reglab/housing_qa huggingface dataset:
TX Ins Code § 1551.401 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter I. Funds|Section 1551.401. Employees Life, Accident, and Health Insurance and Benefits Fund

Sec. 1551.401.  EMPLOYEES LIFE, ACCIDENT, AND HEALTH INSURANCE AND BENEFITS FUND.  (a)  The employees life, accident, and health insurance and benefits fund is in the state treasury.(b)  The board of trustees shall administer the fund.(c)  Contributions of participants and the state provided for under this chapter shall be credited to the fund.(d)  The fund is available:(1)  without fiscal year limitation for all payments for any coverages provided for under this chapter;  and(2)  for payment of expenses of administering this chapter within the limitations that may be specified annually by the legislature.(e)  The board of trustees shall regularly set aside in the fund an amount equal to a percentage of the contributions made by participants and the state that the board determines is reasonably adequate to pay the expenses of administering this chapter.(f)  The board of trustees, from time to time and in amounts it considers appropriate, may transfer unused funds for administrative expenses to the contingency reserves to be used by the board only for charges, claims, and expenses under the group benefits program.(g)  Except as provided by Section 1551.259(d), the retirement system may deposit to the credit of the fund any unclaimed money on a finding that a good faith effort has been made to locate the person entitled to the money.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.Amended by: Acts 2009, 81st Leg., R.S., Ch. 1308 (H.B. 2559), Sec. 40, eff. September 1, 2009.|
TX Ins Code § 1551.402 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter I. Funds|Section 1551.402. State Employees Cafeteria Plan Trust Fund

Sec. 1551.402.  STATE EMPLOYEES CAFETERIA PLAN TRUST FUND.  (a)  The state employees cafeteria plan trust fund is in the state treasury.(b)  The board of trustees shall administer the fund.(c)  The following shall be credited to the fund:(1)  salary reduction payments for benefits included in a cafeteria plan other than group coverage plans under the group benefits program;  and(2)  appropriations by the state for the administration of a cafeteria plan.(d)  The trust fund is available without fiscal year limitation:(1)  for all payments for any benefits included in a cafeteria plan other than group coverage plans under the group benefits program;  and(2)  for payment of expenses of administering a cafeteria plan.(e)  The board of trustees may establish accounts for money in the fund as the board considers necessary, including accounts for the administration of a cafeteria plan.  The board of trustees may transfer assets from one account to another:(1)  to pay benefits if:(A)  the transfer is necessary for financial management purposes;  and(B)  adequate arrangements are made to reimburse the account from which the transfer was made;  and(2)  to pay administrative expenses.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1551.403 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter I. Funds|Section 1551.403. Fees for State Employees Cafeteria Plan Trust Fund

Sec. 1551.403.  FEES FOR STATE EMPLOYEES CAFETERIA PLAN TRUST FUND.  (a)  Subject to Subsection (e), the board of trustees may establish a monthly fee to be paid by each employee who elects to participate in a cafeteria plan for the purpose of paying the expenses of administering the cafeteria plan.(b)  The board of trustees shall establish the amount of the monthly fee and may establish a separate fee for each benefit included in a cafeteria plan.(c)  If the board of trustees establishes a monthly fee, each employee who participates in the cafeteria plan must authorize payment of the fee by executing a separate payroll deduction agreement or as part of the salary reduction agreement, as determined by the board.(d)  The monthly fee shall be paid into the state employees cafeteria plan trust fund.(e)  The board of trustees may not establish a fee for administering the premium conversion benefit portion of a cafeteria plan.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1551.404 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter I. Funds|Section 1551.404. Insufficient Earnings for Employee to Participate in Cafeteria Fund

Sec. 1551.404.  INSUFFICIENT EARNINGS FOR EMPLOYEE TO PARTICIPATE IN CAFETERIA FUND.  (a)  If the earnings of an employee who elects to participate in a cafeteria plan are insufficient to pay the cost of the coverages and benefits selected by the employee, the employee is liable to the board of trustees for an amount equal to the difference between:(1)  the amount received by the board;  and(2)  the cost of the coverages and benefits.(b)  If the employee does not pay the difference within the time specified by the board of trustees, the board may:(1)  cancel the coverages and benefits retroactive to the last month for which full payment was made;  or(2)  pursue any other available legal remedy.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1551.405 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter I. Funds|Section 1551.405. Employees' Health Care Stabilization Trust Fund

