Sec. 1579.101. PLANS OF GROUP COVERAGES. (a) The trustee by rule shall establish plans of group coverages for employees participating in the program and their dependents.
(b) The plans must include at least two tiers of group coverage, with coverage at different levels in each tier, ranging from the catastrophic care coverage plan to the primary care coverage plan. Each tier must contain a health coverage plan.
(c) The trustee by rule shall define the requirements of each coverage plan and tier of coverage.
(d) Comparable coverage plans of each tier of coverage established must be offered to employees of all participating entities.
Added by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.471(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 1579 - Texas School Employees Uniform Group Health Coverage
Section 1579.101. Plans of Group Coverages
Section 1579.102. Catastrophic Care Coverage Plan
Section 1579.104. Optional Coverages
Section 1579.1045. Alternative Group Health Coverage Prohibited
Section 1579.105. Preexisting Condition Limitation
Section 1579.106. Prior Authorization for Certain Drugs
Section 1579.107. Disease Management Services
Section 1579.109. Emergency Care Payments
Section 1579.110. Out-of-Network Facility-Based Provider Payments
Section 1579.111. Out-of-Network Diagnostic Imaging Provider or Laboratory Service Provider Payments