TEXAS EMPLOYEES GROUP BENEFITS ACT
Tex. INS Code ch. 1551
in effectContents
section1551.001.. SHORT TITLE.section1551.002.. PURPOSES.section1551.003.. GENERAL DEFINITIONS.section1551.004.. DEFINITION OF DEPENDENT.section1551.005.. DEFINITION OF HEALTH BENEFIT PLAN.section1551.006.. DEFINITION OF INSTITUTION OF HIGHER EDUCATION.section1551.007.. DEFINITION OF CARRIER.section1551.008.. APPLICABILITY OF DEFINITIONS.section1551.009.. BOARD OF TRUSTEES MAY DEFINE OTHER WORDS.section1551.010.. BOARD OF TRUSTEES APPROVAL FOR PAYROLL DEDUCTIONS OR REDUCTIONS.section1551.011.. EXEMPTION FROM EXECUTION.section1551.012.. EXEMPTION FROM STATE TAXES AND FEES.section1551.013.. COMBINING OF CARRIERS NOT RESTRAINT OF TRADE.section1551.014.. EXCLUSIVE REMEDIES.section1551.015.. BALANCE BILLING PROHIBITION NOTICE.section1551.051.. ADMINISTRATION AND IMPLEMENTATION.section1551.052.. AUTHORITY FOR RULES, PLANS, PROCEDURES, AND ORDERS.section1551.053.. AUTHORITY TO HIRE EMPLOYEES.section1551.055.. GENERAL POWERS OF BOARD OF TRUSTEES REGARDING COVERAGE PLANS.section1551.056.. INDEPENDENT ADMINISTRATOR.section1551.057.. COMPENSATION OF PERSON EMPLOYED BY BOARD OF TRUSTEES.section1551.058.. ELECTRONIC AUTHORIZATIONS.section1551.059.. CERTIFICATE OF COVERAGE.section1551.060.. IDENTIFICATION CARDS.section1551.061.. ANNUAL REPORT.section1551.062.. INFORMATION ON OPERATION AND ADMINISTRATION OF CHAPTER.section1551.063.. CONFIDENTIALITY OF CERTAIN RECORDS.section1551.064.. CERTAIN GROUP HEALTH AND ACCIDENT POLICIES OR CONTRACTS.section1551.065.. DISCLOSURE OF SOCIAL SECURITY NUMBER.section1551.066.. INFORMATION RELATING TO MISCONDUCT.section1551.067.. PHARMACY BENEFIT MANAGER CONTRACTS.section1551.068.. QUALIFICATION OF GROUP BENEFITS PROGRAM.section1551.101.. PARTICIPATION ELIGIBILITY: STATE OFFICERS AND EMPLOYEES.section1551.102.. PARTICIPATION ELIGIBILITY: ANNUITANTS.section1551.103.. RIGHT TO COVERAGE.section1551.104.. AUTOMATIC COVERAGE.section1551.105.. DATE AUTOMATIC COVERAGE BEGINS.section1551.106.. GROUP COVERAGE PLAN PURCHASED TO PROVIDE FOR AUTOMATIC COVERAGE.section1551.107.. CONTINGENT COVERAGE.section1551.108.. CONTINUING ELIGIBILITY OF CERTAIN PERSONS WITH LEGISLATIVE SERVICE OR EMPLOYMENT.section1551.109.. CONTINUING ELIGIBILITY OF CERTAIN MEMBERS OF BOARDS, COMMISSIONS, AND INSTITUTIONS OF HIGHER EDUCATION.section1551.110.. INELIGIBILITY OF CERTAIN JUNIOR COLLEGE EMPLOYEES.section1551.111.. PARTICIPATION BY CERTAIN RETIREMENT SYSTEMS.section1551.112.. PARTICIPATION BY TEXAS TURNPIKE AUTHORITY.section1551.113.. PARTICIPATION BY CERTAIN EMPLOYEES WHOSE POSITIONS ARE PRIVATIZED OR ELIMINATED.section1551.114.. PARTICIPATION BY COMMUNITY SUPERVISION AND CORRECTIONS DEPARTMENTS.section1551.115.. PARTICIPATION BY WRONGFULLY IMPRISONED PERSONS.section1551.151.. ENTITLEMENT TO COVERAGE.section1551.152.. ELIGIBILITY OF FOSTER CHILD.section1551.153.. PARTICIPANT RESIDING OUTSIDE OF SERVICE AREA.section1551.154.. EMPLOYEE PAYMENTS.section1551.155.. COVERAGE OPTIONS FOR SURVIVING SPOUSE.section1551.156.. COVERAGE OPTIONS FOR SURVIVING DEPENDENT.section1551.157.. COVERAGE