Sec. 1551.405.  EMPLOYEES' HEALTH CARE STABILIZATION TRUST FUND.  (a)  The employees' health care stabilization trust fund is a fund in the state treasury.(b)  The board of trustees shall administer the fund.(c)  The following shall be credited to the fund:(1)  money transferred to the fund at the direction of the legislature;  and(2)  gifts and grants contributed to the fund.(d)  In administering the fund, the board of trustees shall make investments in a manner that preserves the purchasing power of the fund's assets.(e)  Money in the fund may not be spent for any purpose, except that the interest and investment returns of the fund may be appropriated only to stabilize the cost of state and participant contributions for health benefit coverage under this chapter by minimizing to the greatest extent possible increases in those contributions.(f)  The fund is exempt from the application of Section 403.095, Government Code.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1551.406 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter I. Funds|Section 1551.406. Investment of Funds

Sec. 1551.406.  INVESTMENT OF FUNDS.  (a)  Under the standard of care provided by Section 815.307, Government Code, the board of trustees may manage and has full power to invest and reinvest the money in:(1)  the employees life, accident, and health insurance and benefits fund;(2)  the state employees cafeteria plan trust fund;  and(3)  the employees' health care stabilization trust fund.(b)  The earnings, including interest on money in the fund and proceeds from the sale of any investments, become a part of the fund.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1551.407 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter I. Funds|Section 1551.407. Management of Assets

Sec. 1551.407.  MANAGEMENT OF ASSETS.  The board of trustees may commingle for investment purposes the assets of a fund created under this chapter with another fund created under this chapter or any other trust fund administered by the board if the board maintains and credits proportionate ownership records.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1551.451 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter J. State Consumer-Directed Health Plan|Section 1551.451. Definitions

Sec. 1551.451.  DEFINITIONS.  In this subchapter:(1)  "High deductible health plan" means a health benefit plan that complies with Section 223(c), Internal Revenue Code of 1986, and other federal law.(2)  "Plan enrollee" means an employee or annuitant who is enrolled in the plan established under this subchapter.(3)  "Qualified medical expense" means an expense paid by a plan enrollee for medical care, as defined by Section 213(d), Internal Revenue Code of 1986, for the plan enrollee or the enrollee's dependents as defined by Section 152, Internal Revenue Code of 1986.|Added by Acts 2015, 84th Leg., R.S., Ch. 1015 (H.B. 966), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1551.452 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter J. State Consumer-Directed Health Plan|Section 1551.452. Establishment of State Consumer-Directed Health Plan

Sec. 1551.452.  ESTABLISHMENT OF STATE CONSUMER-DIRECTED HEALTH PLAN.  (a)  The state consumer-directed health plan is established for the benefit of individuals eligible to participate in the group benefits program and those individuals' eligible dependents.(b)  The board of trustees may adopt rules necessary to administer this subchapter.  In implementing this subchapter the board shall:(1)  establish health savings accounts under this subchapter and administer or select an administrator in accordance with Section 1551.453 for the accounts;(2)  finance a self-funded high deductible health plan that:(A)  is an integral part of the state consumer-directed health plan; and(B)  provides health benefit coverage, including preventive health care, to a plan enrollee in the state consumer-directed health plan and to the dependents of a plan enrollee in accordance with Section 1551.455; and(3)  provide to individuals eligible to participate in the group benefits program information regarding the operation of and option to participate in the state consumer-directed health plan established under this subchapter.(c)  In adopting rules and administering health savings accounts or selecting administrators for health savings accounts under this subchapter, the board of trustees shall ensure that the health savings accounts are qualified for appropriate federal tax exemptions.|Added by Acts 2015, 84th Leg., R.S., Ch. 1015 (H.B. 966), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1551.453 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter J. State Consumer-Directed Health Plan|Section 1551.453. Account Administrator

Sec. 1551.453.  ACCOUNT ADMINISTRATOR.  (a)  The account administrator selected to administer a health savings account established under this subchapter must be a person:(1)  qualified to serve as trustee under Section 223(d)(1)(B), Internal Revenue Code of 1986, and the rules adopted under that section; and(2)  experienced in administering health savings accounts or other similar trust accounts.(b)  An account administrator is the fiduciary of a plan enrollee who has a health savings account established under this subchapter.|Added by Acts 2015, 84th Leg., R.S., Ch. 1015 (H.B. 966), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1551.454 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter J. State Consumer-Directed Health Plan|Section 1551.454. Participation in Program

