Texas Insurance Code Title 8, Chapter 1551 - Texas Employees Group Benefits Act

SUBCHAPTER A GENERAL PROVISIONS

• Texas Section 1551.001 - Short Title
  This chapter may be cited as the Texas Employees Group Benefits Act. Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1,
• Texas Section 1551.002 - Purposes
  The purposes of this chapter are to: (1) provide uniformity in life, accident, and health benefit coverages for all state officers and employees and their...
• Texas Section 1551.003 - General Definitions
  In this chapter: (1) "Administering firm" means a firm designated by the board of trustees to administer coverages, services, benefits, or requirements in accordance with...
• Texas Section 1551.004 - Definition Of Dependent
  (a) In this chapter, "dependent" with respect to an individual eligible to participate in the group benefits program means the individual's: (1) spouse; (2) unmarried...
• Texas Section 1551.005 - Definition Of Health Benefit Plan
  (a) In this chapter, "health benefit plan" means a plan that provides, pays for, or reimburses expenses for health care services, including comparable health care...
• Texas Section 1551.006 - Definition Of Institution Of Higher Education
  (a) In this chapter, except as provided by Subsection (b), "institution of higher education" means a public junior college, a senior college or university, or...
• Texas Section 1551.007 - Definition Of Carrier
  In this chapter, "carrier" means: (1) an insurance company that is authorized by the department under this code or another insurance law of this state...
• Texas Section 1551.008 - Applicability Of Definitions
  The definition of a term defined by this subchapter and the use of the terms "employee" and "annuitant" to refer to individuals eligible to participate...
• Texas Section 1551.009 - Board Of Trustees May Define Other Words
  The board of trustees may define by rule a word in terms necessary in the administration of this chapter. Added by Acts 2001, 77th Leg.,...
• Texas Section 1551.010 - Board Of Trustees Approval For Payroll Deductions Or Reductions
  A state agency may not establish, continue, or authorize payroll deductions or reductions for any benefit or coverage as provided by this chapter without the...
• Texas Section 1551.011 - Exemption From Execution
  All benefit payments, contributions of employees and annuitants, and optional benefit payments, any rights, benefits, or payments accruing to a person under this chapter, and...
• Texas Section 1551.012 - Exemption From State Taxes And Fees
  Any coverage established under this chapter, including a policy, an insurance contract, a certificate of coverage, an evidence of coverage, and an agreement with a...
• Texas Section 1551.013 - Combining Of Carriers Not Restraint Of Trade
  Carriers combining to bid, underwrite, or both bid and underwrite for the group benefits program are not in violation of Chapter 15, Business & Commerce...

SUBCHAPTER B ADMINISTRATION AND IMPLEMENTATION

• Texas Section 1551.014 - Exclusive Remedies
  The remedies provided under this chapter are the exclusive remedies available to an employee, participant, annuitant, or dependent. Added by Acts 2003, 78th Leg., ch....
• Texas Section 1551.051 - Administration And Implementation
  The administration and implementation of this chapter are vested solely in the board of trustees. Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3,...
• Texas Section 1551.052 - Authority For Rules, Plans, Procedures, And Orders
  (a) The board of trustees may adopt rules consistent with this chapter as it considers necessary to implement this chapter and its purposes, including rules...
• Texas Section 1551.053 - Authority To Hire Employees
  (a) The board of trustees may hire employees as the board considers necessary to ensure the proper administration of this chapter and the coverages, services,...
• Texas Section 1551.055 - General Powers Of Board Of Trustees Regarding Coverage Plans
  The board of trustees may: (1) prepare specifications for a coverage provided under this chapter; (2) prescribe the time and conditions under which an employee,...
• Texas Section 1551.056 - Independent Administrator
  (a) The board of trustees may, on a competitive bid basis, contract with an entity to act for the board as an independent administrator or...
• Texas Section 1551.057 - Compensation Of Person Employed By Board Of Trustees
  The board of trustees shall pay the compensation and expenses of a person employed by the board at the rate or in the amount approved...
• Texas Section 1551.058 - Electronic Authorizations
  (a) The board of trustees may develop a system for a participant to electronically authorize: (1) enrollment in a coverage or benefit; (2) contributions to...
• Texas Section 1551.059 - Certificate Of Coverage
  The board of trustees shall provide for issuance to each employee or annuitant participating in the group benefits program a certificate of coverage that states:...
• Texas Section 1551.060 - Identification Cards
  (a) The board of trustees may issue a single identification card to a participant in a health benefit plan and separately administered coverage under this...
• Texas Section 1551.061 - Annual Report
  The board of trustees shall submit a written report not later than January 1 of each year to the governor, lieutenant governor, speaker of the...
• Texas Section 1551.062 - Information On Operation And Administration Of Chapter
  (a) The board of trustees shall: (1) conduct a continuing study of the operation and administration of this chapter, including: (A) conducting surveys and preparing...
• Texas Section 1551.063 - Confidentiality Of Certain Records
  (a) The records of a participant in the group benefits program in the custody of the Employees Retirement System of Texas, or of an administering...
• Texas Section 1551.064 - Certain Group Health And Accident Policies Or Contracts
  (a) This section applies only to a group policy or contract described by Section 1251.301. A policy or contract executed under this chapter must provide...
• Texas Section 1551.065 - Disclosure Of Social Security Number
  The board of trustees may require an individual to disclose the individual's social security number as the board considers necessary to properly administer this chapter...
• Texas Section 1551.066 - Information Relating To Misconduct
  (a) This section applies to: (1) the Employees Retirement System of Texas; (2) a carrier or other insurance company or health maintenance organization; (3) an...
• Texas Section 1551.067 - Pharmacy Benefit Manager Contracts
  (a) In awarding a contract to provide pharmacy benefit manager services under this chapter, the board of trustees is not required to select the lowest...

