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Family Medical Leave Act Employee Request For Leave Form - Leander Independent School District Page 7

Leander Independent School District

204 W. South Street

P.O. Box 218

Leander, Texas 78646

(512) 570-0000

TO:

LISD Employees Requesting Maternity/Paternity Leave

FROM:

Benefits Department

RE:

IMPORTANT BENEFITS NOTICE FOR MATERNITY & PATERNITY LEAVE

We are including this notice with your leave packet to make you aware of the following:

 The LISD Medical plans are PPO Plans with BlueCrossBlueShield. All inpatient

admissions require pre-approval. Please be aware that it is ultimately your

responsibility to make sure that your insurance provider, BlueCrossBlueShield

is notified. Please refer to your ID card for the Preauth-Medical or Preauth-

MH/CD (Mental Health/Chemical Dependency) telephone numbers.

 Please access the LNet by going to the Faculty/Staff section of LISD’s website.

Once you are in the LNet, you can go to the Human Resource department’s

page. From there, click on Employee Benefits and Mid-Year Changes – QLE on

the left hand side. Select Make Life Event Change Now. If registering as a first

time user on the tcgbenefit site, the company key is leander (case sensitive).

This is where you will need to add your newborn child to your coverage. Please

contact the Benefits Office (512-570-0142) if you have problems adding your

newborn.

 A newborn child of a covered Employee is not automatically covered or enrolled

in the Plan (regardless of whether you currently have dependent coverage in

place or not). Newborn nursery charges will be applied toward the plan of the

covered parent. If the parent does not add the newborn to his/her plan within 30

days, those charges will not be covered. Newborn charges are not

automatically covered under the mother for the first 30 days.

 If you fail to add your newborn to LISD’s benefit plans within the first 30 days of

the birth you must wait until the next Open Enrollment in October for

benefits that will become effective the following January 1.

Please do not hesitate to contact this office if you have any questions.

Thank you.

Family Medical Leave Act Employee Request For Leave Form - Leander Independent School District Page 7