Texas Administrative Code

(a) This rule relates to alcoholic beverages imported into the state under the authority of §§ 14.071 , 16.10 , 19.06 , 20.04 , 41.01(a) , 62.15 , 63.01 , 64.10 , and 66.01 of the Alcoholic Beverage Code. (b) Alcoholic beverages imported into the state for resale may only be tran…

A health care provider shall send a copy of all written communications relative to a pending claim for compensation and the treatment thereof or concerning a statement for professional services rendered to the insurance carrier and to the claimant or his attorney, if represented.…

(a) The following shall be filed only with the board in Austin: (1) notice of injury and claim for compensation (Texas Civil Statutes, Article 8307, §4a); (2) employer's first report of injury (Texas Civil Statutes, Article 8307, §7); (3) employer's response to board request for …

Forms, reports, and other documents required to be filed before a specified time will be considered timely only if received by the board at Austin or at an appropriate regional office prior to or during business hours on the last permissible day of filing. When the last day for f…

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…

Unless otherwise required by statute, or provided by a board rule, all notices and other communications to insurance carriers will be sent either to an address designated by the carrier as its principal Texas mailing address or to its designated Austin representative. Notes 28 Te…

(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) 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) 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) 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) 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) 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) This rule relates to Chapter 54 of the Alcoholic Beverage Code. (b) Each holder of an out-of-state winery direct shipper's permit shall make reports (Direct Shipper's Report) to the commission on forms prescribed by the executive director or executive director's designee. (c)…

(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 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) 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) 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) 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…

(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) In addition to other criteria that TRS may use to determine premiums, pursuant to section 1575.212 , Insurance Code, TRS may use years of service credit to determine applicable premium rates. (b) If TRS uses years of service credit to determine applicable premium rates, then …

(a) If they meet the applicable requirements set out in this section, the following persons are eligible to enroll in the health benefits program under the Texas Public School Retired Employees Group Benefits Act (TRS-Care): (1) service retirees of the Teacher Retirement System o…

(a) The initial enrollment period in TRS-Care for eligible TRS retirees who take a service retirement and who are eligible to enroll in TRS-Care at the time of retirement expires at the end of the later of: (1) the last day of the month that is 3 consecutive calendar months, but …

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…

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…

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…

All parties seeking any action of the board shall comply with these rules, unless in its judgment the board determines that compliance with any of the rules under particular circumstances will result in injustice to either or both parties. Accordingly, rules may be suspended at t…

All notices and written communications to claimant will be mailed to the last address supplied, either on the employer's first report of injury or by claimant's letter. If the board is notified that claimant is represented by an attorney, copies of forms, notices, and corresponde…

The board hereby promulgates its general policy concerning communications to and from the Industrial Accident Board. (1) The carrier shall send a copy of all written communications relating to a pending claim before the board to the claimant, or if claimant is represented by coun…

All insurance carriers writing and issuing workers' compensation insurance policies effective in Texas shall designate in writing to the board their Austin representative to the Industrial Accident Board for purposes of communication with the board. The name, business address, an…

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) 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…

Quarantined areas are as follows for Zapata County. Beginning at a point where U.S. Highway 83 intersects the Webb-Zapata County line and following U.S. Highway 83 in a southerly direction to where it intersects the Zapata-Starr County line, approximately 56 miles. Notes 4 Tex. A…

Quarantined areas are as follows for Webb County. Beginning at a point where the Maverick-Webb County line intersects the Mines Road and following this road in a southeasterly direction to its intersection with Del Mar Boulevard and IH 35, approximately 63 miles; thence, followin…

Quarantined areas are as follows for Maverick County. Beginning at a point where the Rancho Rio Grande east fence intersects the Kinney-Maverick County line; thence, following the Rancho Rio Grande east fence in a southeasterly direction to where it joins the southeast corner of …