TITLE 34.PUBLIC FINANCE

Part 1. COMPTROLLER OF PUBLIC ACCOUNTS

Chapter 5. FUNDS MANAGEMENT (FISCAL AFFAIRS)

Subchapter D. CLAIMS PROCESSING--PAYROLL

34 TAC §5.43

The Comptroller of Public Accounts proposes new §5.43, concerning payments for accrued vacation time. A brief description of the new section follows.

Subsection (a) defines important terms used throughout the section.

Subsection (b) specifies the meaning of "continuous state employment." State law states that a state employee who separates from state employment must have accrued six months of "continuous state employment" before the employee is entitled to be paid for the employee's accrued vacation time.

Subsection (c) specifies the meaning of "separation from state employment." State law states that a state employee is entitled to be paid for the employee's accrued vacation time only if the employee has separated from state employment.

Subsection (d) specifies which state agency is responsible for paying a state employee for the employee's accrued vacation time.

Subsection (e) specifies the method for determining how many hours of accrued vacation time must be paid to a state employee. Subsection (e)(1) requires the employee's time to be allocated over the workdays following the effective time of the employee's separation from state employment until the balance is allocated completely. Subsection (e)(2) specifies what happens when a holiday is incurred during the allocation period. Subsection (e)(2) makes it clear that the inclusion of a workday in the allocation does not cause any individual to be a state employee on that workday for any purpose.

Subsection (f) specifies the method for computing the amount of a payment for accrued vacation time. Subsection (f)(1) covers when vacation time is allocated over only one month. Subsection (f)(2) covers when vacation time is allocated over more than one month.

Subsection (g) specifies the method for determining the applicable rate of compensation when computing the amount of a payment for accrued vacation time. Subsection (g)(1) lists the items that must be included when determining the rate. Subsection (g)(2) covers employees who are not hourly. Subsection (g)(3) covers employees with contracts to work fewer than twelve months each fiscal year.

Subsection (h) covers a state employee's remaining on the payroll to exhaust the employee's accrued vacation time balance instead of the employee being paid for that time in a lump sum.

Subsection (i) specifies the data that must be included in the payroll detail submitted to the comptroller to make a payment for accrued vacation time.

John Heleman, Chief Revenue Estimator, has determined that for the first five-year period the rule will be in effect, there will be no foreseeable implications relating to costs or revenues of the state or local governments.

Mr. Heleman also has determined that for each year of the first five years the rule is in effect, the public benefit anticipated as a result of adopting the rule will be helping administer payments to state employees for their accrued vacation time. The rule would not have an adverse effect on small businesses or micro-businesses. There is no significant anticipated economic cost to individuals who are required to comply with the rule.

Comments on the proposal may be addressed to Joani Bishop, Manager, Claims Division, P.O. Box 13528, Austin, Texas 78711. If a person wants to ensure that the comptroller considers and responds to a comment made about this proposal, then the person must ensure that the comptroller receives the comment not later than the 30th day after the issue date of the Texas Register in which this proposal appears. If the 30th day is a state or national holiday, Saturday, or Sunday, then the first workday after the 30th day is the deadline.

The new section is proposed under Government Code, §661.068 and §661.094, which authorize the comptroller to adopt rules to administer payments for accrued vacation time.

The new section implements Government Code, Chapter 661, Subchapters C and D.

§5.43.Payments for Accrued Vacation Time.

(a) Definitions. In this section:

(1) "Calendar month" means the first day through the last day of January, February, March, April, May, June, July, August, September, October, November, or December.

(2) "Community college" has the meaning assigned to "public junior college."

(3) "Comptroller" means the Comptroller of Public Accounts for the State of Texas.

(4) "Fiscal year" means the accounting period beginning on September 1st and ending the following August 31st.

(5) "Institution of higher education" has the meaning assigned by Education Code, §61.003, except that the term does not include a community college or a public junior college.

(6) "National holiday" has the meaning assigned by Government Code, §661.061(1).

(7) "Public junior college" has the meaning assigned by Education Code, §61.003.

