reglab/housing_qa huggingface dataset:
TX Ins Code § 1575.406 (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 1575 - Texas Public School Employees Group Benefits Program|Subchapter I. Retirees Advisory Committee|Section 1575.406. Duties

Sec. 1575.406.  DUTIES.  The committee shall:(1)  hold public hearings on group coverage;(2)  recommend to the trustee minimum standards and features of a plan under the group program that the committee considers appropriate;  and(3)  recommend to the trustee desirable changes in rules and legislation affecting the group program.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.  Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.450, eff. Sept. 1, 2003.|
TX Ins Code § 1575.407 (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 1575 - Texas Public School Employees Group Benefits Program|Subchapter I. Retirees Advisory Committee|Section 1575.407. Procedural Rules

Sec. 1575.407.  PROCEDURAL RULES.  The trustee shall adopt procedural rules for the committee to follow in implementing its powers and duties under this subchapter.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.  Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.450, eff. Sept. 1, 2003.|
TX Ins Code § 1575.408 (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 I. Retirees Advisory Committee|Section 1575.408. Reimbursement for Actual and Reasonable Expenses

Sec. 1575.408.  REIMBURSEMENT FOR ACTUAL AND REASONABLE EXPENSES.  A committee member is entitled to reimbursement for actual and reasonable expenses incurred in performing functions as a committee member.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1575.451 (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 1575 - Texas Public School Employees Group Benefits Program|Subchapter J. Accounting, Reports, and Records|Section 1575.451. Annual Accounting

Sec. 1575.451.  ANNUAL ACCOUNTING.  (a)  In this section, "plan year" means the period beginning on September 1 and ending on the following August 31.(b)  Group coverage purchased under this chapter must provide for an accounting to the trustee by each carrier providing the coverage.(c)  The accounting must be submitted:(1)  not later than the 90th day after the last day of each plan year;  and(2)  on a form approved by the trustee.(d)  Each carrier shall prepare any other report that the trustee considers necessary.(e)  A carrier may not assess an extra charge for an accounting report.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.  Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.451, eff. Sept. 1, 2003.|
TX Ins Code § 1575.453 (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 1575 - Texas Public School Employees Group Benefits Program|Subchapter J. Accounting, Reports, and Records|Section 1575.453. Study and Report by Trustee

Sec. 1575.453.  STUDY AND REPORT BY TRUSTEE.  (a)  The trustee shall study the operation and administration of this chapter, including:(1)  conducting surveys and preparing reports on financing group coverages and health benefit plans available to participants;(2)  studying the experience and projected cost of coverage; and(3)  reviewing the group coverages provided to and the benefits and services being received by individuals covered under this chapter.(b)  The trustee shall report annually to the legislature and the department on the operation and administration of this chapter.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.  Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.452, eff. Sept. 1, 2003.Amended by: Acts 2021, 87th Leg., R.S., Ch. 141 (H.B. 1585), Sec. 17, eff. May 26, 2021.|
TX Ins Code § 1575.454 (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 1575 - Texas Public School Employees Group Benefits Program|Subchapter J. Accounting, Reports, and Records|Section 1575.454. Reports by and Examination of Carrier

Sec. 1575.454.  REPORTS BY AND EXAMINATION OF CARRIER.  Each contract entered into under this chapter between the trustee and a carrier must require the carrier to:(1)  furnish to the trustee in a timely manner reasonable reports that the trustee determines are necessary to implement this chapter;  and(2)  permit the trustee and the state auditor to examine records of the carrier as necessary to implement this chapter.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.  Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.452, eff. Sept. 1, 2003.|
TX Ins Code § 1575.455 (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 1575 - Texas Public School Employees Group Benefits Program|Subchapter J. Accounting, Reports, and Records|Section 1575.455. Public Inspection

Sec. 1575.455.  PUBLIC INSPECTION.  A report required by this chapter shall be made available for public inspection in a form that protects the identity of individual claimants.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1575.456 (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 1575 - Texas Public School Employees Group Benefits Program|Subchapter J. Accounting, Reports, and Records|Section 1575.456. Confidentiality of Records

Sec. 1575.456.  CONFIDENTIALITY OF RECORDS.  (a)  Section 825.507, Government Code, concerning confidentiality and disclosure of records applies to records in the custody of the Teacher Retirement System of Texas or in the custody of an administrator, carrier, agent, attorney, consultant, or governmental body acting in cooperation with or on behalf of the system relating to a retiree, active employee, annuitant, or beneficiary under the group program.(b)  The Teacher Retirement System of Texas may disclose to a health or benefit provider information in the records of an individual that the system determines is necessary to administer the group program.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.  Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.453(a), eff. Sept. 1, 2003.|
TX Ins Code § 1575.501 (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 K. Expulsion for Fraud|Section 1575.501. Expulsion for Fraud

