Sec. 1575.158. GROUP HEALTH BENEFIT PLANS. (a) The trustee shall establish or contract for and make available under the group program a high deductible health plan for retirees, dependents, surviving spouses, or surviving dependent children who are eligible under Section 1575.1582.
(b) Repealed by Acts 2017, 85th Leg., R.S., Ch. 712 (H.B. 3976), Sec. 24(3), eff. September 1, 2017.
(c) The trustee shall establish or contract for and make available under the group program a Medicare Advantage plan and a Medicare prescription drug plan for retirees, dependents, surviving spouses, and surviving dependent children who are eligible under Section 1575.1582.
(d) Notwithstanding Subsection (c), if the trustee determines that a Medicare Advantage plan or a Medicare prescription drug plan is no longer appropriate for the group program, the trustee may establish or contract for and make available under the group program other health benefit plans to provide medical or pharmacy benefits.
(e) To the extent the group program has available funds, the trustee shall consider implementing a plan design for non-Medicare eligible enrollees in the high deductible health plan established or made available under Subsection (a) that provides assistance in the payment of preventive care, including generic preventive maintenance medications, in a manner that is consistent with federal law.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003. Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.430, eff. Sept. 1, 2003.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1214 (S.B. 1458), Sec. 9, eff. September 1, 2014.
Acts 2017, 85th Leg., R.S., Ch. 712 (H.B. 3976), Sec. 10, eff. September 1, 2017.
Acts 2017, 85th Leg., R.S., Ch. 712 (H.B. 3976), Sec. 11, eff. September 1, 2017.
Acts 2017, 85th Leg., R.S., Ch. 712 (H.B. 3976), Sec. 24(3), 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 1575 - Texas Public School Employees Group Benefits Program
Subchapter D. Coverages and Participation
Section 1575.151. Types of Coverages
Section 1575.152. Health Benefit Plan Must Cover Preexisting Conditions
Section 1575.153. Health Benefit Plan Coverage for Retirees
Section 1575.155. Coverage for Dependents of Retiree
Section 1575.156. Coverage for Surviving Spouse or Dependents of Surviving Spouse
Section 1575.157. Coverage for Surviving Dependent Child
Section 1575.158. Group Health Benefit Plans
Section 1575.1582. Eligibility for Group Health Benefit Plans
Section 1575.159. Coverage for Prostate-Specific Antigen Test
Section 1575.160. Group Life or Accidental Death and Dismemberment Insurance: Payment of Claim
Section 1575.161. Enrollment Periods
Section 1575.162. Special Enrollments
Section 1575.164. Disease Management Services
Section 1575.170. Prior Authorization for Certain Drugs
Section 1575.171. Emergency Care Payments
Section 1575.172. Out-of-Network Facility-Based Provider Payments
Section 1575.173. Out-of-Network Diagnostic Imaging Provider or Laboratory Service Provider Payments