SUBCHAPTER C COVERAGE AND PARTICIPATION

• Texas Section 1551.068 - Qualification Of Group Benefits Program
  Notwithstanding any provision of this chapter or any other law, it is intended that the provisions of this chapter be construed and administered in a...
• Texas Section 1551.101 - Participation Eligibility: State Officers And Employees
  (a) An elected or appointed officer or employee who performs service, other than as an independent contractor, for this state, including an institution of higher...
• Texas Section 1551.102 - Participation Eligibility: Annuitants
  (a) An individual who has at least 10 years of service credit, as determined by the board of trustees, for which the individual was eligible...
• Texas Section 1551.1021 - Participation Eligibility: Certain Faculty Of Institutions Of Higher Education
  (a) An adjunct faculty member at a public institution of higher education is eligible to participate in the group benefits program as an employee if...
• Texas Section 1551.1022 - Participation Eligibility: Certain Postdoctoral Fellows And Graduate Students
  (a) An individual who is not eligible to participate in the group benefits program under Section 1551.101 is eligible to participate in the group benefits...
• Texas Section 1551.103 - Right To Coverage
  Subject to Section 1551.351, an individual eligible to participate in the group benefits program under Section 1551.101 or 1551.102 may not be denied any group...
• Texas Section 1551.104 - Automatic Coverage
  (a) Subject to Sections 1551.101 and 1551.102, each full-time employee is covered automatically by the basic coverage plan for employees and each annuitant is covered...
• Texas Section 1551.1045 - Waiver
  (a) Subject to Subsections (b) and (c), an employee or annuitant may waive in writing any coverage provided under this chapter. (b) To waive coverage...
• Texas Section 1551.105 - Date Automatic Coverage Begins
  Automatic coverage under this subchapter begins on the date an employee or annuitant becomes eligible for coverage. Added by Acts 2001, 77th Leg., ch. 1419,...
• Texas Section 1551.1055 - Date Eligibility Begins; Waiting Period
  (a) Except as provided by Subsection (c), (d), or (e), eligibility under Section 1551.101 begins not later than the 90th day after the date the...
• Texas Section 1551.106 - Group Coverage Plan Purchased To Provide For Automatic Coverage
  A group coverage plan purchased by the board of trustees must provide for the automatic coverage described by this subchapter. Added by Acts 2001, 77th...
• Texas Section 1551.107 - Contingent Coverage
  (a) Each part-time employee or employee eligible to participate in the group benefits program under Section 1551.101(e)(2) may participate in the program on execution of...
• Texas Section 1551.108 - Continuing Eligibility Of Certain Persons With Legislative Service Or Employment
  Subject to Section 1551.351, on application to the board of trustees and on arrangement for payment of contributions and postage: (1) an individual who has...
• Texas Section 1551.109 - Continuing Eligibility Of Certain Members Of Boards, Commissions, And Institutions Of Higher Education
  (a) Subject to Section 1551.351, on application to the board of trustees and arrangement for payment of contributions, an individual participating in the group benefits...
• Texas Section 1551.110 - Ineligibility Of Certain Junior College Employees
  (a) Except as provided by Subsections (c) and (d), an employee of a public junior college who is employed to perform services outside this state...
• Texas Section 1551.111 - Participation By Certain Retirement Systems
  (a) The Texas Municipal Retirement System and the Texas County and District Retirement System shall participate in the group benefits program in the manner described...
• Texas Section 1551.112 - Participation By Texas Turnpike Authority
  (a) An individual may participate in the group benefits program as an annuitant, subject to Section 1551.1055, and may obtain coverage for the individual's dependents...
• Texas Section 1551.113 - Participation By Certain Employees Whose Positions Are Privatized Or Eliminated
  (a) An individual described by Subsection (b) is entitled to receive state contributions required to provide health benefit plan coverage under the group benefits program...
• Texas Section 1551.114 - Participation By Community Supervision And Corrections Departments
  (a) In this section, "employee of a community supervision and corrections department" means an employee of a department established under Chapter 76, Government Code. (b)...