Sec. 1575.501.  EXPULSION FOR FRAUD.  After notice and hearing as provided by this subchapter, the trustee may expel from participation in the group program a retiree, dependent, surviving spouse, or surviving dependent child who:(1)  submits a fraudulent claim or application for coverage under the group program;  or(2)  defrauds or attempts to defraud a health benefit plan offered under the group program.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.  Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.454(a), eff. Sept. 1, 2003.|
TX Ins Code § 1575.502 (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 K. Expulsion for Fraud|Section 1575.502. Hearing

Sec. 1575.502.  HEARING.  On receipt of a complaint or on its own motion, the trustee may call and hold a hearing to determine whether an individual has acted in the manner described by Section 1575.501.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.  Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.455, eff. Sept. 1, 2003.|
TX Ins Code § 1575.503 (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 K. Expulsion for Fraud|Section 1575.503. Contested Case

Sec. 1575.503.  CONTESTED CASE.  A proceeding under this subchapter is a contested case under Chapter 2001, Government Code.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1575.504 (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 K. Expulsion for Fraud|Section 1575.504. Expulsion at Conclusion of Hearing

Sec. 1575.504.  EXPULSION AT CONCLUSION OF HEARING.  At the conclusion of the hearing under Section 1575.502, if the trustee determines that the individual acted in the manner described by Section 1575.501, the trustee shall expel the individual from participation in the group program.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.  Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.455, eff. Sept. 1, 2003.|
TX Ins Code § 1575.505 (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 K. Expulsion for Fraud|Section 1575.505. Effect of Expulsion

Sec. 1575.505.  EFFECT OF EXPULSION.  An individual expelled from participation in the group program may not be covered by a health benefit plan offered under the group program for a period determined by the trustee, not to exceed five years, beginning on the date the expulsion takes effect.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.  Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.455, eff. Sept. 1, 2003.|
TX Ins Code § 1575.506 (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 K. Expulsion for Fraud|Section 1575.506. Appeal

Sec. 1575.506.  APPEAL.  An appeal of a determination by the trustee under this subchapter is under the substantial evidence rule.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.  Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.455, eff. Sept. 1, 2003.|
TX Ins Code § 1578.001 (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 1578 - Purchase of Insurance by Association of Teachers and School Administrators|Subchapter A. General Provisions|Section 1578.001. Applicability of Chapter

Sec. 1578.001.  APPLICABILITY OF CHAPTER.  This chapter applies only to a voluntary association that is:(1)  composed of teachers or school administrators of public or private primary or secondary schools, colleges, or universities;  and(2)  incorporated under federal law or a law of this state on a nonprofit membership basis.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1578.002 (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 1578 - Purchase of Insurance by Association of Teachers and School Administrators|Subchapter A. General Provisions|Section 1578.002. Authority to Issue

Sec. 1578.002.  AUTHORITY TO ISSUE.  Notwithstanding any other law, an insurance company authorized to engage in the business of insurance in this state may issue a group policy to a voluntary association in accordance with this chapter.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1578.051 (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 1578 - Purchase of Insurance by Association of Teachers and School Administrators|Subchapter B. Purchase of Insurance|Section 1578.051. Authority to Obtain Insurance

Sec. 1578.051.  AUTHORITY TO OBTAIN INSURANCE.  (a)  A voluntary association may obtain for any class of the association's membership and for the class's dependents a group policy of:(1)  life insurance;(2)  health insurance;(3)  accident insurance;(4)  accidental death or dismemberment insurance;  or(5)  hospital, surgical, or medical expense insurance.(b)  The association may obtain a separate policy for each type of insurance listed under Subsection (a).(c)  The association is the policyholder.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1578.052 (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 1578 - Purchase of Insurance by Association of Teachers and School Administrators|Subchapter B. Purchase of Insurance|Section 1578.052. Payment of Premium

Sec. 1578.052.  PAYMENT OF PREMIUM.  A voluntary association that obtains a group policy under this chapter shall pay the premium for the policy wholly or partly from money:(1)  contributed by the association;  or(2)  contributed by the insured association members for that purpose.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1578.053 (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 1578 - Purchase of Insurance by Association of Teachers and School Administrators|Subchapter B. Purchase of Insurance|Section 1578.053. Minimum Requirements to Obtain Policy