Sec. 1551.454.  PARTICIPATION IN PROGRAM.  (a)  Each individual eligible to participate in the basic coverage may choose instead to participate in the state consumer-directed health plan if the plan enrollee is an eligible individual under Section 223(c)(1), Internal Revenue Code of 1986.  The dependents of a plan enrollee may participate in the state consumer-directed health plan in accordance with Section 1551.455.(b)  Participation in the state consumer-directed health plan qualifies a plan enrollee to receive a contribution to a health savings account under Section 1551.456.  An individual who elects not to participate in the plan is not eligible to receive a contribution under that section.(c)  Under this section, the board of trustees has exclusive authority to determine an individual's eligibility to participate in the state consumer-directed health plan and may adopt rules regarding eligibility to participate in the plan.|Added by Acts 2015, 84th Leg., R.S., Ch. 1015 (H.B. 966), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1551.455 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter J. State Consumer-Directed Health Plan|Section 1551.455. Coverage for Dependents; Required Contributions

Sec. 1551.455.  COVERAGE FOR DEPENDENTS; REQUIRED CONTRIBUTIONS.  (a)  A plan enrollee may obtain for the enrollee's dependents coverage in the state consumer-directed health plan in the manner determined by the board of trustees.(b)  If the plan enrollee elects to obtain dependent coverage under Subsection (a), the plan enrollee shall pay any required contribution for the dependent coverage in the state consumer-directed health plan in the manner prescribed by the board of trustees.(c)  Amounts contributed by a plan enrollee under this section may be:(1)  used to pay the cost of coverage in the high deductible health plan not paid by the state under Section 1551.456(b); or(2)  allocated by the board of trustees to an enrollee's health savings account in the manner described by Section 1551.456(c).|Added by Acts 2015, 84th Leg., R.S., Ch. 1015 (H.B. 966), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1551.456 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter J. State Consumer-Directed Health Plan|Section 1551.456. State Contribution

Sec. 1551.456.  STATE CONTRIBUTION.  (a)  For each plan enrollee, from the state contribution that would otherwise be made for basic coverage for the enrollee, the state shall contribute annually to a high deductible health plan under this subchapter the amount that is necessary to pay the cost of coverage under the high deductible health plan and does not exceed the amount the state annually contributes for a full-time or part-time employee, as applicable, who is covered by the basic coverage.(b)  For each plan enrollee's dependent covered under this subchapter, from the state contribution that would otherwise be made for basic coverage for the dependent, the state shall contribute annually to the high deductible health plan under this subchapter the same percentage of the cost of coverage under the high deductible health plan as the state annually contributes for dependent coverage in the basic coverage.(c)  Before each plan year, the board of trustees may determine the amount of allocation of the state's contribution, if any, to an enrollee's health savings account that would otherwise be made for basic coverage for the enrollee and that remains after payment for coverage under Subsection (a) or (b).(d)  For a calendar year, the amount of any allocations made under Subsection (c) and Section 1551.455(c)(2), in the aggregate, may not exceed the sum of the monthly limitations imposed by federal law for health savings accounts.|Added by Acts 2015, 84th Leg., R.S., Ch. 1015 (H.B. 966), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1551.457 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter J. State Consumer-Directed Health Plan|Section 1551.457. Plan Enrollee Contributions

Sec. 1551.457.  PLAN ENROLLEE CONTRIBUTIONS.  (a)  Each plan enrollee, in accordance with Section 1551.305, shall contribute any amount required to cover the selected participation in the high deductible health plan that exceeds the state contribution amount under Section 1551.456.(b)  A plan enrollee may contribute any amount allowed under federal law to the enrollee's health savings account in addition to the state contribution under Section 1551.456.(c)  A plan enrollee shall make contributions under this section in the manner prescribed by the board of trustees.|Added by Acts 2015, 84th Leg., R.S., Ch. 1015 (H.B. 966), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1551.458 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter J. State Consumer-Directed Health Plan|Section 1551.458. Coordination With Cafeteria Plan

Sec. 1551.458.  COORDINATION WITH CAFETERIA PLAN.  (a)  The board of trustees has exclusive authority to determine the eligibility of a plan enrollee to participate in any flexible spending account that is part of a cafeteria plan offered under this chapter.(b)  The board of trustees may adopt rules regarding the eligibility of a plan enrollee to participate in any flexible spending account that is part of a cafeteria plan offered under this chapter.(c)  A plan enrollee may not participate in any flexible spending account that would disqualify the enrollee's health savings account from favorable tax treatment under federal law.|Added by Acts 2015, 84th Leg., R.S., Ch. 1015 (H.B. 966), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1551.459 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter J. State Consumer-Directed Health Plan|Section 1551.459. Exemption From Execution; Unassignability