(8) "State agency" means a department, board, commission, committee, council, agency, office, or other entity in the executive, legislative, or judicial branch of Texas state government, the jurisdiction of which is not limited to a geographical portion of this state. The term includes the State Bar of Texas, the Board of Law Examiners, and an institution of higher education. The term does not include a community college or a public junior college.

(9) "State employee" has the meaning assigned by Government Code, §661.061(2).

(10) "State holiday" has the meaning assigned by Government Code, §661.061(3).

(11) "Temporary state employee" means a state employee who is hired to provide services to a state agency for a limited time. The term includes a seasonal employee. The term does not include:

(A) an independent contractor; or

(B) an employee or independent contractor of an independent contractor.

(12) "Workday" means any day except Saturday and Sunday. The term includes a state or national holiday.

(b) Meaning of "continuous state employment." For purposes of determining whether a state employee is entitled to be paid for the accrued balance of the employee's vacation time upon separation from state employment, the employee has "continuous state employment" so long as employment with the state is not interrupted by a period when the employee is not being paid a regular state salary. The period when the employee is on leave without pay or leave of absence without pay is not an interruption that requires the period of continuous state employment to begin again. A leave period that covers one or more entire calendar months, however, does not count toward fulfilling the six month requirement in Government Code, §661.062(a).

(c) Meaning of "separation from state employment." For purposes of determining whether a state employee is entitled to be paid for the accrued balance of the employee's vacation time, "separation from state employment" includes:

(1) a resignation or dismissal from state employment;

(2) a circumstance listed in Government Code, §661.062(b)(2) - (5) or §661.091(a); or

(3) a state employee leaving one state agency to begin working for another state agency, if at least one workday occurs between the two employments.

(d) Responsibility for making the payment. The state agency that employed a state employee at the time of the employee's separation from state employment is responsible for paying the accrued balance of the employee's vacation time. This responsibility exists even if the employee at that time held a position that did not accrue vacation time.

(e) Hours of accrued vacation time to be paid.

(1) Allocation of accrued time. Except as provided in paragraph (2)(D)(ii) of this subsection, the accrued balance of a state employee's vacation time must be allocated over the workdays following the effective time of the employee's separation from state employment until the balance is allocated completely.

(A) If the employee, at the effective time of separation, was normally scheduled to work at least 40 hours each week, then each workday consists of eight hours.

(B) If the employee, at the effective time of separation, was normally scheduled to work fewer than 40 hours each week, then each workday consists of 20% of the number of hours the employee was normally scheduled to work each week.

(2) Addition for holidays encountered during the allocation.

(A) This subparagraph applies to a state employee who, on the effective date of separation from state employment, was normally scheduled to work at least 40 hours each week. Except as provided in subparagraph (C) or (D)(i) of this paragraph, eight hours must be added to the accrued balance of the employee's vacation time for each state or national holiday that occurs during the period over which the balance is allocated.

(B) This subparagraph applies to a state employee who, on the effective date of separation from state employment, was normally scheduled to work fewer than 40 hours each week. Except as provided in subparagraph (C) or (D)(i) of this paragraph, a specified number of hours must to be added to the accrued balance of the employee's vacation time for each state or national holiday that occurs during the period over which the balance is allocated. The number of hours added for each holiday is equal to the product of:

(i) eight hours; and

(ii) the percentage of 40 hours that the employee was normally scheduled to work each week on the effective date.

(C) This subparagraph applies to a state employee who is entitled to receive a payment under this subsection because the employee moves or transfers to a position that does not accrue vacation time. No hours may be added to the accrued balance of the employee's vacation time for a state or national holiday that occurs during the period over which the balance is allocated.

(D) This subparagraph applies to a state employee who is entitled to be paid for a state or national holiday that occurs after the effective time of the employee's separation from state employment.

(i) No hours may be added to the accrued balance of the employee's vacation time for that holiday.

(ii) The holiday is ignored when allocating the accrued balance of the employee's vacation time over the workdays following the effective time of the employee's separation from state employment.

