Sec. 1579.002. GENERAL DEFINITIONS. In this chapter:
(1) "Administering firm" means any entity designated by the trustee to administer any coverages, services, benefits, or requirements under this chapter and the trustee's rules adopted under this chapter.
(2) "Trustee" means the Teacher Retirement System of Texas.
(3) "Charter school" means an open-enrollment charter school established under Subchapter D, Chapter 12, Education Code.
(4) "Health coverage plan" means any group policy or contract, hospital service agreement, health maintenance organization agreement, preferred provider arrangement, or any similar group arrangement or any combination of those policies, contracts, agreements, or arrangements that provides for, pays for, or reimburses expenses for health care services.
(5) "Participating entity" means an entity participating in the uniform group coverage program established under this chapter. The term includes:
(A) a school district;
(B) another educational district whose employees are members of the Teacher Retirement System of Texas;
(C) a regional education service center; and
(D) a charter school that meets the requirements of Section 1579.154.
(6) "Program" means the uniform group coverage program established under this chapter.
(7) "Regional education service center" means a regional education service center established under Chapter 8, Education Code.
(8) "Usual and customary rate" means the relevant allowable amount as described by the applicable master benefit plan document or policy.
Added by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.471(a), eff. Sept. 1, 2003.
Amended by:
Acts 2019, 86th Leg., R.S., Ch. 1342 (S.B. 1264), Sec. 1.16, eff. September 1, 2019.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle H - Health Benefits and Other Coverages for Governmental Employees
Chapter 1579 - Texas School Employees Uniform Group Health Coverage
Subchapter A. General Provisions
Section 1579.002. General Definitions
Section 1579.003. Definition of Employee
Section 1579.004. Definition of Dependent
Section 1579.005. Confidentiality
Section 1579.006. Exemption From Process
Section 1579.007. Exemption From State Taxes and Fees
Section 1579.008. Coverage Exempt From Insurance Law