Texas Administrative Code

(a) Establishment. (1) In accordance with Section 1575.1601 , Insurance Code, TRS makes available to individuals under the TRS-Care program an optional plan that provides coverage for dental care (hereinafter referred to as an "optional dental benefits plan"). (2) TRS may offer a…

(a) This section does not apply to temporary members or to hotel patrons, as described in Alcoholic Beverage Code §§ 32.09 , 32.10 , and 32.11 . (b) To qualify to hold a private club registration permit, a private club must: (1) have 50 or more members at all times; (2) have a me…

The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise. (1) Adjacent premise--A premise that borders an exposed or infested premise, including premises separated by roads, double fences, or forda…

(a) Changes to these rules may be petitioned by any party. Rule-making petitions shall contain the following: (1) a brief statement summarizing the proposed section; (2) the text of the proposed section: (A) if an existing section, state the title and code number, and prepare the…

The following persons are eligible to be enrolled in TRS-ActiveCare under terms, conditions and limitations established by the trustees unless expelled from the program under provisions of Chapter 1579, Insurance Code: (1) A full-time employee as defined in § 41.33 of this title …

Quarantined areas are as follows for Hidalgo County. Beginning at a point where the MP Railroad right-of-way intersects the Starr-Hidalgo County line and following the north side of the MP Railroad right-of-way in an easterly direction to where it intersects Old Military Road app…

The commission may establish quarantines on land, premises, and livestock for the purpose of regulating the handling of livestock and eradicating ticks or exposure to ticks in the free area or for the purpose of preventing the spread of tick infestation into the free area. An own…

(a) Each premise within a tick eradication quarantine area, temporary preventative quarantine area, or control purpose quarantine area will be classified by the commission as an infested, exposed, adjacent, or check premise. The commission will immediately redesignate a premise w…

Quarantined areas are as follows for Cameron County. Beginning at a point where the Hidalgo-Cameron County line intersects U.S. Highway 281, following U.S. Highway 281 in an easterly direction to where it intersects Boca Chica Boulevard, approximately 26.2 miles; thence, followin…

Quarantined areas are as follows for Starr County. Beginning at a point where U.S. Highway 83 intersects the Zapata-Starr County line and following U.S. Highway 83 in a southeasterly direction to the south fence of the M. Ramirez Pasture at the north city limits of Roma, approxim…

(a) Each area of the state will be classified by the commission as a free area, control purpose quarantine area, temporary preventative quarantine area, or tick eradication quarantine area. The commission will immediately redesignate an area when any change in circumstances warra…

(a) A retiree who was enrolled in TRS-Care and voluntarily terminated the retiree's enrollment between January 1, 2017, and December 31, 2019, will have a one-time opportunity to reenroll in TRS-Care if the retiree is otherwise eligible and meets the following requirements: (1) T…

(a) All bids for contracts under TRS-Care must be submitted in compliance with the bid requirements provided by TRS. (b) The bid opening shall take place at a date and time set by TRS (c) In determining the quality of the bids, TRS may consider such factors and criteria as it dee…

(a) TRS-Care may include separate contracts for: (1) health benefit plans ; (2) prescription drug plans; (3) utilization review services; (4) administrative services; and (5) ancillary services. (b) To be eligible to bid on any of the contracts in subsection (a) of this section, …

(a) Except as allowed by subsection (c) of this section, for TRS members who take a service or disability retirement and enroll in coverage during their initial enrollment period as described in § 41.1 of this title (relating to Initial Enrollment Periods for the Health Benefits …

(a) On a monthly basis, each public school shall contribute the then-applicable required amount under § 1575.204(a) , Insurance Code, of the salary of each active employee to TRS for deposit in the Retired School Employees Group Insurance Fund. The public school shall make the co…

(a) Special Transitional Plan. In order to transition an entity into the TRS-ActiveCare plan year, TRS may establish a short duration Special Transitional Plan for an otherwise eligible entity that has an existing group health plan year that does not terminate the day preceding t…

(a) The trustee, acting through the executive director, may expel from participation in TRS-ActiveCare a participant who submits or causes to be submitted a false or fraudulent claim or enrollment application, or who has defrauded or attempted to defraud, any health benefits plan…

(a) A full-time or part-time employee ("Petitioner") whose application to enroll themselves and/or their dependents in TRS-ActiveCare is denied by either TRS, the administering firm, or a participating entity may appeal the denial to TRS. (b) An appeal made pursuant to subsection…

(a) For appeals that relate to claims or other benefits, the following procedures apply: (1) A person enrolled in TRS-ActiveCare, other than a person enrolled in a health maintenance organization (HMO) participating in TRS-ActiveCare, who is denied payment of a claim or other ben…

(a) Retirees, surviving spouses, and surviving dependent children or their representative (collectively, "participants") shall pay monthly contributions as set by the trustee for their and their dependents' participation in TRS-Care. (b) To be eligible for TRS-Care coverage, a pa…

(a) An eligible entity that submits a written election to participate in TRS-ActiveCare under §41.30 must include with the notice of election the information listed below for each medical and prescription drug plan that the entity offered to its employees during the designated ti…

(a) Each participating entity shall remit to TRS the amount on each bill directed to the participating entity by TRS or the administering firm. The participating entity shall remit payment on or before the fifteenth day of each month in which TRS or the administering firm issued …

(a) Full-time and part-time employees covered under TRS-ActiveCare who are placed on leave-without-pay-status by a participating entity in accordance with that entity's personnel policies, and their eligible covered dependents, may continue participation in TRS-ActiveCare in acco…

