Sec. 1575.501. EXPULSION FOR FRAUD. After notice and hearing as provided by this subchapter, the trustee may expel from participation in the group program a retiree, dependent, surviving spouse, or surviving dependent child who:
(1) submits a fraudulent claim or application for coverage under the group program; or
(2) defrauds or attempts to defraud a health benefit plan offered under the group program.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003. Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.454(a), 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 1575 - Texas Public School Employees Group Benefits Program
Subchapter K. Expulsion for Fraud
Section 1575.501. Expulsion for Fraud
Section 1575.503. Contested Case
Section 1575.504. Expulsion at Conclusion of Hearing