Sec. 1551.459.  EXEMPTION FROM EXECUTION; UNASSIGNABILITY.  A state contribution to a health savings account or a high deductible health plan is exempt from execution and is unassignable in the same manner and to the same extent as an amount described by Section 1551.011.|Added by Acts 2015, 84th Leg., R.S., Ch. 1015 (H.B. 966), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1551.460 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1551 - Texas Employees Group Benefits Act|Subchapter J. State Consumer-Directed Health Plan|Section 1551.460. Single Undivided Risk Pool

Sec. 1551.460.  SINGLE UNDIVIDED RISK POOL.  In implementing and administering the state consumer-directed health plan established under this subchapter, the board of trustees may not divide the self-funded risk pool of the group benefits program provided under this chapter or create a separate self-funded risk pool for that program.|Added by Acts 2015, 84th Leg., R.S., Ch. 1015 (H.B. 966), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1575.001 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1575 - Texas Public School Employees Group Benefits Program|Subchapter A. General Provisions|Section 1575.001. Short Title

Sec. 1575.001.  SHORT TITLE.  This chapter may be cited as the Texas Public School Retired Employees Group Benefits Act.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.  Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.413(a), eff. Sept. 1, 2003.|
TX Ins Code § 1575.002 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1575 - Texas Public School Employees Group Benefits Program|Subchapter A. General Provisions|Section 1575.002. General Definitions

Sec. 1575.002.  GENERAL DEFINITIONS.  In this chapter:(1)  "Active employee" means a contributing member of the Teacher Retirement System of Texas who:(A)  is employed by a public school;  and(B)  is not entitled to coverage under a plan provided under Chapter 1551 or 1601.(2)  "Carrier" means an insurance company or hospital service corporation authorized by the department under this code or another insurance law of this state to provide any of the insurance coverages, benefits, or services provided by this chapter.(3)  "Fund" means the retired school employees group insurance fund.(4)  "Group program" means the Texas Public School Employees Group Insurance Program authorized by this chapter.(5)  "Health benefit plan" means any group arrangement to provide health care benefits or to pay or reimburse expenses for health care services.(5-a)  "Medicare Advantage plan" means a health benefit plan operated under Part C of the Medicare program.(5-b)  "Medicare prescription drug plan" means a health benefit plan operated under Part D of the Medicare program.(6)   "Public school" means:(A)  a school district;(B)  another educational district whose employees are members of the Teacher Retirement System of Texas;(C)  a regional education service center established under Chapter 8, Education Code;  or(D)  an open-enrollment charter school established under Subchapter D, Chapter 12, Education Code.(7)  "Trustee" means the Teacher Retirement System of Texas.(8)  "Usual and customary rate" means the relevant allowable amount as described by the applicable master benefit plan document or policy.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.  Amended by Acts 2003, 78th Leg., ch. 201, Sec. 47, eff. Sept. 1, 2003;  Acts 2003, 78th Leg., ch. 366, Sec. 3.01, eff. Sept. 1, 2003;  Acts 2003, 78th Leg., ch. 1231, Sec. 1, eff. Sept. 1, 2004;  Acts 2003, 78th Leg., ch. 1276, Sec. 10A.414(a), eff. Sept. 1, 2003.Amended by: Acts 2017, 85th Leg., R.S., Ch. 712 (H.B. 3976), Sec. 1, eff. September 1, 2017.Acts 2019, 86th Leg., R.S., Ch. 1342 (S.B. 1264), Sec. 1.13, eff. September 1, 2019.|
TX Ins Code § 1575.0025 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1575 - Texas Public School Employees Group Benefits Program|Subchapter A. General Provisions|Section 1575.0025. References to Basic Plan

Sec. 1575.0025.  REFERENCES TO BASIC PLAN.  A reference in this code to a "basic plan" under this chapter means a health benefit plan provided under this chapter other than a Medicare Advantage plan or a Medicare prescription drug plan.|Added by Acts 2017, 85th Leg., R.S., Ch. 712 (H.B. 3976), Sec. 2, eff. September 1, 2017.|