SUBCHAPTER D COVERAGE FOR DEPENDENTS

• Texas Section 1551.115 - Participation By Wrongfully Imprisoned Persons
  Subject to Section 103.001, Civil Practice and Remedies Code, a person who is entitled to compensation under Chapter 103, Civil Practice and Remedies Code, is...
• Texas Section 1551.151 - Entitlement To Coverage
  An individual who is eligible to participate in the group benefits program under Section 1551.101, 1551.102, or 1551.1022 is entitled to secure for a dependent...
• Texas Section 1551.152 - Eligibility Of Foster Child
  A foster child is eligible for health benefit plan coverage only if the child is not covered by another governmental health program. Added by Acts...
• Texas Section 1551.153 - Participant Residing Outside Of Service Area
  An individual who is eligible to participate in the group benefits program under Section 1551.101 or 1551.102 and who resides outside of a health maintenance...
• Texas Section 1551.154 - Employee Payments
  In the manner and form the board of trustees determines, payments required of an employee in excess of employer contributions shall be made by: (1)...
• Texas Section 1551.155 - Coverage Options For Surviving Spouse
  (a) A surviving spouse of an individual who is eligible to participate in the group benefits program under Section 1551.101 or 1551.102 and who is...
• Texas Section 1551.156 - Coverage Options For Surviving Dependent
  (a) A surviving dependent of an annuitant who was receiving monthly benefits paid by a retirement system named in this chapter may, following the death...
• Texas Section 1551.157 - Coverage Options After Expiration Of Annuity Option
  The surviving spouse or dependent of an employee or annuitant may retain authorized coverages after expiration of a time-certain annuity option selected by the employee...

