Enroll

If you want to sign up for one of our plans, you can find our enrollment forms below. Premiums are deducted from your payroll check, so you will need to come to our office to get a payroll deduction form. 

HPOU Member Benefit - Medical Reimbursement

If you are a Houston police officer who is a member of the Houston Police Officers’ Union and Texas Police Trust, you are already enrolled in our HPOU Member Benefit Medical Reimbursement plan. Find out what medical expenses are reimbursed or fill out a claim form. 

Click here to download Form

Medical Supplement for Active Officers

Our medical supplement is an upgrade to the HPOU Member Benefit Medical Reimbursement plan. You can get more reimbursed on your medical copays and get part of the cost of your glasses or contacts reimbursed.

Click here to download Form

Medical Supplement for Retired Officers

Please contact Texas Police Trust for forms if you are a retired Houston police officer and want to enroll in the Retired Medical Supplement. 

Accident

You have two coverage options for this plan: Diamond or Platinum. Write in which plan you want on the enrollment form.

Click here to download Form

Illness

Premiums depend on how many people you want to sign up for this plan. Call us or stop by to find out how much coverage will cost you.

Click here to download Form

Life plans

Group Term Life

Click to download Form

Lifetime Benefit Term (Combined)

Premiums vary by age and coverage amount. Call us or stop by to find out how much coverage will cost you.

Click to download Form

Dental

DHMO ENROLLMENT Form
Indemnity ENROLLMENT Form

Vision

Click to download Form

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Contact

1600 State Street
Houston, Texas 77007
Call: 832-200-3410
Fax: 832-200-3470
info@policetrust.com
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