(a) The board of trustees shall develop and maintain a precedent manual relating to the enrollment and claims determinations under § 1551.352 and appeals of those determinations. The precedent manual:
(1) must be composed of precedent-establishing determinations made by the board, executive director, or other staff, initially and on appeal, and include examples of previous determinations that are consistent with the identified precedent; and
(2) may include other information identified by the board.
(b) The board of trustees shall make the precedent manual available to appropriate staff and to employees, participants, annuitants, and covered dependents.

Terms Used In Texas Insurance Code 1551.363

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Precedent: A court decision in an earlier case with facts and law similar to a dispute currently before a court. Precedent will ordinarily govern the decision of a later similar case, unless a party can show that it was wrongly decided or that it differed in some significant way.

(c) The board of trustees and staff involved in the claims appeal process are not bound by a decision in the manual.

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