(3) Individuals not state employees during the allocation period. The inclusion of a workday in the allocation of the accrued balance of vacation time does not cause any individual to be a state employee on that workday for any purpose.

(f) Computation of the payment.

(1) Accrued balances allocated over only one month. If the accrued balance of a state employee's vacation time is allocated over only one month, then the amount of the payment for that balance is equal to the product of:

(A) the number of hours of the balance; and

(B) the applicable rate of compensation of the employee, which must be expressed as an hourly rate for that month.

(2) Accrued balances allocated over more than one month. If the accrued balance of a state employee's vacation time is allocated over more than one month, then the amount of the payment for that balance is equal to the sum of the amounts attributed to each month included in the allocation. The amount attributed to any particular month is equal to the product of:

(A) the number of hours of the balance that is allocated to that month; and

(B) the applicable rate of compensation of the employee, which must be expressed as an hourly rate for that month.

(g) Applicable rate of compensation.

(1) Items included in the rate of compensation. For purposes of determining the amount of a payment under this section, a state employee's rate of compensation includes base pay plus any emolument or stipend provided as a salary supplement. A special item of compensation, e.g., housing, utilities, clothing, and cleaning, may be included in the rate only if the item was provided in lieu of base pay. Longevity pay, hazardous duty pay, and benefit replacement pay may not be included in the rate.

(2) Employees who are not hourly. This paragraph applies only to a state employee who was not an hourly employee at the effective time of the employee's separation from state employment.

(A) The employee's rate of compensation must be expressed as an hourly rate for each month or part of a month included in the allocation of the accrued balance of vacation time.

(B) This subparagraph applies only if the state agency making a payment under this section is not an institution of higher education. The hourly rate of compensation for a particular month is equal to a quotient:

(i) the numerator of which is equal to the rate of compensation for the month; and

(ii) the denominator of which is equal to eight multiplied by the number of workdays during the month.

(C) This subparagraph applies only if the state agency making a payment under this section is an institution of higher education. The institution may calculate the hourly rate of compensation for a particular month under the method described in subparagraph (B) of this paragraph. If the institution determines not to use that method, then the hourly rate of compensation for a particular month is equal to a quotient:

(i) the numerator of which is equal to the rate of compensation, expressed as an annual rate; and

(ii) the denominator of which is 2080.

(3) Employees with contracts to work fewer than twelve months each fiscal year. This paragraph applies to a state employee who, on the effective date of the employee's separation from state employment, was normally scheduled to work for a state agency fewer than twelve months during a fiscal year but who agreed for the agency to pay the compensation earned during that work period over twelve months. The employee's applicable rate of compensation must be based on the amount of compensation earned each month the employee worked, not on the amount of compensation paid to the employee each month of the year.

(h) Remaining on the payroll to exhaust the accrued balance of vacation time. A state agency that is liable for a payment under this section and the state employee who is entitled to receive the payment may mutually agree for the employee to remain on the agency's payroll to exhaust the accrued balance of the employee's vacation time instead of paying the employee for the balance. The payment must occur if either party does not agree.

(i) Payroll details. The payroll detail submitted to the comptroller to make a payment under this section must include:

(1) the employee's rate of pay at the effective time of separation from state employment;

(2) the effective time of separation from state employment; and

(3) the number of days and hours of the accrued balance of the employee's vacation time, not including hours for authorized national and state holidays.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on April 11, 2005.

TRD-200501486

Martin Cherry

Chief Deputy General Counsel

Comptroller of Public Accounts

Earliest possible date of adoption: May 22, 2005

For further information, please call: (512) 475-0387


34 TAC §5.44

The Comptroller of Public Accounts proposes new §5.44, concerning payments for accrued vacation and sick leave to the estates of deceased state employees. A brief description of the new section follows.

Subsection (a) defines important terms used throughout the section.

Subsection (b) specifies the meaning of "continuous state employment." State law states that a deceased state employee must have accrued six months of "continuous state employment" before the employee's estate is entitled to be paid for the employee's accrued vacation and sick leave.

