 |
Texas Statutes (Last Updated: January 4, 2014) |
 |
INSURANCE CODE |
|
|
Title 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES |
|
|
Subtitle H. HEALTH BENEFITS AND OTHER COVERAGES FOR GOVERNMENTAL EMPLOYEES |
|
|
Chapter 1551. TEXAS EMPLOYEES GROUP BENEFITS ACT |
| Subchapter A. GENERAL PROVISIONS |
| § 1551.001. SHORT TITLE |
| § 1551.002. PURPOSES |
| § 1551.003. GENERAL DEFINITIONS |
| § 1551.004. DEFINITION OF DEPENDENT |
| § 1551.005. DEFINITION OF HEALTH BENEFIT PLAN |
| § 1551.006. DEFINITION OF INSTITUTION OF HIGHER EDUCATION |
| § 1551.007. DEFINITION OF CARRIER |
| § 1551.008. APPLICABILITY OF DEFINITIONS |
| § 1551.009. BOARD OF TRUSTEES MAY DEFINE OTHER WORDS |
| § 1551.010. BOARD OF TRUSTEES APPROVAL FOR PAYROLL DEDUCTIONS OR REDUCTIONS |
| § 1551.011. EXEMPTION FROM EXECUTION |
| § 1551.012. EXEMPTION FROM STATE TAXES AND FEES |
| § 1551.013. COMBINING OF CARRIERS NOT RESTRAINT OF TRADE |
| § 1551.014. EXCLUSIVE REMEDIES |
| Subchapter B. ADMINISTRATION AND IMPLEMENTATION |
| § 1551.051. ADMINISTRATION AND IMPLEMENTATION |
| § 1551.052. AUTHORITY FOR RULES, PLANS, PROCEDURES, AND ORDERS |
| § 1551.053. AUTHORITY TO HIRE EMPLOYEES |
| § 1551.055. GENERAL POWERS OF BOARD OF TRUSTEES REGARDING COVERAGE PLANS |
| § 1551.056. INDEPENDENT ADMINISTRATOR |
| § 1551.057. COMPENSATION OF PERSON EMPLOYED BY BOARD OF TRUSTEES |
| § 1551.058. ELECTRONIC AUTHORIZATIONS |
| § 1551.059. CERTIFICATE OF COVERAGE |
| § 1551.060. IDENTIFICATION CARDS |
| § 1551.061. ANNUAL REPORT |
| § 1551.062. INFORMATION ON OPERATION AND ADMINISTRATION OF CHAPTER |
| § 1551.063. CONFIDENTIALITY OF CERTAIN RECORDS |
| § 1551.064. CERTAIN GROUP HEALTH AND ACCIDENT POLICIES OR CONTRACTS |
| § 1551.065. DISCLOSURE OF SOCIAL SECURITY NUMBER |
| § 1551.066. INFORMATION RELATING TO MISCONDUCT |
| § 1551.067. PHARMACY BENEFIT MANAGER CONTRACTS |
| § 1551.068. QUALIFICATION OF GROUP BENEFITS PROGRAM |
| Subchapter C. COVERAGE AND PARTICIPATION |
| § 1551.101. PARTICIPATION ELIGIBILITY: STATE OFFICERS AND EMPLOYEES |
| § 1551.102. PARTICIPATION ELIGIBILITY: ANNUITANTS |
| § 1551.1021. PARTICIPATION ELIGIBILITY: CERTAIN FACULTY OF INSTITUTIONS OF HIGHER EDUCATION |
| § 1551.1022. PARTICIPATION ELIGIBILITY: CERTAIN POSTDOCTORAL FELLOWS AND GRADUATE STUDENTS |
| § 1551.103. RIGHT TO COVERAGE |
| § 1551.104. AUTOMATIC COVERAGE |
| § 1551.1045. WAIVER |
| § 1551.105. DATE AUTOMATIC COVERAGE BEGINS |
| § 1551.1055. DATE ELIGIBILITY BEGINS; WAITING PERIOD |
| § 1551.106. GROUP COVERAGE PLAN PURCHASED TO PROVIDE FOR AUTOMATIC COVERAGE |
| § 1551.107. CONTINGENT COVERAGE |
| § 1551.108. CONTINUING ELIGIBILITY OF CERTAIN PERSONS WITH LEGISLATIVE SERVICE OR EMPLOYMENT |
| § 1551.109. CONTINUING ELIGIBILITY OF CERTAIN MEMBERS OF BOARDS, COMMISSIONS, AND INSTITUTIONS OF HIGHER EDUCATION |