OPTIONS AFTER EXPIRATION OF ANNUITY OPTION.section1551.158.. REINSTATEMENT OF HEALTH BENEFIT PLAN COVERAGE BY CERTAIN DEPENDENTS.section1551.201.. ESTABLISHMENT.section1551.202.. AUTHORITY TO DEFINE BASIC COVERAGES.section1551.203.. AUTHORITY TO DEFINE OPTIONAL COVERAGES.section1551.204.. AUTHORITY TO DEFINE VOLUNTARY COVERAGES.section1551.205.. LIMITATIONS.section1551.206.. CAFETERIA PLAN.section1551.207.. PREMIUM CONVERSION BENEFIT PORTION OF CAFETERIA PLAN.section1551.208.. DETERMINATION TO SELF-FUND.section1551.209.. COVERAGE EXEMPT FROM INSURANCE LAW.section1551.210.. ACTUARIAL ADVICE FOR SELF-FUNDED COVERAGE.section1551.211.. CONTINGENCY RESERVE FUND FOR SELF-FUNDED COVERAGE.section1551.212.. FIRMS TO ADMINISTER SELF-FUNDED COVERAGE.section1551.213.. BIDS FOR PURCHASED COVERAGE.section1551.214.. SELECTION OF BIDS FOR PURCHASED COVERAGE.section1551.215.. ACCOUNTING BY CARRIER PROVIDING PURCHASED COVERAGE.section1551.216.. SPECIAL CONTINGENCY RESERVE.section1551.217.. USE OF EMPLOYEE'S SALARY IN COMPUTATION OF PREMIUM OR COVERAGE.section1551.218.. PRIOR AUTHORIZATION FOR CERTAIN DRUGS.section1551.219.. DISEASE MANAGEMENT SERVICES.section1551.220.. BENEFICIARY CAUSING DEATH OF PARTICIPANT OR BENEFICIARY OF PARTICIPANT.section1551.222.. INCENTIVE PAYMENTS.section1551.224.. MAIL ORDER REQUIREMENT FOR PRESCRIPTION DRUG COVERAGE PROHIBITED.section1551.225.. BARIATRIC SURGERY COVERAGE.section1551.226.. TOBACCO CESSATION COVERAGE.section1551.227.. TRICARE MILITARY HEALTH SYSTEM SUPPLEMENTAL PLAN.section1551.228.. EMERGENCY CARE PAYMENTS.section1551.229.. OUT-OF-NETWORK FACILITY-BASED PROVIDER PAYMENTS.section1551.230.. OUT-OF-NETWORK DIAGNOSTIC IMAGING PROVIDER OR LABORATORY SERVICE PROVIDER PAYMENTS.section1551.231.. OUT-OF-NETWORK EMERGENCY MEDICAL SERVICES PROVIDER PAYMENTS.section1551.251.. GROUP LIFE INSURANCE COVERAGE PLAN.section1551.252.. ADDITIONAL TERM LIFE INSURANCE.section1551.253.. DETERMINATION OF ANNUAL SALARY.section1551.254.. ACCELERATED LIFE INSURANCE BENEFITS.section1551.255.. INCLUSION OF PROVISIONS FOR VIATICAL SETTLEMENTS.section1551.256.. OPTIONAL TERM LIFE INSURANCE COVERAGE AFTER RETIREMENT.section1551.257.. ELIGIBILITY OF ANNUITANT FOR EXTENDED INSURANCE BENEFITS.section1551.258.. TERMINATION OF ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE COVERAGE ON RETIREMENT.section1551.259.. ORDER OF PRECEDENCE OF PAYMENT TO SURVIVORS.section1551.301.. FUNDING OF BASIC COVERAGE.section1551.302.. ALLOCATION OF EMPLOYER CONTRIBUTIONS.section1551.303.. FUNDING OF OPTIONAL COVERAGES.section1551.304.. FUNDING OF VOLUNTARY COVERAGES.section1551.305.. COST OF BASIC COVERAGE EXCEEDING EMPLOYER CONTRIBUTIONS.section1551.306.. PAYMENT OF EXCESS COST OVER BASIC COVERAGE CONTRIBUTION.section1551.307.. PAYMENT FOR VOLUNTARY COVERAGES.section1551.308.. NO CONTRIBUTION ON REFUSAL OF COVERAGE.section1551.309.. EMPLOYEE PAYMENTS FOR PARTICIPATION IN CAFETERIA PLAN.section1551.310.. STATE CONTRIBUTION REQUIRED.section1551.311.. AMOUNT OF STATE CONTRIBUTION.section1551.313.. AMOUNT OF STATE CONTRIBUTION FOR