SUBCHAPTER E GROUP COVERAGES

• Texas Section 1551.158 - Reinstatement Of Health Benefit Plan Coverage By Certain Dependents
  (a) A dependent child who is unmarried and whose coverage under this chapter ends when the child becomes 26 years of age may, on expiration...
• Texas Section 1551.201 - Establishment
  (a) The board of trustees by rule shall establish group coverage plans for individuals eligible to participate in the group benefits program. (b) The group...
• Texas Section 1551.2011 - Employee Awareness And Education
  (a) The board of trustees by rule shall ensure that employees receive information about life coverage, accidental death and dismemberment coverage, and long-term and short-term...
• Texas Section 1551.202 - Authority To Define Basic Coverages
  (a) The board of trustees may define the basic coverage applicable to each individual for whom coverage is automatic unless participation is specifically waived. (b)...
• Texas Section 1551.203 - Authority To Define Optional Coverages
  The board of trustees may define optional coverages for which the board may make available employer contributions under Section 1551.303. Added by Acts 2001, 77th...
• Texas Section 1551.204 - Authority To Define Voluntary Coverages
  Subject to Section 1551.304, the board of trustees may define voluntary coverages. Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1,
• Texas Section 1551.205 - Limitations
  The board of trustees may not contract for or provide a coverage plan that: (1) excludes or limits coverage or services for acquired immune deficiency...
• Texas Section 1551.206 - Cafeteria Plan
  (a) The board of trustees may develop, implement, and administer a cafeteria plan if the board determines that establishment of the plan: (1) is feasible;...
• Texas Section 1551.207 - Premium Conversion Benefit Portion Of Cafeteria Plan
  Each employee must be enrolled in the premium conversion benefit portion of a cafeteria plan established under Section 1551.206. Added by Acts 2001, 77th Leg.,...
• Texas Section 1551.208 - Determination To Self-fund
  (a) The board of trustees, in the board's sole discretion, shall determine those coverage plans that the board does not intend to purchase but intends...
• Texas Section 1551.209 - Coverage Exempt From Insurance Law
  A coverage plan provided under this chapter is exempt from any other insurance law, including common law, that does not expressly apply to the plan...
• Texas Section 1551.210 - Actuarial Advice For Self-funded Coverage
  A qualified actuary selected by the board of trustees shall advise the board regarding an actuarially sound level of contributions required to provide coverage directly...
• Texas Section 1551.211 - Contingency Reserve Fund For Self-funded Coverage
  (a) Before the first day of each state fiscal biennium, the board of trustees shall estimate for an average 60-day period during the biennium the...
• Texas Section 1551.212 - Firms To Administer Self-funded Coverage
  (a) For those coverage plans that the board of trustees funds from the employees life, accident, and health insurance and benefits fund, the board may...
• Texas Section 1551.213 - Bids For Purchased Coverage
  (a) For those coverage plans for which the board of trustees determines to purchase coverage, the board shall notify eligible carriers: (1) that competitive bidding...
• Texas Section 1551.214 - Selection Of Bids For Purchased Coverage
  (a) An actuary selected by the board of trustees shall advise the board as to the actuarial soundness of the bids received under Section 1551.213....
• Texas Section 1551.215 - Accounting By Carrier Providing Purchased Coverage
  (a) A carrier providing a coverage purchased under this chapter shall provide an accounting to the board of trustees not later than the 90th day...
• Texas Section 1551.216 - Special Contingency Reserve
  (a) A carrier issuing a group coverage plan under this chapter shall hold as a special contingency reserve an amount that equals the amount by...
• Texas Section 1551.217 - Use Of Employee's Salary In Computation Of Premium Or Coverage
  (a) If the board of trustees establishes a group coverage plan that protects against either long-term or short-term loss of salary, the board may use...
• Texas Section 1551.218 - Prior Authorization For Certain Drugs
  (a) In this section, "drug formulary" means a list of drugs preferred for use and eligible for coverage under a health benefit plan. (b) A...
• Texas Section 1551.219 - Disease Management Services
  (a) In this section, "disease management services" means services to assist an individual manage a disease or other chronic health condition, such as heart disease,...
• Texas Section 1551.220 - Beneficiary Causing Death Of Participant Or Beneficiary Of Participant
  (a) Any benefits, funds, or account balances payable on the death of a participant or the beneficiary of a participant in the group benefits program...
• Texas Section 1551.222 - Incentive Payments
  (a) The board of trustees may allow an incentive payment under this section to an employee or annuitant who elects to waive coverage under the...
• Texas Section 1551.224 - Mail Order Requirement For Prescription Drug Coverage Prohibited
  (a) The board of trustees or a health benefit plan under this chapter that provides benefits for prescription drugs may not require a participant in...
• Texas Section 1551.225 - Bariatric Surgery Coverage
  (a) The board of trustees shall develop a cost-neutral or cost-positive plan for providing under the group benefits program bariatric surgery coverage for employees eligible...
• Texas Section 1551.226 - Tobacco Cessation Coverage
  (a) The board of trustees shall develop a plan for providing under any health benefit plan provided under the group benefits program tobacco cessation coverage...