Subsection (c) specifies which state agency is responsible for paying a state employee's estate for the employee's accrued vacation and sick leave.

Subsection (d) specifies the method for determining how many hours of accrued vacation and sick leave must be paid to a state employee's estate. Subsection (d)(1) requires the employee's leave to be allocated over the workdays following the time of the employee's death until the balance is allocated completely. Subsection (d)(2) specifies what happens when a holiday is incurred during the allocation period. Subsection (d)(3) makes it clear that the inclusion of a workday in the allocation does not cause any individual to be a state employee on that workday for any purpose.

Subsection (e) specifies the method for computing the amount of a payment for accrued vacation and sick leave. Subsection (e)(1) covers when the leave is allocated over only one month. Subsection (e)(2) covers when the leave is allocated over more than one month.

Subsection (f) specifies the method for determining the applicable rate of compensation when computing the amount of a payment for accrued vacation and sick leave. Subsection (f)(1) lists the items that must be included when determining the rate. Subsection (f)(2) covers employees who were not hourly. Subsection (f)(3) covers employees who had contracts to work fewer than twelve months each fiscal year.

Subsection (g) specifies the data that must be included in the payroll detail submitted to the comptroller to make a payment for accrued vacation and sick leave.

John Heleman, Chief Revenue Estimator, has determined that for the first five-year period the rule will be in effect, there will be no foreseeable implications relating to costs or revenues of the state or local governments.

Mr. Heleman also has determined that for each year of the first five years the rule is in effect, the public benefit anticipated as a result of adopting the rule will be helping administer payments for the accrued vacation and sick leave of deceased state employees. The rule would not have an adverse effect on small businesses or micro-businesses. There is no significant anticipated economic cost to individuals who are required to comply with the rule.

Comments on the proposal may be addressed to Joani Bishop, Manager, Claims Division, P.O. Box 13528, Austin, Texas 78711. If a person wants to ensure that the comptroller considers and responds to a comment made about this proposal, then the person must ensure that the comptroller receives the comment not later than the 30th day after the issue date of the Texas Register in which this proposal appears. If the 30th day is a state or national holiday, Saturday, or Sunday, then the first workday after the 30th day is the deadline.

The new section is proposed under Government Code, §661.038, which authorizes the comptroller to adopt rules to administer payments for accrued vacation and sick leave.

The new section implements Government Code, Chapter 661, Subchapter B.

§5.44.Payments for Accrued Vacation and Sick Leave to the Estates of Deceased State Employees.

(a) Definitions. In this section:

(1) "Calendar month" means the first day through the last day of January, February, March, April, May, June, July, August, September, October, November, or December.

(2) "Community college" has the meaning assigned to public junior college.

(3) "Comptroller" means the Comptroller of Public Accounts for the State of Texas.

(4) "Fiscal year" means the accounting period beginning on September 1st and ending the following August 31st.

(5) "Institution of higher education" has the meaning assigned by Education Code, §61.003, except that the term does not include a community college or a public junior college.

(6) "National holiday" has the meaning assigned by Government Code, §661.031(1).

(7) "Public junior college" has the meaning assigned by Education Code, §61.003.

(8) "State agency" means a department, board, commission, committee, council, agency, office, or other entity in the executive, legislative, or judicial branch of Texas state government, the jurisdiction of which is not limited to a geographical portion of this state. The term includes the State Bar of Texas, the Board of Law Examiners, and an institution of higher education. The term does not include a community college or a public junior college.

(9) "State employee" has the meaning assigned by Government Code, §661.031(2).

(10) "State holiday" has the meaning assigned by Government Code, §661.031(3).

(11) "Temporary state employee" means a state employee who is hired to provide services to a state agency for a limited time. The term includes a seasonal employee. The term does not include:

(A) an independent contractor; or

(B) an employee or independent contractor of an independent contractor.

(12) "Total leave balance" means the sum of:

(A) the accrued balance of a deceased state employee's vacation leave; and

(B) the lesser of:

(i) half of the accrued balance of the employee's sick leave; or

(ii) 336 hours of sick leave.

