Texas Administrative Code
Title 34 - PUBLIC FINANCE
Part 3 - TEACHER RETIREMENT SYSTEM OF TEXAS
Chapter 41 - HEALTH CARE AND INSURANCE PROGRAMS
Subchapter C - TEXAS SCHOOL EMPLOYEES GROUP HEALTH (TRS-ACTIVECARE)
Section 41.35 - Coverage Plans

Universal Citation: 34 TX Admin Code ยง 41.35

Current through Reg. 49, No. 38; September 20, 2024

(a) TRS-ActiveCare shall include at least two coverage plans, including a catastrophic care coverage plan and a primary care coverage plan, in accordance with Chapter 1579, Insurance Code. The coverages provided for eligible persons under the plans offered 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) TRS-ActiveCare 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 TRS-ActiveCare 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 not offer optional coverages, other than optional permanent life insurance, optional long-term care insurance, and optional disability insurance to employees participating in TRS-ActiveCare in accordance with terms, conditions and limitations adopted by resolution of the trustee.

(e) TRS may determine different rates and premiums applicable to different participating entities or potential participating entities under the TRS-ActiveCare program based on certain risks, regional factors, and other underwriting considerations.

Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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