| § 1551.110. INELIGIBILITY OF CERTAIN JUNIOR COLLEGE EMPLOYEES |
| § 1551.111. PARTICIPATION BY CERTAIN RETIREMENT SYSTEMS |
| § 1551.112. PARTICIPATION BY TEXAS TURNPIKE AUTHORITY |
| § 1551.113. PARTICIPATION BY CERTAIN EMPLOYEES WHOSE POSITIONS ARE PRIVATIZED OR ELIMINATED |
| § 1551.114. PARTICIPATION BY COMMUNITY SUPERVISION AND CORRECTIONS DEPARTMENTS |
| § 1551.115. PARTICIPATION BY WRONGFULLY IMPRISONED PERSONS |
| Subchapter D. COVERAGE FOR DEPENDENTS |
| § 1551.151. ENTITLEMENT TO COVERAGE |
| § 1551.152. ELIGIBILITY OF FOSTER CHILD |
| § 1551.153. PARTICIPANT RESIDING OUTSIDE OF SERVICE AREA |
| § 1551.154. EMPLOYEE PAYMENTS |
| § 1551.155. COVERAGE OPTIONS FOR SURVIVING SPOUSE |
| § 1551.156. COVERAGE OPTIONS FOR SURVIVING DEPENDENT |
| § 1551.157. COVERAGE OPTIONS AFTER EXPIRATION OF ANNUITY OPTION |
| § 1551.158. REINSTATEMENT OF HEALTH BENEFIT PLAN COVERAGE BY CERTAIN DEPENDENTS |
| Subchapter E. GROUP COVERAGES |
| § 1551.201. ESTABLISHMENT |
| § 1551.202. AUTHORITY TO DEFINE BASIC COVERAGES |
| § 1551.203. AUTHORITY TO DEFINE OPTIONAL COVERAGES |
| § 1551.204. AUTHORITY TO DEFINE VOLUNTARY COVERAGES |
| § 1551.205. LIMITATIONS |
| § 1551.206. CAFETERIA PLAN |
| § 1551.207. PREMIUM CONVERSION BENEFIT PORTION OF CAFETERIA PLAN |
| § 1551.208. DETERMINATION TO SELF-FUND |
| § 1551.209. COVERAGE EXEMPT FROM INSURANCE LAW |
| § 1551.210. ACTUARIAL ADVICE FOR SELF-FUNDED COVERAGE |
| § 1551.211. CONTINGENCY RESERVE FUND FOR SELF-FUNDED COVERAGE |
| § 1551.212. FIRMS TO ADMINISTER SELF-FUNDED COVERAGE |
| § 1551.213. BIDS FOR PURCHASED COVERAGE |
| § 1551.214. SELECTION OF BIDS FOR PURCHASED COVERAGE |
| § 1551.215. ACCOUNTING BY CARRIER PROVIDING PURCHASED COVERAGE |
| § 1551.216. SPECIAL CONTINGENCY RESERVE |
| § 1551.217. USE OF EMPLOYEE'S SALARY IN COMPUTATION OF PREMIUM OR COVERAGE |
| § 1551.218. PRIOR AUTHORIZATION FOR CERTAIN DRUGS |
| § 1551.219. DISEASE MANAGEMENT SERVICES |
| § 1551.220. BENEFICIARY CAUSING DEATH OF PARTICIPANT OR BENEFICIARY OF PARTICIPANT |
| § 1551.222. INCENTIVE PAYMENTS |
| § 1551.224. MAIL ORDER REQUIREMENT FOR PRESCRIPTION DRUG COVERAGE PROHIBITED |
| § 1551.225. BARIATRIC SURGERY COVERAGE |
| § 1551.226. TOBACCO CESSATION COVERAGE |
| Subchapter F. GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE COVERAGE PLAN |
| § 1551.251. GROUP LIFE INSURANCE COVERAGE PLAN |
| § 1551.252. ADDITIONAL TERM LIFE INSURANCE |
| § 1551.253. DETERMINATION OF ANNUAL SALARY |
| § 1551.254. ACCELERATED LIFE INSURANCE BENEFITS |
| § 1551.255. INCLUSION OF PROVISIONS FOR VIATICAL SETTLEMENTS |
| § 1551.256. OPTIONAL TERM LIFE INSURANCE COVERAGE AFTER RETIREMENT |
| § 1551.257. ELIGIBILITY OF ANNUITANT FOR EXTENDED INSURANCE BENEFITS |
| § 1551.258. TERMINATION OF ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE COVERAGE ON RETIREMENT |
