This link will take you to a new site not affiliated with BCBSTX. It will open in a new window. To return to our Web site, simply close the new window. Refer to important information for our linking policy.

 
Text Size: AAA
Blue Cross Blue Shield of Texas – Health Insurance
  • Security Form 
  • Confidentiality Agreement 

For technical support, call 888-706-0583.

User ID:  
Password:  
Forgot User ID?
Forgot Password?

Forms and Information for TRS-ActiveCare Benefits Administrators

  • 2013–2014 Plan Highlights 
  • 2012–2013 Plan Highlights 
  • Online Supply Form (submit online)
  • Claim Form 
  • Exception Request Form  (submit online) — Information on how to use this form 
  • Transitional Benefits Request/Provider Release of Information 
  • COBRA Transmittal Form 
  • Application to Split Premium 
  • 2013–2014 Employee Enrollment Presentation (PowerPoint)
  • 2012–2013 Employee Enrollment Presentation (PowerPoint)
  • Continuation Coverage Rights Under COBRA 
  • Important Notices about Special Enrollment Rights and Preexisting Condition Exclusion Rules 
  • Notice of Privacy Practices 
  • CHIPRA Notice 
 

BlueResourceSM

Employee Communication Campaign

Posters, flyers and newsletter/e-mail articles on health and wellness topics that you can share with your employees.

  • Member Communications
  • New! Spring Wellness Works PDF File
  • Foreign Provider Claims PDF File
  • Learn how to recognize and report health care fraud

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.
© Copyright 2013 Health Care Service Corporation. All Rights Reserved.

BCBSTX Home | Important Information