(13) "Workday" means any day except Saturday and Sunday. The term includes a state or national holiday.

(b) Meaning of "continuous state employment." For purposes of determining whether the estate of a deceased state employee is entitled to be paid for the employee's total leave balance, the employee had "continuous state employment" so long as employment with the state was not interrupted by a period when the employee was not being paid a regular state salary. The period when the employee was on leave without pay or leave of absence without pay was not an interruption that required the period of continuous state employment to begin again. A leave period that covered one or more entire calendar months, however, did not count toward fulfilling the six month requirement in Government Code, §661.032(a).

(c) Responsibility for making the payment. The state agency that employed a state employee at the time of the employee's death is responsible for paying the employee's estate for the employee's total leave balance. This responsibility exists even if the employee at that time held a position that did not accrue vacation leave or sick leave, or both.

(d) Hours of total leave balance to be paid.

(1) Allocation of total leave balance. A deceased state employee's total leave balance must be allocated over the workdays following the date of the employee's death until the balance is allocated completely.

(A) If the employee, at the time of death, was normally scheduled to work at least 40 hours each week, then each workday consists of eight hours.

(B) If the employee, at the time of death, was normally scheduled to work fewer than 40 hours each week, then each workday consists of 20% of the number of hours the employee was normally scheduled to work each week.

(2) Addition for holidays encountered during the allocation.

(A) This subparagraph applies to a state employee who, at the time of death, was normally scheduled to work at least 40 hours each week. Eight hours must be added to the employee's total leave balance for each state or national holiday that occurs during the period over which the balance is allocated.

(B) This subparagraph applies to a state employee who, at the time of death, was normally scheduled to work fewer than 40 hours each week. A specified number of hours must to be added to the employee's total leave balance for each state or national holiday that occurs during the period over which the balance is allocated. The number of hours added for each holiday is equal to the product of:

(i) eight hours; and

(ii) the percentage of 40 hours that the employee was normally scheduled to work each week at the time of death.

(3) Individuals not state employees during the allocation period. The inclusion of a workday in the allocation of a total leave balance does not result in any individual being a state employee on that workday for any purpose.

(e) Computation of the payment.

(1) Total leave balance allocated over only one month. If a deceased state employee's total leave balance is allocated over only one month, then the amount of the payment for that balance is equal to the product of:

(A) the number of hours of the balance; and

(B) the applicable rate of compensation of the employee, which must be expressed as an hourly rate for that month.

(2) Total leave balance allocated over more than one month. If a deceased state employee's total leave balance is allocated over more than one month, then the amount of the payment for that balance is equal to the sum of the amounts attributed to each month included in the allocation. The amount attributed to any particular month is equal to the product of:

(A) the number of hours of the total leave balance that is allocated to that month; and

(B) the applicable rate of compensation of the employee, which must be expressed as an hourly rate for that month.

(f) Applicable rate of compensation.

(1) Items included in the rate of compensation. For purposes of determining the amount of a payment under this section, a deceased state employee's rate of compensation includes base pay plus any emolument or stipend provided as a salary supplement. A special item of compensation, e.g., housing, utilities, clothing, and cleaning, may be included in the rate only if it was provided in lieu of base pay. Longevity pay, hazardous duty pay, and benefit replacement pay may not be included in the rate.

(2) Employees who were not hourly. This paragraph applies only to a state employee who was not an hourly employee at the time of death.

(A) The employee's rate of compensation must be expressed as an hourly rate for each month or part of a month included in the allocation of the employee's total leave balance.

(B) This subparagraph applies only if the state agency making a payment under this section is not an institution of higher education. The hourly rate of compensation for a particular month is equal to a quotient:

(i) the numerator of which is equal to the rate of compensation for the month; and

(ii) the denominator of which is equal to eight multiplied by the number of workdays during the month.

(C) This subparagraph applies only if the state agency making a payment under this section is an institution of higher education. The institution may calculate the hourly rate of compensation for a particular month under the method described in subparagraph (B) of this paragraph. If the institution determines not to use that method, then the hourly rate of compensation for a particular month is equal to a quotient:

(i) the numerator of which is equal to the rate of compensation, expressed as an annual rate; and

(ii) the denominator of which is 2080.

