benefits Department is here to assist you with any questions you may have regarding the various benefit programs available. We also strive to make available cost effective options so that the District can maintain an excellent and competitive benefit package.

If you have questions on insurance benefit options, we are just a phone call away. Or if you prefer, you can visit us in person at our office located at 3911 Ave I, Rosenberg, Texas 77471.

Office of Employee Benefits

3911 Avenue I
Rosenberg, TX 77471
Fax: 832-223-0312

Employee Benefits Specialist
Erica Montalvo
832-223-0315

Employee Benefits Specialist
Cheryl Koteras
832-223-0313

Asst. Director, Employee Services & Risk Management, CSRM
Trudy Harris
832-223-0307


For additional information regarding United Healthcare, Memorial Hermann, Kelsey Seybold please click on Benefit Tools.
Benefit Tools

2018-19 Benefits Plan

EPO (Choice) Memorial Hermann (NexusACO OA) Kelsey‐Seybold (Charter/Charter Balanced)
Plan A Plan B Plan C Plan A Plan B Plan C Plan A Plan B Plan C
Office Copay
Primary Care Physician $20/$30 $20/$30 N/A $20/$30 $20/$30 N/A $20/$30 $20/$30 N/A
Specialist $40/$80 $40/$80 N/A $40/$80 $40/$80 N/A $40/$80 $40/$80 N/A
Other Copays
Hospital In Patient $750 $750 N/A $750 $750 N/A $750 $750 N/A
Emergency Room $500 $500 N/A $500 $500 N/A $500 $500 N/A
Urgent Care $25 $25 N/A $25 $25 N/A $25 $25 N/A
Deductible
Per Person $3,000 $1,000 $4,000 $3,000 $1,000 $4,000 $3,000 $1,000 $4,000
Family Deductible $9,000 $3,000 $12,000 $9,000 $3,000 $12,000 $9,000 $3,000 $12,000
Co‐Insurance 0% 30%
(up to $3000)
0% 0% 30%
(up to $3000)
0% 0% 30%
(up to $3000)
0%
Maximum Out of Pocket *
Per Person $5,750 $5,750 $5,750 $5,750 $5,750 $5,750 $5,750 $5,750 $5,750
Family-3 persons max $12,000 $12,000 $12,500 $12,000 $12,000 $12,500 $12,000 $12,000 $12,500
Pharmacy
Deductible per person $100 $100 N/A $100 $100 N/A $100 $100 N/A
Family Deductible (up to 3 persons) $300 $300 N/A $300 $300 N/A $300 $300 N/A
Tier 1 $10 $15 $10 $10 $15 $10 $10 $15 $10
Tier 2 $30 $35 $25 $30 $35 $25 $30 $35 $25
Tier 2-Specialty 20% 20% $25 20% 20% $25 20% 20% $25
Tier 3 $60 $70 $50 $60 $70 $50 $60 $70 $50
Tier 3-Specialty 25% 25% $50 25% 25% $50 25% 25% $50
Rates Per Pay Period (24)
Employee Only $46.27 $65.15 $23.64 $42.57 $59.94 $21.75 $42.57 $59.94 $21.75
Employee + Spouse $255.17 $341.65 $210.48 $234.75 $314.32 $193.64 $234.75 $314.32 $193.64
Employee + Children $211.80 $274.54 $174.13 $194.86 $252.57 $160.20 $194.86 $252.57 $160.20
Employee + Family $306.61 $408.92 $257.24 $282.08 $376.20 $236.66 $282.08 $376.20 $236.66

* Out of Pocket Maximums include all Deductible, Co-Insurance, Medical Copays and Pharmacy Copays

No coverage for specialty prescriptions dispensed through Optum by mail. Must be obtained through specialty retail program.

  • Dental Insurance
  • Disability Insurance
  • Vision Insurance
  • Term Life Insurance
  • Whole Life Insurance
  • Long Term Care
  • Cancer Insurance
  • Heart & Stroke Insurance
  • Critical Illness
  • Hospital Gap Plan
  • Sick Leave Bank
  • Cafeteria Plan (includes medical reimbursement and dependent care)
  • 403(B) and 457 retirement plans
  • Medical Flex Spending Accounts