SUBCHAPTER F GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE COVERAGE PLAN

• Texas Section 1551.227 - Tricare Military Health System Supplemental Plan
  (a) The board of trustees shall make available a TRICARE Military Health System supplemental plan to an employee or annuitant who waives coverage under the...
• Texas Section 1551.251 - Group Life Insurance Coverage Plan
  (a) The board of trustees shall administer a group life insurance coverage plan to provide each individual eligible to participate in the group benefits program...
• Texas Section 1551.252 - Additional Term Life Insurance
  Notwithstanding any other provision of this code, the board of trustees may authorize: (1) dependent term life insurance in an amount equal to the term...
• Texas Section 1551.253 - Determination Of Annual Salary
  (a) To implement this subchapter, the board of trustees shall: (1) adopt rules for the conversion of other than annual rates of salary; and (2)...
• Texas Section 1551.254 - Accelerated Life Insurance Benefits
  (a) In addition to exercising the authority granted under Subchapter B, Chapter 1111, the board of trustees may adopt rules to provide for payment of...
• Texas Section 1551.255 - Inclusion Of Provisions For Viatical Settlements
  (a) In this section, "viatical settlement" has the meaning assigned to "life settlement contract" by Section 1111A.002. (b) The board of trustees shall adopt rules...
• Texas Section 1551.256 - Optional Term Life Insurance Coverage After Retirement
  (a) A participant in the optional group term life insurance coverage plan may maintain optional term life insurance coverage after retirement in addition to basic...
• Texas Section 1551.257 - Eligibility Of Annuitant For Extended Insurance Benefits
  An annuitant participating in optional term life insurance coverage is not eligible for premium-waived extended insurance benefits if the total disability begins after the date...
• Texas Section 1551.258 - Termination Of Accidental Death And Dismemberment Insurance Coverage On Retirement
  Without regard to the employee's age, accidental death and dismemberment insurance coverage ends on the employee's date of retirement. Added by Acts 2001, 77th Leg.,...

SUBCHAPTER G CONTRIBUTIONS AND COSTS

• Texas Section 1551.259 - Order Of Precedence Of Payment To Survivors
  (a) The amount of group life coverage and group accidental death and dismemberment coverage in force for a participant on the date the participant dies...
• Texas Section 1551.301 - Funding Of Basic Coverage
  The board of trustees shall use the amount appropriated for employer contributions in the manner provided by this subchapter to fund the basic coverage. Added...
• Texas Section 1551.3015 - Cost Assessment For Certain Participants
  Notwithstanding any other provision of law, the board of trustees may impose against an employer whose employees are not paid salaries from amounts appropriated by...
• Texas Section 1551.302 - Allocation Of Employer Contributions
  (a) The board of trustees may equitably allocate to each health benefit plan the employer contributions that would be required to fund basic health coverage...
• Texas Section 1551.303 - Funding Of Optional Coverages
  The board of trustees may allocate any employer contributions remaining after the basic coverage has been funded to fund optional coverages in any manner the...
• Texas Section 1551.304 - Funding Of Voluntary Coverages
  The board of trustees may not allocate any employer contributions to fund voluntary coverages. Voluntary coverages may be funded only by participant contributions. Added by...
• Texas Section 1551.305 - Cost Of Basic Coverage Exceeding Employer Contributions
  If the cost of the basic coverage for an individual eligible to participate in the group benefits program under Section 1551.101 or 1551.102 exceeds the...
• Texas Section 1551.306 - Payment Of Excess Cost Over Basic Coverage Contribution
  (a) The board of trustees shall apply the amount of any employer contribution for optional coverages to the excess of the cost of the basic...
• Texas Section 1551.307 - Payment For Voluntary Coverages
  Except as provided by Section 1551.309, if an individual eligible to participate in the group benefits program under Section 1551.101 or 1551.102 applies for voluntary...
• Texas Section 1551.3075 - Tobacco User Premium Differential
  (a) The board of trustees shall assess each participant in a health benefit plan provided under the group benefits program who uses one or more...
• Texas Section 1551.3076 - Employer Enrollment Fee
  (a) The board of trustees shall assess each employer whose employees participate in the group benefits program an employer enrollment fee in an amount not...
• Texas Section 1551.308 - No Contribution On Refusal Of Coverage
  The state and a state agency may not make any contribution to the cost of any coverages or benefits provided under this chapter for an...
• Texas Section 1551.309 - Employee Payments For Participation In Cafeteria Plan
  (a) If an employee elects to participate in the cafeteria plan, the employee must execute a salary reduction agreement under which the employee's monthly compensation...
• Texas Section 1551.310 - State Contribution Required
  The state shall contribute to the cost of each participant's group coverages, including dependents' group coverages, the amounts appropriated for the coverages in the General...
• Texas Section 1551.311 - Amount Of State Contribution
  (a) Not later than November 1 preceding each regular session of the legislature, the board of trustees, in coordination with the Legislative Budget Board, shall...
• Texas Section 1551.3111 - Amount Of State Contribution For Certain Junior College Employees
  (a) In computing the amount to be certified under Section 1551.311, for participants who are employed by public junior colleges or public junior college districts,...
• Texas Section 1551.313 - Amount Of State Contribution For Certain Surviving Dependents
  If funds are specifically appropriated for the purpose, this state shall pay the same portion of the cost of the required contributions for a deceased...
• Texas Section 1551.314 - Certain State Contributions Prohibited
  A state contribution may not be: (1) made for coverages under this chapter selected by an individual who receives a state contribution for coverages under...
• Texas Section 1551.315 - Required Contributions By State Agencies
  (a) The governing board of each state agency participating in the group benefits program shall pay to the board of trustees an amount equal to...
• Texas Section 1551.316 - Allocation To Board Of Trustees Of Employer Contributions
  From the several funds from which employees receive their respective salaries, all employer contributions computed in accordance with this chapter and rules adopted under this...
• Texas Section 1551.317 - Payment Of Employer Contributions Allocated By The State
  (a) All money allocated by this state, including by institutions of higher education, to the board of trustees under this chapter shall be paid to...
• Texas Section 1551.318 - Payment Of Employer Contributions Not Allocated By The State
  (a) The board of trustees shall certify to the governing board of each state agency participating in the group benefits program that provides contributions for...
• Texas Section 1551.319 - Amount Of Contribution For Full-time And Part-time Employees
  (a) A full-time employee receives the benefits of a full state contribution for coverage under this chapter. (b) A part-time employee receives the benefits of...
• Texas Section 1551.3195 - Amount Of Contribution For Annuitants Who Were Part-time Employees
  An annuitant who as an employee received the benefits of a state contribution under Section 1551.319(b) for coverage during any portion of the annuitant's last...
• Texas Section 1551.3196 - Amount Of Contribution For Certain Annuitants
  (a) An annuitant receives the benefits of a state contribution for coverage under this chapter based on the annuitant's eligible service credit, as follows: (1)...
• Texas Section 1551.320 - Certain Costs
  The Texas Higher Education Coordinating Board shall pay all costs incurred in determining whether an individual is disabled if: (1) the individual is an annuitant...
• Texas Section 1551.322 - Required Contributions By Texas Department Of Criminal Justice
  (a) Not later than August 1 of each year, the board of trustees shall notify the community justice assistance division of the Texas Department of...
• Texas Section 1551.323 - Cost Of Certain Annuitants
  (a) An annuitant eligible to participate under Section 1551.102(i), 1551.111(e), or 1551.112(c) is, except as provided by this subsection, required to pay the total cost,...

