| (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.
|
| Source Note: The provisions of this §41.35 adopted to be effective August 26, 2002, 27 TexReg 7970; amended to be effective March 8, 2007, 32 TexReg 1092; amended to be effective October 17, 2021, 46 TexReg 6945 |
