
How TRS Health Plans Performed in 2024
TRS' goal is to provide health care benefits designed for Texas public school employees, retirees, and their families with a focus on delivering high-value plans while actively managing costs.
Over time, the plans evolve due to funding, legislation and needs that are identified by monitoring claims data and the health care market.
In addition to serving public school employees, TRS is the clear choice for employers seeking not just health insurance but a partner in their journey to optimal health and well-being for their employees.
This report gives the most comprehensive picture of how TRS manages and delivers its health plans.
2024 Highlights For All TRS Health Plans
- 1 in 47 Texans enrolled in a TRS health plan
- $23.4B saved through cost containment strategies
- Every $1 in health care spending generated $3.56 in Texas economic activity
98% of funds went directly to medical and prescription drug claims
2024 TRS-ActiveCare Highlights
- Kept TRS-ActiveCare Primary plan costs an average of 14% less than comparable plans
- Total cost growth is 42% less than the cost growth of other large employer health plans.
- 99% of participating employers chose to continue to offer TRS-ActiveCare as their district's health plan, despite the option to leave
- Three new districts joining TRS-ActiveCare in 2025
- For more information on premiums and benefits, see 2024 TRS-ActiveCare Rates.
2024 TRS-Care Highlights
- Added TRS-Care Dental and TRS-Care Vision for retirees, leading to over 106K enrollments for 2025
- Lowered TRS-Care Medicare Advantage premiums for 2025 and offered a limited-time enrollment opportunity through March 2026
- TRS-Care Standard maintained the same competitive premiums for 8 years in a row
- 216K participants with 11 engagement touchpoints per participant
- 14.2K attendees at 45 in-person and online events (4.1 out of 5 stars!)
- 662K packets mailed with TRS-Care 2025 plan year materials
- For more information on premiums and benefits, see 2025 TRS-Care Plan Highlights.