Texas Insurance Code 1575.153 – Health Benefit Plan Coverage for Retirees
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(a) A retiree who applies for coverage during an enrollment period may not be denied coverage in a health benefit plan provided under this chapter for which the retiree is eligible unless the trustee finds under Subchapter K that the retiree defrauded or attempted to defraud the group program.
(b) A retiree who has coverage under a health benefit plan offered under the group program shall pay a monthly contribution, as determined by the trustee.
Terms Used In Texas Insurance Code 1575.153
- Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
- in writing: includes any representation of words, letters, or figures, whether by writing, printing, or other means. See Texas Government Code 312.011
- Trustee: A person or institution holding and administering property in trust.
- Year: means 12 consecutive months. See Texas Government Code 311.005
(c) As a condition of electing coverage under a health benefit plan, the retiree must, in writing, authorize the trustee to deduct the amount of the contribution from the retiree’s monthly annuity payment. The trustee shall deduct the contribution in the manner and form determined by the trustee.
(d) Notwithstanding Subsection (b), a retiree is not required to pay a monthly contribution under this section until the 2022 plan year if the retiree:
(1) has taken a disability retirement under the Teacher Retirement System of Texas on or before January 1, 2017;
(2) is receiving disability retirement benefits from the Teacher Retirement System of Texas; and
(3) is not eligible to enroll in Medicare.
(e) This subsection and Subsection (d) expire at the end of the 2021 plan year on December 31, 2021.
For expiration of Subsections (d) and (e), see Subsection (e).
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