Sec. 1601.053. GENERAL DUTIES RELATING TO COVERAGE. (a) A system shall:
(1) determine basic coverage standards that must be comparable to those commonly provided:
(A) in private industry; and
(B) to employees of another agency or an institution of higher education in this state under Chapter 1551; and
(2) establish procedures to allow each covered employee and retired employee to obtain prompt action regarding claims pertaining to coverages provided under this chapter.
(b) In designing a coverage plan, a system may consider existing local conditions.
(c) Notwithstanding any other provision of this chapter, a system may adjust a plan and coverage standards as necessary to comply with applicable state and federal law and to provide consistent eligibility for all plans under the program, including eligibility for optional coverages.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.
Amended by:
Acts 2017, 85th Leg., R.S., Ch. 1106 (H.B. 4035), Sec. 3, eff. June 15, 2017.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle H - Health Benefits and Other Coverages for Governmental Employees
Subchapter B. Administration and Implementation
Section 1601.051. Administration and Implementation
Section 1601.052. Rulemaking Authority
Section 1601.053. General Duties Relating to Coverage
Section 1601.054. Competitive Bidding Required
Section 1601.055. Identification of Administrative Costs in Bids
Section 1601.056. Information on Bidders and Bidding Contracts
Section 1601.057. Selection of Bids
Section 1601.058. Selection of Health Maintenance Organizations
Section 1601.059. Certificate of Coverage
Section 1601.060. Accounting by Carrier Providing Purchased Coverage
Section 1601.061. Special Reserve
Section 1601.062. Reports and Records by Administering Carrier