TITLE 34.PUBLIC FINANCE

Part 3. TEACHER RETIREMENT SYSTEM OF TEXAS

Chapter 41. INSURANCE PROGRAMS

Subchapter C. TEXAS SCHOOL EMPLOYEES GROUP HEALTH

34 TAC §§41.33 - 41.35

The Teacher Retirement System of Texas (TRS) adopts on an emergency basis new §§41.33, 41.34 and 41.35 concerning the Texas School Employees Uniform Group Health Coverage Program ("Program"). The new sections relate to definitions, eligibility requirements and coverage plans. The new sections are adopted on an emergency basis pursuant to §2001.034 of the Government Code, which allows a state agency to adopt an emergency rule if a requirement of state or federal law requires adoption of the rule on less than 30 days notice.

In accordance with Insurance Code article 3.50-7, the new sections set forth definitions, coverage plans and eligibility criteria. Among other things, the sections provide notice to participating entities and their employees of the requirements for eligibility in the Program.

This emergency adoption is necessary because TRS is required to comply with timelines under House Bill 3343, 77th Legislature, including Insurance Code article 3.50-7 and sections 5.01 through 5.07 of Acts 2001, 77th Leg., ch. 1187 including requirements in section 5.01 that TRS develop coverage plans "with coverage beginning September 1, 2002." Printed materials reflecting criteria in the new sections must be completed in March 2002 so that enrollment can proceed and coverage can begin September 1. Accordingly, TRS finds that the requirements of state law require the adoption of the new sections on fewer than 30 days notice.

The new sections are adopted on an emergency basis under the Government Code, Chapter 825, §825.102, which authorizes the Board of Trustees of the Teacher Retirement System to adopt rules for, among other things, the transaction of business of the board. The new sections are also adopted under House Bill 3343, which was passed by the 77th Legislature, 2001, including Insurance Code article 3.50-7, which authorizes TRS to adopt rules relating to various matters including coverage plans and applicable definitions. Insurance Code article 3.50-7, §3(c) further authorizes TRS, as trustee, to "adopt rules relating to the program as considered necessary by the trustee." As described above, the sections are also adopted under Government Code §2001.034.

There are no other codes affected.

§41.33. Definitions Applicable to the Texas School Employees Uniform Group Health Coverage Program.

The following words and terms when used in subchapter C or in connection with the administration of Insurance Code §3.50-7 shall have the following meanings unless the context clearly indicates otherwise.

(1) Full-time employee -- A participating member who:

(A) is currently employed by a participating entity;

(B) is eligible for TRS membership based on current full-time service as described by §25.1 of this title (relating to Full-Time Service), or based on current employment as a bus driver as described by §25.2 of this title (relating to Bus Drivers); and

(C) is not receiving coverage as an employee or retiree of an institution that participates in a uniform group insurance program under the Texas Employees Uniform Group Insurance Benefits Act (Insurance Code article 3.50-2) or the Texas State College and University Employees Uniform Group Insurance Benefits Act (Insurance Code article 3.50-3) or the Texas Public School Employees Group Insurance Program established under Insurance Code article 3.50-4 (TRS-Care).

(2) Participating entity -- An entity participating in the TRS-ActiveCare program including a school district; another educational district whose employees are members of the retirement system; a regional education service center; and a charter school that meets the requirements of Insurance Code article 3.50-7. An entity is considered to be participating in the TRS-ActiveCare program on and after the first date coverage becomes effective for its employees.

(3) Participating member -- A person defined by Government Code §§822.001 and 822.002 whose membership in the retirement system has not been terminated as described by Government Code §§822.003 - 822.006 and who is currently contributing to the Teacher Retirement System of Texas pension trust fund in accordance with Government Code §825.403.

