Section 41.35 - Coverage Plans(a) TRS-ActiveCare shall include at least two coverage plans, including a catastrophic care coverage plan and a primary care coverage plan, in accordance with Chapter 1579, Insurance Code. The coverages provided for eligible persons under the plans offered will include, but are not limited to, basic medical expense coverage and prescription drug coverage, in accordance with terms, conditions, and limitations adopted by resolution of the trustee.(b) TRS-ActiveCare may also include additional plans for health-care coverage under terms, conditions and limitations adopted by resolution of the trustee.(c) The coverage plans offered under TRS-ActiveCare will each include at least two of the following rating tiers: (3) Employee and children;(d) TRS may not offer optional coverages, other than optional permanent life insurance, optional long-term care insurance, and optional disability insurance to employees participating in TRS-ActiveCare in accordance with terms, conditions and limitations adopted by resolution of the trustee.(e) TRS may determine different rates and premiums applicable to different participating entities or potential participating entities under the TRS-ActiveCare program based on certain risks, regional factors, and other underwriting considerations.34 Tex. Admin. Code § 41.35
The provisions of this §41.35 adopted to be effective August 26, 2002, 27 TexReg 7970; amended to be effective March 8, 2007, 32 TexReg 1092; Amended by Texas Register, Volume 46, Number 41, October 8, 2021, TexReg 6945, eff. 10/17/2021