|(a) Description. The HealthSelectShoppERS program is
designed to provide an incentive for eligible GBP health benefit plan
participants to select certain network facilities for specified elective,
non-emergency medical services and procedures. The program is described
in §81.12 of this title (relating to HealthSelectShoppERS). The
incentive is an employer contribution by a GBP health benefit plan
to an active duty employee's health care reimbursement account or
limited purpose health care reimbursement account.
(b) Employer Contributions by a GBP Health Benefit
(1) All HealthSelectShoppERS program incentives shall
be employer contributions to active duty employees' health care reimbursement
accounts or limited purpose health care reimbursement accounts.
(2) The annual employer contributions by GBP health
benefit plans to any active duty employee in connection with the HealthSelectShoppERS
program shall not exceed a designated amount set by the Employees
Retirement System of Texas and publicly posted. Any employer contributions
by a GBP health benefit plan to an active employee's account shall
be in addition to the annual maximum employee contribution amount
established by the plan administrator.
(3) The TPA will establish a health care reimbursement
account or limited purpose health care reimbursement account for any
active duty employee who receives an employer contribution from a
GBP health benefit plan but does not have an established account.
(4) Once credited into an active duty employee's health
care reimbursement account or limited purpose health care reimbursement
account, the employer contribution by the GBP health benefit plan
is available to the employee as flexible benefit plan dollars.