(4) Part-time employee -- An individual who:

(A) is neither a participating member nor a full-time employee;

(B) is currently employed by a participating entity for 10 hours or more each week; and

(C) is not receiving coverage as an employee or retiree of an institution that participates in a uniform group insurance program under the Texas Employees Uniform Group Insurance Benefits Act (Insurance Code article 3.50-2) or the Texas State College and University Employees Uniform Group Insurance Benefits Act (Insurance Code article 3.50-3) or the Texas Public School Employees Group Insurance Program established under Insurance Code article 3.50-4 (TRS-Care).

(5) TRS-ActiveCare program -- The Texas School Employees Uniform Group Health Coverage Program established by Insurance Code article 3.50-7.

(6) Trustee or TRS -- The Teacher Retirement System of Texas acting in its capacity as trustee under Insurance Code article 3.50-7.

§41.34. Eligibility for Coverage under the Texas School Employees Uniform Group Health Coverage Program.

The following persons are eligible to be enrolled in the TRS-ActiveCare program under terms, conditions and limitations established by the trustee unless expelled from the program under provisions of Insurance Code article 3.50-7.

(1) A full-time employee as defined in §41.33 of this title (relating to Definitions Applicable to the Texas School Employees Uniform Group Health Coverage Program).

(2) A part-time employee as defined in §41.33 of this title (relating to Definitions Applicable to the Texas School Employees Uniform Group Health Coverage Program).

(3) Dependents, as defined under Insurance Code article 3.50-7, section 2(3)(A), (B) or (C), of either a full-time employee or a part-time employee. A child defined in Insurance Code article 3.50-7, section 2(3)(C) is eligible for coverage only if, and only for so long as, such child's mental retardation or physical incapacity is a medically determinable condition that prevents the child from engaging in self-sustaining employment as determined by TRS.

(4) Individuals employed or formerly employed by a participating entity, and their dependents, who are eligible for, or participating in, continuation coverage under the Consolidated Omnibus Budget Reconciliation Act of 1985 (Pub. L. 99-272), through a group health benefit plan sponsored by the individual's employer on the first day that employer becomes a participating entity if such individuals or their dependents would have met the requirements for eligibility in paragraphs (1), (2), or (3) of this section on the individual's last day of employment with the participating entity.

(5) Individuals who become eligible as determined by TRS for continuation coverage under the Consolidated Omnibus Budget Reconciliation Act of 1985 (Pub. L. No. 99-272), through their participation in the TRS-ActiveCare program.

(6) Individuals who become eligible for coverage under provisions of the Health Insurance Portability and Accountability Act of 1996 (Pub. L. No. 104-191, 110 Stat. 1936 (1996)) (HIPAA), except for any provisions of HIPAA from which TRS has elected to be exempt in accordance with its status as a self-insured non-Federal governmental plan.

(7) Any other individuals who are required to be covered under applicable law.

§41.35.Coverage Plans.

(a) The TRS-ActiveCare program shall include at least three coverage plans including a catastrophic care coverage plan and a primary care coverage plan, in accordance with Insurance Code article 3.50-7. The coverages provided for eligible persons under the three plans will include, but are not limited to, basic medical expense coverage and prescription drug coverage, in accordance with terms, conditions, and limitations adopted by resolution of the trustee.

(b) The TRS-ActiveCare program may also include additional plans for health-care coverage under terms, conditions and limitations adopted by resolution of the trustee.

(c) The coverage plans offered under the TRS-ActiveCare program will each include at least two of the following rating tiers:

(1) Employee only;

(2) Employee and spouse;

(3) Employee and children;

(4) Employee and family.

(d) TRS may offer optional coverages that may include but are not limited to life, dental care, eye care, long-term care, disability, or other coverages considered advisable to eligible persons in accordance with terms, conditions and limitations adopted by resolution of the trustee.

This agency hereby certifies that the emergency adoption 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 February 26, 2002.

TRD-200201187

Charles Dunlap

Executive Director

Teacher Retirement System of Texas

Effective Date: February 26, 2002

Expiration Date: July 24, 2002

For further information, please call: (512) 542-6115