(a) Applicability. This section is applicable to the election to participate in TRS-ActiveCare by eligible entities such as school districts, other educational districts, charter schools, and regional education service centers, as these terms are defined in Chapter 1579, Insuranc…

(a) The task and purpose of the Retirees Advisory Committee (Committee) is to: (1) hold public hearings on group insurance benefits; (2) recommend to the Board of Trustees of TRS (Board) minimum standards and features of the plan or plans that it considers appropriate; and (3) re…

(a) Age 65 Enrollment Opportunity. (1) Upon reaching 65 years of age, a retiree or surviving spouse is eligible to be enrolled in TRS-Care under terms, conditions and limitations established by the trustee unless expelled from the program under provisions of Chapter 1575, Insuran…

(a) Eligibility. (1) Retiree. A retiree who is eligible to enroll in the Medicare Advantage plan offered under TRS-Care in accordance with Section 1575.1582(b) , Insurance Code (hereinafter referred to as "MA plan") and who is not currently enrolled in the MA plan, may enroll in …

(a) Establishment. (1) In accordance with Section 1575.1601 , Insurance Code, TRS makes available to individuals under the TRS-Care program an optional plan that provides coverage for vision care (hereinafter referred to as an "optional vision benefits plan"). (2) TRS may offer a…

(a) The trustee, acting through the executive director, may expel from participation in TRS-Care a person who has engaged in, caused, or attempted to engage in fraudulent activity relating to the program or any benefits offered under the program. (b) Upon receipt of a complaint o…

Unless otherwise determined by the DFTE and approved by the executive director, the following requirements shall apply: (1) General Requirements: (A) All scratch inspections, dipping, treatment, and vaccination prescribed in this section must be done under the supervision of a re…

(a) Vacation of premise. Upon the removal of all livestock from a premise, the premise remains classified as before for the period shown on Table I (Pasture Vacation Schedule, South of Highway 90) or Table II (Pasture Vacation Schedule, North of Highway 90), whichever is applicab…

(a) Movement from a free area. There are no restrictions on the movement of hides and carcasses from a free area. (b) Movement from any quarantine area. Hides and carcasses and parts thereof of any animal must be inspected and undergo any treatment deemed necessary. A permit for …

(a) Movement from a free area. There are no restrictions on the movement of livestock from a designated free area. (b) Movement is restricted from leaving a tick eradication quarantine area, temporary preventative quarantine area, or control purpose quarantined area. The owner or…

(a) When livestock are moved from any quarantined area the person moving the livestock must have in his or her possession a copy of any certificate or permit required for movement. (b) A permit or certificate is void unless the livestock begin movement to the stated destination i…

(a) Under existing statutes, it is unlawful to move, or allow or permit to move, any livestock from the quarantined area except in a manner prescribed by the Texas Animal Health Commission. Movement must be on a written permit or certificate issued by an inspector of the commissi…

Tick Program Research and Field Studies. The Executive Director may authorize different requirements for dipping, movement, and other handling of livestock under quarantine when done pursuant to a research program or field study. Notes 4 Tex. Admin. Code § 41.13 The provisions of…

(a) All cattle moved into Texas from Mexico shall be identified with an "M"-brand prior to moving to a destination in Texas. Metal eartags applied in Mexico must not be removed from the animals. (b) A copy of the certificate issued by an authorized inspector of the Animal and Pla…

Protest of designation of area or premise, dipping directions, or other orders. Any person who desires a hearing for the purpose of protesting the designation of an area or premise, or any dipping direction, or scratching notice, or any other order of the commission issued under …

(a) All conveyances which have contained infested or exposed livestock must be cleaned, treated, and determined to be free of ticks before reloading. All of these functions must be conducted in the presence of an authorized representative of the commission. (b) All material remov…

The following transactions are exempt from the requirement to pay excise taxes: (1) Sales of sacramental wine in compliance with § 41.34 of this title; (2) Out-of-state sales in compliance with § 41.35 of this title; (3) Export of malt beverages that are not legal for sale in Tex…

All forms, reports, and other documents filed with the board which pertain to a claim shall include the social security number of the injured employee. Notes 28 Tex. Admin. Code § 41.15 The provisions of this §41.15 adopted to be effective November 11, 1983, 8 TexReg 4491.

Each adjuster employed by or on behalf of an insurance company, self-insured, insurance agent, or corporation or by an employer in connection with either the investigation or handling of a workers' compensation claim shall provide the board with his/her license number as issued u…

Each attorney engaged by either a claimant, insurance carrier, or self-insured in connection with the handling of a workers' compensation claim shall provide the board with his/her permanent state bar identification number promptly upon retention in the claim. Notes 28 Tex. Admin…

Each carrier and employer shall provide the employer's federal tax identification number on: (1) the employer's first report of injury; (2) the employer's supplemental report of injury; (3) the wage statement; (4) a Form A-1, A-2, and A-4 (initial filing only); (5) a statement of…

Unless otherwise specifically noted therein, whenever a board rule makes reference to an insurance carrier or association, this shall be interpreted to include also all self-insured entities as well. Notes 28 Tex. Admin. Code § 41.30 The provisions of this §41.30 adopted to be ef…

All notices and written communications to employers, including notice of conduct which may result in the imposition of a statutory penalty by the board, will be mailed to the last address supplied either on the employer's first report of injury form or on the notice that the empl…