| § 1551.259. ORDER OF PRECEDENCE OF PAYMENT TO SURVIVORS |
| Subchapter G. CONTRIBUTIONS AND COSTS |
| § 1551.301. FUNDING OF BASIC COVERAGE |
| § 1551.3015. COST ASSESSMENT FOR CERTAIN PARTICIPANTS |
| § 1551.302. ALLOCATION OF EMPLOYER CONTRIBUTIONS |
| § 1551.303. FUNDING OF OPTIONAL COVERAGES |
| § 1551.304. FUNDING OF VOLUNTARY COVERAGES |
| § 1551.305. COST OF BASIC COVERAGE EXCEEDING EMPLOYER CONTRIBUTIONS |
| § 1551.306. PAYMENT OF EXCESS COST OVER BASIC COVERAGE CONTRIBUTION |
| § 1551.307. PAYMENT FOR VOLUNTARY COVERAGES |
| § 1551.3075. TOBACCO USER PREMIUM DIFFERENTIAL |
| § 1551.3076. EMPLOYER ENROLLMENT FEE |
| § 1551.308. NO CONTRIBUTION ON REFUSAL OF COVERAGE |
| § 1551.309. EMPLOYEE PAYMENTS FOR PARTICIPATION IN CAFETERIA PLAN |
| § 1551.310. STATE CONTRIBUTION REQUIRED |
| § 1551.311. AMOUNT OF STATE CONTRIBUTION |
| § 1551.313. AMOUNT OF STATE CONTRIBUTION FOR CERTAIN SURVIVING DEPENDENTS |
| § 1551.314. CERTAIN STATE CONTRIBUTIONS PROHIBITED |
| § 1551.315. REQUIRED CONTRIBUTIONS BY STATE AGENCIES |
| § 1551.316. ALLOCATION TO BOARD OF TRUSTEES OF EMPLOYER CONTRIBUTIONS |
| § 1551.317. PAYMENT OF EMPLOYER CONTRIBUTIONS ALLOCATED BY THE STATE |
| § 1551.318. PAYMENT OF EMPLOYER CONTRIBUTIONS NOT ALLOCATED BY THE STATE |
| § 1551.319. AMOUNT OF CONTRIBUTION FOR FULL-TIME AND PART-TIME EMPLOYEES |
| § 1551.3195. AMOUNT OF CONTRIBUTION FOR ANNUITANTS WHO WERE PART-TIME EMPLOYEES |
| § 1551.320. CERTAIN COSTS |
| § 1551.321. REQUIRED REPORTS OF COMMUNITY SUPERVISION AND CORRECTIONS DEPARTMENTS |
| § 1551.322. REQUIRED CONTRIBUTIONS BY TEXAS DEPARTMENT OF CRIMINAL JUSTICE |
| § 1551.323. COST OF CERTAIN ANNUITANTS |
| § 1551.324. REDUCTION IN CONTRIBUTION FOR CERTAIN ACTIVE EMPLOYEES AND ANNUITANTS; INCENTIVE PAYMENTS |
| Subchapter H. SANCTIONS AND ADJUDICATION OF CLAIMS |
| § 1551.351. ADMINISTRATIVE PROCESS AND SANCTIONS FOR PROGRAM VIOLATIONS |
| § 1551.352. EXECUTIVE DIRECTOR DETERMINES QUESTIONS RELATING TO ENROLLMENT OR PAYMENT OF CLAIMS |
| § 1551.354. DOUBLE OR MULTIPLE LIABILITY |
| § 1551.355. APPEAL OF EXECUTIVE DIRECTOR'S DETERMINATION |
| § 1551.356. STANDING |
| § 1551.357. DETERMINATION OF APPEAL BY BOARD OF TRUSTEES |
| § 1551.358. NEGOTIATION |
| § 1551.359. JUDICIAL REVIEW |
| § 1551.360. DELEGATION |
| § 1551.361. DILIGENT PROSECUTION OF SUIT |
| § 1551.362. SUBPOENA |
| Subchapter I. FUNDS |
| § 1551.401. EMPLOYEES LIFE, ACCIDENT, AND HEALTH INSURANCE AND BENEFITS FUND |
| § 1551.402. STATE EMPLOYEES CAFETERIA PLAN TRUST FUND |
| § 1551.403. FEES FOR STATE EMPLOYEES CAFETERIA PLAN TRUST FUND |
| § 1551.404. INSUFFICIENT EARNINGS FOR EMPLOYEE TO PARTICIPATE IN CAFETERIA FUND |
| § 1551.405. EMPLOYEES' HEALTH CARE STABILIZATION TRUST FUND |
| § 1551.406. INVESTMENT OF FUNDS |
| § 1551.407. MANAGEMENT OF ASSETS |