(3) Employees who had contracts to work fewer than twelve months each fiscal year. This paragraph applies to a state employee who, at the time of death, was normally scheduled to work for a state agency fewer than twelve months during a fiscal year but who agreed for the agency to pay the compensation earned during that work period over twelve months. The employee's applicable rate of compensation must be based on the amount of compensation earned each month the employee worked, not on the amount of compensation paid to the employee each month of the year.

(g) Payroll details. The payroll detail submitted to the comptroller to make a payment under this section must include:

(1) the employee's rate of pay at the time of death;

(2) the date of death;

(3) the number of days and hours of the employee's accrued vacation leave balance, not including hours for authorized national and state holidays; and

(4) the number of days and hours of the employee's accrued sick leave balance, which must be the number before the application of the 336 hour limit on the number of hours of sick leave that may be paid.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on April 11, 2005.

TRD-200501487

Martin Cherry

Chief Deputy General Counsel

Comptroller of Public Accounts

Earliest possible date of adoption: May 22, 2005

For further information, please call: (512) 475-0387


Part 3. TEACHER RETIREMENT SYSTEM OF TEXAS

Chapter 41. HEALTH CARE AND INSURANCE PROGRAMS

Subchapter A. RETIREE HEALTH CARE BENEFITS (TRS-CARE)

34 TAC §41.5

The Teacher Retirement System of Texas (TRS) proposes amendments to §41.5, relating to payment of contributions in the Texas Public School Retired Employees Group Benefits Program known as TRS-Care. The amendments reflect changes to the related statutes found in Chapter 1575 of the Insurance Code. Before the changes in Chapter 1575 were made regarding the payment of retiree contributions for optional coverage in TRS-Care, retirees were considered enrolled in the free basic coverage unless they waived it. The "free basic coverage" was, and still is, considered the TRS-Care 1 plan for the retiree (or survivor) only. Accordingly, if a retiree, surviving spouse, or surviving child (each referred to as a "participant"), upon first becoming eligible to enroll in TRS-Care, neither elected an optional coverage (TRS-Care 2/TRS-Care 3 and/or dependent coverage) nor waived all TRS-Care coverage, they were considered enrolled in the TRS-Care 1 plan by "default."

The statute and rules have required that the participant can authorize TRS to deduct TRS-Care premiums from the retirement annuity, but if the annuity is insufficient to cover the entire TRS-Care premium, then the entire amount of the premium is billed directly to the participant on a monthly payment basis. Historically, if the participant failed to make premium payments after a certain period following notice of delinquency, TRS downgraded the coverage to the automatic "free basic coverage" (i.e., TRS-Care 1 with no dependent coverage).

The most recent changes to Chapter 1575 require that the participant either elect a TRS-Care plan or waive it; however, if the participant does neither, the participant is no longer automatically enrolled in the free basic coverage. Therefore, the issue arose as to what consequences should follow if a participant fails to make premium payments after a certain period following notice of delinquency. The purpose of the substantive amendments is to encourage the payment of premiums without unduly penalizing a participant who fails to do so timely.

The proposed amendments do not change the existing provision in the rule that downgrades a retiree's coverage to TRS-Care 1 without dependent coverage if the retiree fails to make premium payments after due notice of delinquency has been provided. The proposed amendments provide that, once downgraded, the former optional coverage may not be restored, except if the participant subsequently becomes eligible for the age 65 additional enrollment opportunity or a second initial enrollment opportunity due to aging into the TRS-Care Rule of 80. The proposed amendments would also allow rather than require TRS to deduct the premium payment from the participant's annuity. In addition, the proposed amendments would make non-substantive changes to clarify the rule.

Tony Galaviz, Chief Financial Officer, has determined that for each year of the first five-year period the proposed amendments are in effect, there will be no fiscal implications to state or local governments as a result of enforcing or administering the section as amended. There is no foreseeable effect on local employment or local economies as a result of the proposed amendments.