SUBCHAPTER H SANCTIONS AND ADJUDICATION OF CLAIMS

• Texas Section 1551.324 - Reduction In Contribution For Certain Active Employees And Annuitants; Incentive Payments
  (a) Notwithstanding any other provision of this subchapter, the state contribution for an employee's coverage or an annuitant's coverage under this chapter may be reduced,...
• Texas Section 1551.351 - Administrative Process And Sanctions For Program Violations
  (a) The Employees Retirement System of Texas may impose one or more sanctions described by this section against any employee, participant, annuitant, or dependent who:...
• Texas Section 1551.352 - Executive Director Determines Questions Relating To Enrollment Or Payment Of Claims
  The executive director has exclusive authority to determine all questions relating to enrollment in or payment of a claim arising from group coverages or benefits...
• Texas Section 1551.354 - Double Or Multiple Liability
  (a) The executive director may determine that a claim arising under any group coverage plan administered by the board of trustees may expose the plan...
• Texas Section 1551.355 - Appeal Of Executive Director's Determination
  (a) Subject to Subsection (b), an appeal of a determination of the executive director under this subchapter is only to the board of trustees. (b)...
• Texas Section 1551.356 - Standing
  (a) A person has standing to appeal a determination of the executive director under this subchapter only if the person is: (1) an employee, participant,...
• Texas Section 1551.357 - Determination Of Appeal By Board Of Trustees
  (a) Notwithstanding any other law, in a proceeding considered to be a contested case under Chapter 2001, Government Code, the board of trustees in its...
• Texas Section 1551.358 - Negotiation
  (a) Notwithstanding any other provision of this subchapter, the board of trustees and a person who has standing to pursue an administrative appeal under this...
• Texas Section 1551.359 - Judicial Review
  A person aggrieved by a final decision of the Employees Retirement System of Texas in a contested case under this subchapter is entitled to judicial...
• Texas Section 1551.360 - Delegation
  (a) The board of trustees may delegate its duty to hear an appeal to the executive director. (b) The executive director may delegate the director's...
• Texas Section 1551.361 - Diligent Prosecution Of Suit
  The plaintiff shall prosecute with reasonable diligence any suit brought under Section 1551.359. If the plaintiff does not secure proper service of process or does...