CERTAIN SURVIVING DEPENDENTS.section1551.314.. CERTAIN STATE CONTRIBUTIONS PROHIBITED.section1551.315.. REQUIRED CONTRIBUTIONS BY STATE AGENCIES.section1551.316.. ALLOCATION TO BOARD OF TRUSTEES OF EMPLOYER CONTRIBUTIONS.section1551.317.. PAYMENT OF EMPLOYER CONTRIBUTIONS ALLOCATED BY THE STATE.section1551.318.. PAYMENT OF EMPLOYER CONTRIBUTIONS NOT ALLOCATED BY THE STATE.section1551.319.. AMOUNT OF CONTRIBUTION FOR FULL-TIME AND PART-TIME EMPLOYEES.section1551.320.. CERTAIN COSTS.section1551.323.. COST OF CERTAIN ANNUITANTS.section1551.324.. REDUCTION IN CONTRIBUTION FOR CERTAIN ACTIVE EMPLOYEES AND ANNUITANTS; INCENTIVE PAYMENTS.section1551.351.. ADMINISTRATIVE PROCESS AND SANCTIONS FOR PROGRAM VIOLATIONS.section1551.352.. EXECUTIVE DIRECTOR DETERMINES QUESTIONS RELATING TO ENROLLMENT OR PAYMENT OF CLAIMS.section1551.354.. DOUBLE OR MULTIPLE LIABILITY.section1551.355.. APPEAL OF EXECUTIVE DIRECTOR'S DETERMINATION.section1551.356.. STANDING.section1551.357.. DETERMINATION OF APPEAL BY BOARD OF TRUSTEES.section1551.358.. NEGOTIATION.section1551.359.. JUDICIAL REVIEW.section1551.360.. DELEGATION.section1551.361.. DILIGENT PROSECUTION OF SUIT.section1551.362.. SUBPOENA.section1551.363.. PRECEDENT MANUAL.section1551.401.. EMPLOYEES LIFE, ACCIDENT, AND HEALTH INSURANCE AND BENEFITS FUND.section1551.402.. STATE EMPLOYEES CAFETERIA PLAN TRUST FUND.section1551.403.. FEES FOR STATE EMPLOYEES CAFETERIA PLAN TRUST FUND.section1551.404.. INSUFFICIENT EARNINGS FOR EMPLOYEE TO PARTICIPATE IN CAFETERIA FUND.section1551.405.. EMPLOYEES' HEALTH CARE STABILIZATION TRUST FUND.section1551.406.. INVESTMENT OF FUNDS.section1551.407.. MANAGEMENT OF ASSETS.section1551.451.. DEFINITIONS.section1551.452.. ESTABLISHMENT OF STATE CONSUMER-DIRECTED HEALTH PLAN.section1551.453.. ACCOUNT ADMINISTRATOR.section1551.454.. PARTICIPATION IN PROGRAM.section1551.455.. COVERAGE FOR DEPENDENTS; REQUIRED CONTRIBUTIONS.section1551.456.. STATE CONTRIBUTION.section1551.457.. PLAN ENROLLEE CONTRIBUTIONS.section1551.458.. COORDINATION WITH CAFETERIA PLAN.section1551.459.. EXEMPTION FROM EXECUTION; UNASSIGNABILITY.section1551.460.. SINGLE UNDIVIDED RISK POOL.section1551.1021.. PARTICIPATION ELIGIBILITY: CERTAIN FACULTY OF INSTITUTIONS OF HIGHER EDUCATION.section1551.1022.. PARTICIPATION ELIGIBILITY: CERTAIN POSTDOCTORAL FELLOWS AND GRADUATE STUDENTS.section1551.1045.. WAIVER.section1551.1055.. DATE ELIGIBILITY BEGINS; WAITING PERIOD.section1551.1095.. ELIGIBILITY OF STATE BOARD OF EDUCATION MEMBERS.section1551.2011.. EMPLOYEE AWARENESS AND EDUCATION.section1551.2181.. EXEMPTION FROM PREAUTHORIZATION REQUIREMENTS FOR PHYSICIANS AND HEALTH CARE PROVIDERS PROVIDING CERTAIN HEALTH CARE SERVICES.section1551.3015.. COST ASSESSMENT FOR CERTAIN PARTICIPANTS.section1551.3075.. TOBACCO USER PREMIUM DIFFERENTIAL.section1551.3076.. EMPLOYER ENROLLMENT FEE.section1551.3111.. AMOUNT OF STATE CONTRIBUTION FOR CERTAIN JUNIOR COLLEGE EMPLOYEES.section1551.3195.. AMOUNT OF CONTRIBUTION FOR ANNUITANTS WHO WERE PART-TIME EMPLOYEES.section1551.3196.. AMOUNT OF CONTRIBUTION FOR CERTAIN ANNUITANTS.