Sec. 1551.363. PRECEDENT MANUAL. (a) The board of trustees shall develop and maintain a precedent manual relating to the enrollment and claims determinations under Section 1551.352 and appeals of those determinations. The precedent manual:
(1) must be composed of precedent-establishing determinations made by the board, executive director, or other staff, initially and on appeal, and include examples of previous determinations that are consistent with the identified precedent; and
(2) may include other information identified by the board.
(b) The board of trustees shall make the precedent manual available to appropriate staff and to employees, participants, annuitants, and covered dependents.
(c) The board of trustees and staff involved in the claims appeal process are not bound by a decision in the manual.
Added by Acts 2017, 85th Leg., R.S., Ch. 530 (S.B. 301), Sec. 12, eff. September 1, 2017.
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
Subchapter H. Sanctions and Adjudication of Claims
Section 1551.351. Administrative Process and Sanctions for Program Violations
Section 1551.354. Double or Multiple Liability
Section 1551.355. Appeal of Executive Director's Determination
Section 1551.357. Determination of Appeal by Board of Trustees
Section 1551.359. Judicial Review