SUBCHAPTER I FUNDS

• Texas Section 1551.362 - Subpoena
  Notwithstanding any other law, the Employees Retirement System of Texas may issue a subpoena that conforms to Rule 176, Texas Rules of Civil Procedure, including...
• Texas Section 1551.401 - Employees Life, Accident, And Health Insurance And Benefits Fund
  (a) The employees life, accident, and health insurance and benefits fund is in the state treasury. (b) The board of trustees shall administer the fund....
• Texas Section 1551.402 - State Employees Cafeteria Plan Trust Fund
  (a) The state employees cafeteria plan trust fund is in the state treasury. (b) The board of trustees shall administer the fund. (c) The following...
• Texas Section 1551.403 - Fees For State Employees Cafeteria Plan Trust Fund
  (a) Subject to Subsection (e), the board of trustees may establish a monthly fee to be paid by each employee who elects to participate in...
• Texas Section 1551.404 - Insufficient Earnings For Employee To Participate In Cafeteria Fund
  (a) If the earnings of an employee who elects to participate in a cafeteria plan are insufficient to pay the cost of the coverages and...
• Texas Section 1551.405 - Employees' Health Care Stabilization Trust Fund
  (a) The employees' health care stabilization trust fund is a fund in the state treasury. (b) The board of trustees shall administer the fund. (c)...
• Texas Section 1551.406 - Investment Of Funds
  (a) Under the standard of care provided by Section 815.307, Government Code, the board of trustees may manage and has full power to invest and...

SUBCHAPTER J STATE CONSUMER-DIRECTED HEALTH PLAN

• Texas Section 1551.407 - Management Of Assets
  The board of trustees may commingle for investment purposes the assets of a fund created under this chapter with another fund created under this chapter...
• Texas Section 1551.451 - Definitions
  In this subchapter: (1) "High deductible health plan" means a health benefit plan that complies with Section 223(c), Internal Revenue Code of 1986, and other...
• Texas Section 1551.452 - Establishment Of State Consumer-directed Health Plan
  (a) The state consumer-directed health plan is established for the benefit of individuals eligible to participate in the group benefits program and those individuals' eligible...
• Texas Section 1551.453 - Account Administrator
  (a) The account administrator selected to administer a health savings account established under this subchapter must be a person: (1) qualified to serve as trustee...
• Texas Section 1551.454 - Participation In Program
  (a) Each individual eligible to participate in the basic coverage may choose instead to participate in the state consumer-directed health plan if the plan enrollee...
• Texas Section 1551.455 - Coverage For Dependents; Required Contributions
  (a) A plan enrollee may obtain for the enrollee's dependents coverage in the state consumer-directed health plan in the manner determined by the board of...
• Texas Section 1551.456 - State Contribution
  (a) For each plan enrollee, from the state contribution that would otherwise be made for basic coverage for the enrollee, the state shall contribute annually...
• Texas Section 1551.457 - Plan Enrollee Contributions
  (a) Each plan enrollee, in accordance with Section 1551.305, shall contribute any amount required to cover the selected participation in the high deductible health plan...
• Texas Section 1551.458 - Coordination With Cafeteria Plan
  (a) The board of trustees has exclusive authority to determine the eligibility of a plan enrollee to participate in any flexible spending account that is...
• Texas Section 1551.459 - Exemption From Execution; Unassignability
  A state contribution to a health savings account or a high deductible health plan is exempt from execution and is unassignable in the same manner...
• Texas Section 1551.460 - Single Undivided Risk Pool
  In implementing and administering the state consumer-directed health plan established under this subchapter, the board of trustees may not divide the self-funded risk pool of...

Last modified: September 28, 2016