Sec. 1551.201. ESTABLISHMENT. (a) The board of trustees by rule shall establish group coverage plans for individuals eligible to participate in the group benefits program.
(b) The group coverage plans may, in the board of trustees' discretion, include:
(1) life coverage;
(2) accidental death and dismemberment coverage;
(3) health benefit coverage, including coverage for:
(A) hospital care and benefits;
(B) surgical care and treatment;
(C) medical care and treatment;
(D) dental care;
(E) obstetrical benefits;
(F) prescribed drugs, medicines, and prosthetic devices; and
(G) supplemental benefits, supplies, and services in accordance with this chapter;
(4) coverage providing protection against either long-term or short-term loss of salary; and
(5) any other group coverage that the board of trustees, in consultation with the advisory committee, considers advisable.
(c) The group coverage plans for annuitants may, at the discretion of the board of trustees, be separate or a part of the group coverage plans for employees. If the trustee establishes separate group coverage plans for annuitants, the separate group coverage plans must include both full benefits and supplemental coverage options.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003. Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.412(b), eff. Sept. 1, 2003.
Structure Texas Statutes
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
Section 1551.201. Establishment
Section 1551.2011. Employee Awareness and Education
Section 1551.202. Authority to Define Basic Coverages
Section 1551.203. Authority to Define Optional Coverages
Section 1551.204. Authority to Define Voluntary Coverages
Section 1551.206. Cafeteria Plan
Section 1551.207. Premium Conversion Benefit Portion of Cafeteria Plan
Section 1551.208. Determination to Self-Fund
Section 1551.209. Coverage Exempt From Insurance Law
Section 1551.210. Actuarial Advice for Self-Funded Coverage
Section 1551.211. Contingency Reserve Fund for Self-Funded Coverage
Section 1551.212. Firms to Administer Self-Funded Coverage
Section 1551.213. Bids for Purchased Coverage
Section 1551.214. Selection of Bids for Purchased Coverage
Section 1551.215. Accounting by Carrier Providing Purchased Coverage
Section 1551.216. Special Contingency Reserve
Section 1551.217. Use of Employee's Salary in Computation of Premium or Coverage
Section 1551.218. Prior Authorization for Certain Drugs
Section 1551.219. Disease Management Services
Section 1551.220. Beneficiary Causing Death of Participant or Beneficiary of Participant
Section 1551.222. Incentive Payments
Section 1551.224. Mail Order Requirement for Prescription Drug Coverage Prohibited
Section 1551.225. Bariatric Surgery Coverage
Section 1551.226. Tobacco Cessation Coverage
Section 1551.227. Tricare Military Health System Supplemental Plan
Section 1551.228. Emergency Care Payments
Section 1551.229. Out-of-Network Facility-Based Provider Payments
Section 1551.230. Out-of-Network Diagnostic Imaging Provider or Laboratory Service Provider Payments