Texas Administrative Code
Title 34 - PUBLIC FINANCE
Part 3 - TEACHER RETIREMENT SYSTEM OF TEXAS
Chapter 41 - HEALTH CARE AND INSURANCE PROGRAMS
Subchapter A - RETIREE HEALTH CARE BENEFITS (TRS-CARE)
Section 41.2 - Additional Enrollment Opportunities
Universal Citation: 34 TX Admin Code ยง 41.2
Current through Reg. 49, No. 38; September 20, 2024
(a) Age 65 Enrollment Opportunity.
(1) Upon
reaching 65 years of age, a retiree or surviving spouse is eligible to be
enrolled in TRS-Care under terms, conditions and limitations established by the
trustee unless expelled from the program under provisions of Chapter 1575,
Insurance Code (the "Age 65 Enrollment Opportunity"). The retiree or surviving
spouse may select any coverage provided under TRS-Care for which the individual
or a dependent is otherwise eligible.
(2) The enrollment period for an individual
who becomes eligible for coverage under paragraph (1) of this subsection shall
begin on the date the individual reaches 65 years of age and ends 31 calendar
days from the end of the month in which the individual reaches 65 years of age.
To make an effective election, a completed TRS-Care application must be
received by TRS no later than the end of this enrollment period.
(b) Special Enrollment Opportunity under the Health Insurance Portability and Accountability Act (HIPAA).
(1) An individual who becomes eligible for
coverage under the special enrollment provisions of HIPAA may elect to enroll
in TRS-Care.
(2) The enrollment
period for an individual who becomes eligible for coverage due to a special
enrollment event under paragraph (1) of this subsection shall be the 31
calendar days immediately after the date of the special enrollment event. To
make an effective election, a completed TRS-Care application must be received
by TRS within this 31-day period.
(c) Enrollment Opportunity Established by TRS. An eligible individual may enroll in TRS-Care during an enrollment period established by TRS.
(d) This section does not affect the right of a TRS service retiree or surviving spouse enrolled in a TRS-Care plan to drop coverage or drop dependents at any time.
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