Application to Split Premium (PDF) - This form is to be completed by both husband and wife who wish to split the cost of employee and spouse or employee and family coverage while
being employed by different districts / entities participating in TRS-ActiveCare. Do not use this form if you and your spouse both work for Spring ISD.
Spring Independent School District | 16717 Ella Blvd. | Houston, Texas 77090 | Phone: 281-891-6000 | Fax: 281-891-6006 | Contact Us Disclaimer