| (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.
|
| Source Note: The provisions of this §41.2 adopted to be effective August 25, 2004, 29 TexReg 8128; amended to be effective February 9, 2006, 31 TexReg 709; amended to be effective March 25, 2008, 33 TexReg 2553; amended to be effective September 1, 2011, 36 TexReg 5378; amended to be effective January 6, 2013, 37 TexReg 10248; amended to be effective December 22, 2014, 39 TexReg 10028; amended to be effective November 14, 2017, 42 TexReg 6378; amended to be effective August 15, 2019, 44 TexReg 4189 |