Mr. Galaviz has also determined that for each year of the first five years the proposed amendments are in effect the public benefit anticipated as a result of the amendments will be that participants will have notice of their rights and obligations concerning their premium payments and the results of failing to pay. Additionally, the rule will be consistent with the change in applicable law. There is no anticipated adverse economic effect on small businesses or micro-businesses as a result of compliance with the proposed amendments. Mr. Galaviz has determined that there are no anticipated economic costs to persons required to comply with the proposed amendments for each year of the first five years the proposal will be in effect.

Comments on the proposal may be submitted to Ronnie Jung, Executive Director, 1000 Red River, Austin, Texas 78701.

These amendments are proposed under Insurance Code §1575.052, which gives TRS the authority to adopt rules as necessary to administer and to operate the TRS-Care program. The amendments are also proposed under Government Code §825.102, which authorizes the Board of Trustees of the Teacher Retirement System to adopt rules for the administration of the funds of the retirement system and for the transaction of business of the Board.

There are no other codes affected.

§41.5.Payment of Contributions.

(a) Retirees , surviving spouses, and surviving dependent children or their representative (collectively, "participants") shall pay monthly contributions as set by the trustee for their and their dependents' participation in TRS-Care [ to cover the cost of optional plans ].

[ (b) Surviving spouses shall pay monthly contributions to cover the cost of insurance for the surviving spouse.]

[ (c) Retirees and surviving spouses shall pay monthly contributions to cover the cost of insuring dependents.]

[ (d) Surviving dependent children, or their representative, shall pay monthly contributions to cover the cost of insurance for the surviving dependent children.]

(b) [ (e) ] To [ In order to ] be eligible for TRS-Care [ optional ] coverage, a participant [ retiree, surviving spouse, or surviving dependent child, or his or her representative, ] must authorize the trustee in writing to deduct [ the deduction by the trustee of the amount of ] the contribution amount [ contributions ] from the [ their ] annuity payment. After such authorization, the trustee may [ shall ] deduct the amount of the contribution [ each month ] from the annuity payment.

[ (f) In order to pay for dependent coverage, the retiree or surviving spouse shall authorize in writing the deduction of the contribution payment from their annuity payment. After authorization by the retiree or surviving spouse, the trustee shall deduct the amount of the contribution each month from the retiree's or surviving spouse annuity payment.]

(c) [ (g) ] If [ In the event that ] the amount of the contribution is more than the amount of the annuity payment, the participant will be billed directly by TRS or the TRS-Care administrator [ the carrier ] for the entire contribution amount.

(d) [ (h) ] Failure to make any required contribution for coverage of a dependent or a surviving dependent child [ non-retiree ] will result in termination of coverage at the end of the month for which the last contribution was made.

(e) [ (i) ] Failure to make any required contribution for coverage of a retiree or surviving spouse enrolled in TRS-Care 2 or TRS-Care 3 [ under an optional plan ] will result in termination of coverage from TRS-Care 2 or TRS-Care 3, as applicable [ from the optional plan ] and enrollment in TRS-Care 1 [ the basic plan ], resulting in a decrease in coverage[ , ] at the end of the month for which the last contribution was made. The retiree or surviving spouse will not be able to change his or her TRS-Care coverage tier unless and until the retiree or surviving spouse has an additional enrollment opportunity as set out in §41.2 of this chapter relating to Additional Enrollment Opportunity or a second initial enrollment opportunity as set out in §41.1 of this chapter relating to Enrollment Periods for the Texas Public School Retired Employees Group Benefits Program (TRS-Care).

[ (j) Disability retirees shall be required to pay monthly contributions to cover the cost of coverage during periods when their annuity payments are suspended. Failure to make required contributions will result in a termination of coverage from the optional plan and enrollment in the basic plan, resulting in a decrease in coverage.]

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on April 11, 2005.

TRD-200501483

Ronnie G. Jung

Executive Director

Teacher Retirement System of Texas

Proposed date of adoption: June 9, 2005

For further information, please call: (512) 542-6438