TITLE 34.PUBLIC FINANCE

Part 3. TEACHER RETIREMENT SYSTEM OF TEXAS

Chapter 41. INSURANCE PROGRAMS

Subchapter C. TEXAS SCHOOL EMPLOYEES GROUP HEALTH

34 TAC §41.36, §41.37

The Teacher Retirement System of Texas (TRS) proposes amendments to §41.36 and §41.37 concerning the Texas School Employees Uniform Group Health Coverage Program ("Program"). In accordance with Insurance Code article 3.50-7, the proposed amendments set forth enrollment timelines and the effective dates of coverage for participants in the Program.

The proposed amendments to §41.36 change the initial enrollment period for employees whose employer is becoming a participating entity in TRS-ActiveCare for the first time and clarify the enrollment period for employees who work for a participating entity who become employed in an eligible position for the first time. The proposed amendment to §41.37 makes a corresponding change to the effective date of coverage for eligible full-time and part-time employees whose employer becomes a participating entity in TRS-ActiveCare for the first time.

Tony Galaviz, Chief Financial Officer, has determined that for each year of the first five year period the proposals are in effect there will be no foreseeable fiscal implication to state and local governments as a result of enforcing or administering the sections. There is no foreseeable effect on local employment or local economies as a result of the proposed sections. There is no anticipated adverse economic effect on small businesses or micro-businesses as a result of compliance with the proposed new sections.

Mr. Galaviz has also determined that for each year of the first five years the proposals are in effect the public benefit anticipated is that participating entities and their employees will have notice of enrollment deadlines and dates that coverage will become effective. Mr. Galaviz has determined that there are no anticipated economic costs to persons required to comply with the proposed sections.

Comments on the proposal may be submitted to Charles L. Dunlap, Executive Director, 1000 Red River Street, Austin, Texas 78701-2698. To be considered, written comments must be received by TRS no later than 30 days after publication of the amendments for proposal.

The amendments are proposed 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 proposed 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 to administer the Program. 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."

There are no other codes affected.

§41.36.Enrollment Periods for the TRS-ActiveCare Program.

(a) A full-time or part-time employee who becomes employed in an eligible capacity with a participating entity has an [ The ] initial enrollment period of 31 days, beginning on the first day that the full-time or part-time employee becomes employed in an eligible capacity with a participating entity and ending [ for an eligible full-time or part-time employee shall begin on the date the full-time or part-time employee first becomes eligible to enroll in the TRS-ActiveCare program and shall end ] at 11:59 p.m. Central Time on the 31st day thereafter. [ after the date that full-time or part-time employee first became eligible to enroll in the TRS-ActiveCare program. The date a full-time or part-time employee is first eligible to enroll in the TRS-ActiveCare program shall be the later of the following dates: ]

[(1) The first day a full-time or part-time employee's employer becomes a participating entity; or]

[(2) The first day a full-time or part-time employee becomes employed in an eligible capacity with a participating entity. ]

(b) A full-time or part-time employee whose employer becomes a participating entity has an initial enrollment period beginning no later than 31 days prior to the date on which the employer becomes a participating entity and ending on the last calendar day of the month immediately preceding the date on which the employer becomes a participating entity.

(c) [ (b) ] A full-time or part-time employee's eligible dependents, if covered, must be enrolled in the same coverage plan as the full-time or part-time employee under whom they qualify as a dependent. Except as otherwise provided under applicable state or federal law, an eligible full-time or part-time employee may not change coverage plans or add dependents during a plan year.

(d) [ (c) ] The enrollment period for an individual who becomes eligible for coverage due to a special enrollment event shall be as defined under provisions of the Health Insurance Portability and Accountability Act of 1996 (Pub. L. No. 104-191, 110 Stat. 1936 (1996)) (HIPAA). During a special enrollment period as defined by HIPAA an individual who is already covered under a plan offered under TRS-ActiveCare may not elect a different plan, for himself or any eligible dependents, for the remainder of the existing plan year but may only add eligible dependents for coverage under the employee's existing plan selection.

(e) [ (d) ] Eligible full-time and part-time employees and their eligible dependents who are enrolled in an HMO with a TRS contract that is not renewed for the next plan year may make one of the following elections by submitting a completed enrollment form during the plan enrollment period, to become effective on September 1 of the next plan year:

(1) change to another approved HMO for which the full-time or part-time employee is eligible; or

(2) enroll in the TRS-ActiveCare preferred provider organization coverage plan, without preexisting condition exclusions.

(f) [ (e) ] Eligible full-time or part-time employees and their eligible dependents who are enrolled in an HMO with a TRS contract that is terminated during the plan year may make one of the following elections by submitting a completed enrollment form within 31 calendar days after receiving notice of the contract termination, to become effective on a date determined by TRS:

(1) change to another approved HMO for which the full-time or part-time employees and their eligible dependents are eligible; or

(2) enroll in the TRS-ActiveCare preferred provider organization coverage plan, without preexisting condition exclusions.

(g) [ (f) ] Eligible full-time or part-time employees and their eligible dependents enrolled in an approved HMO whose eligibility status changes because the eligible full-time or part-time employee no longer resides, lives, or works in the HMO service area shall make one of the following elections by submitting a completed enrollment form within 31 calendar days after their change in eligibility status, to become effective on the first day of the month following the date their eligibility status changed:

(1) enroll in another approved HMO for which the full-time or part-time employee is eligible; or

(2) enroll in the TRS-ActiveCare preferred provider organization coverage plan, subject to applicable preexisting condition limitations.

(h) [ (g) ] The trustee by resolution may prescribe open-enrollment periods and the conditions under which an eligible full-time or part-time employee and his eligible dependents may enroll during an open enrollment.

§41.37.Effective Date of Coverage.

(a) For eligible full-time employees, eligible part-time employees, and their eligible dependents, coverage shall become effective September 1, 2002, provided that they enroll before August 31, 2002.

(b) Except as otherwise provided by §41.39 of this title (relating to Coverage for Individuals Changing Employers) coverage shall become effective as described in this subsection for eligible full-time employees and eligible part-time employees whose employer first becomes a participating entity after September 1, 2002, and who enroll no later than the last calendar day of the month immediately preceding [ 31st day after ] the date their employer first becomes a participating entity. Coverage shall become effective for such individuals and their eligible dependents on the date the employer first became a participating entity.

(c) Except as otherwise provided by §41.39 of this title (relating to Coverage for Individuals Changing Employers) coverage shall become effective as described in this subsection for eligible full-time employees and eligible part-time employees who begin working for a participating entity in an eligible capacity after August 31, 2002 and who enroll no later than the 31st day after the first date they become eligible to enroll, ("Individuals"). Coverage shall become effective for such Individuals and their eligible dependents on either of the following dates as specified by the Individual on the application for coverage:

(1) The first day the eligible Individual, or the Individual under whom a dependent qualifies for eligibility, is employed in an eligible capacity with the participating entity; or

(2) The first day of the calendar month following the month in which the eligible Individual, or the Individual under whom a dependent qualifies for eligibility, is employed in an eligible capacity with the participating entity.

(d) For eligible full-time employees, eligible part-time employees and their eligible dependents who enroll during an open-enrollment period established by resolution of the trustee, coverage shall become effective on the date specified by resolution of the trustee.

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 February 14, 2003.

TRD-200301189

Charles L. Dunlap

Executive Director

Teacher Retirement System of Texas

Proposed date of adoption: May 23, 2003

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