| (24) Health care reimbursement account--The bookkeeping
account maintained by the plan administrator or its designee used
for crediting contributions to the account and accounting for benefit
payments from the account.
(25) Health care reimbursement plan--A separate plan,
under the Code, §105, adopted by the board of trustees, and designed
to provide health care expense reimbursement as described in §85.5(b)
of this title (relating to Benefits).
(26) Institution of higher education--All public community/junior
colleges, senior colleges or universities, or any other agency of
higher education within the meaning and jurisdiction of the Education
Code, Chapter 61, except the University of Texas System and the Texas
A&M University System.
(27) Leave of absence without pay--The status of an
employee who is certified monthly by an agency or institution of higher
education administrator to be absent from duty for an entire calendar
month, and who does not receive any compensation for that month.
(28) Limited purpose health care reimbursement account--The
account described in §85.5(b)(3).
(29) Option--Any specific benefit offering under the
plan.
(30) Participant--An eligible employee who has elected
to participate in the plan for a period of coverage.
(31) Period of coverage--The plan year during which
coverage of benefits under the plan is available to and elected by
a participant; however, an employee who becomes eligible to participate
during the plan year may elect to participate for a period lasting
until the end of the current plan year. In such case, the interval
commencing on such employee's entry date and ending as of the last
day of the current period of coverage shall be deemed to be such participant's
period of coverage.
(32) Plan--The flexible benefits plan established and
adopted by the board of trustees pursuant to the laws of the state
of Texas and any amendments which may be made to the plan from time
to time. The plan is referred to herein as TexFlex, and is comprised
of a dependent care reimbursement plan, a health care reimbursement
plan, an insurance premium conversion plan, and a qualified transportation
benefit plan.
(33) Plan administrator--The board of trustees of the
Employees Retirement System of Texas or its designee.
(34) Plan year--A 12-month period beginning September
1 and ending August 31.
(35) Run-out period--The period following the end of
the plan year between September 1 and December 31, during which participants
may file claims for reimbursement of expenses incurred during the
plan year.
(36) Statutory nontaxable benefit--A benefit provided
to a participant under the plan, which is not includable in the participant's
taxable income by reason of a specific provision in the Code and is
permissible under the plan in accordance with the Code, §125.
(37) Spouse--The person to whom the participant is
married. Spouse does not include a person separated from the participant
under a decree of divorce, or annulment.
(38) TexFlex--The flexible benefits plan adopted by
the board of trustees.
(39) Texas Employees Group Benefits Program (GBP)--The
employee insurance benefits program administered by the Employees
Retirement System of Texas, pursuant to Texas Insurance Code, Chapter
1551. The program consists of health, voluntary accidental death and
dismemberment, optional term life, dependent term life, short and
long term disability, vision, and dental insurance coverages.
(40) Third Party Administrator or TPA--The vendor,
administrator or firm selected by the plan administrator to perform
the day-to-day administrative responsibilities of the TexFlex program
for participants of the Texas Employees Group Benefits Program who
enroll in either the health care reimbursement plan, dependent care
reimbursement plan or both.
|
| Source Note: The provisions of this §85.1 adopted to be effective August 12, 1988, 13 TexReg 3754; amended to be effective June 26, 1989, 14 TexReg 2953; amended to be effective September 28, 1989, 14 TexReg 4787; amended to be effective September 1, 1990, 15 TexReg 4646; amended to be effective September 1, 1992, 17 TexReg 2874; amended to be effective February 12, 1998, 23 TexReg 1313; amended to be effective September 1, 1998, 23 TexReg 4571; amended to be effective September 16, 1999, 24 TexReg 7276; amended to be effective March 26, 2000, 25 TexReg 2400; amended to be effective July 17, 2003, 28 TexReg 5539; amended to be effective December 31, 2003, 28 TexReg 11625; amended to beeffective May 29, 2005, 30 TexReg 3022; amended to be effective September 15, 2005, 30 TexReg 5809; amended to be effective December 31, 2007, 32 TexReg 10054; amended to be effective June 10, 2014, 39 TexReg 4486; amended to be effective March 14, 2016, 41 TexReg 1860; amended to be effective June 6, 2016, 41 TexReg 4045; amended to be effective September 8, 2020, 45 TexReg 6240; amended to be effective December 27, 2021, 46 TexReg 9061 |