Sec. 1578.053.  MINIMUM REQUIREMENTS TO OBTAIN POLICY.  (a)  A voluntary association may obtain a group policy under this chapter only if the policy will cover at least 25 association members on the date of issue.(b)  If the premium for the group policy is paid wholly or partly from money contributed by association members for that purpose, the policy on the date of issue must cover at least the lesser of 75 percent of the eligible members or 400 members, excluding any member whose evidence of individual insurability is not satisfactory to the insurer, who elect to make the required contributions and to be insured under the policy.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1578.054 (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 1578 - Purchase of Insurance by Association of Teachers and School Administrators|Subchapter B. Purchase of Insurance|Section 1578.054. Amount of Insurance

Sec. 1578.054.  AMOUNT OF INSURANCE.  The amount of insurance under a policy issued under this chapter must be based on a plan that precludes individual selection by the voluntary association or an insured association member.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1579.001 (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 1579 - Texas School Employees Uniform Group Health Coverage|Subchapter A. General Provisions|Section 1579.001. Short Title

Sec. 1579.001.  SHORT TITLE.  This chapter may be cited as the Texas School Employees Uniform Group Health Coverage Act.|Added by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.471(a), eff. Sept. 1, 2003.|
TX Ins Code § 1579.002 (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 1579 - Texas School Employees Uniform Group Health Coverage|Subchapter A. General Provisions|Section 1579.002. General Definitions

Sec. 1579.002.  GENERAL DEFINITIONS.  In this chapter:(1)  "Administering firm" means any entity designated by the trustee to administer any coverages, services, benefits, or requirements under this chapter and the trustee's rules adopted under this chapter.(2)  "Trustee" means the Teacher Retirement System of Texas.(3)  "Charter school" means an open-enrollment charter school established under Subchapter D, Chapter 12, Education Code.(4)  "Health coverage plan" means any group policy or contract, hospital service agreement, health maintenance organization agreement, preferred provider arrangement, or any similar group arrangement or any combination of those policies, contracts, agreements, or arrangements that provides for, pays for, or reimburses expenses for health care services.(5)  "Participating entity" means an entity participating in the uniform group coverage program established under this chapter.  The term includes:(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;  and(D)  a charter school that meets the requirements of Section 1579.154.(6)  "Program" means the uniform group coverage program established under this chapter.(7)  "Regional education service center" means a regional education service center established under Chapter 8, Education Code.(8)  "Usual and customary rate" means the relevant allowable amount as described by the applicable master benefit plan document or policy.|Added by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.471(a), eff. Sept. 1, 2003.Amended by: Acts 2019, 86th Leg., R.S., Ch. 1342 (S.B. 1264), Sec. 1.16, eff. September 1, 2019.|
TX Ins Code § 1579.003 (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 1579 - Texas School Employees Uniform Group Health Coverage|Subchapter A. General Provisions|Section 1579.003. Definition of Employee

Sec. 1579.003.  DEFINITION OF EMPLOYEE.  In this chapter, "employee" means a participating member of the Teacher Retirement System of Texas who is employed by a participating entity and who is not receiving coverage from a program under Chapter 1551, 1575, or 1601.  The term does not include an individual performing personal services as an independent contractor.|Added by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.471(a), eff. Sept. 1, 2003.|
TX Ins Code § 1579.004 (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 1579 - Texas School Employees Uniform Group Health Coverage|Subchapter A. General Provisions|Section 1579.004. Definition of Dependent

Sec. 1579.004.  DEFINITION OF DEPENDENT.  In this chapter, "dependent" means:(1)  a spouse of a full-time employee or part-time employee;(2)  a child of a full-time or part-time employee if the child is younger than 26 years of age, including:(A)  an adopted child or child who is lawfully placed for adoption;(B)  a foster child, stepchild, or other child who is in a regular parent-child relationship; and(C)  a natural child;(3)  a full-time or part-time employee's natural child, adopted child, foster child, stepchild, or other child who is in a regular parent-child relationship and who lives with or has his or her care provided by the employee or the surviving spouse on a regular basis, regardless of the child's age, if the child has a mental disability or is physically incapacitated to an extent that the child is dependent on the employee or surviving spouse for care or support, as determined by the board of trustees; and(4)  notwithstanding any other provision of this code, any other dependent of a full-time or part-time employee specified by rules adopted by the board of trustees.|Added by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.471(a), eff. Sept. 1, 2003.Amended by: Acts 2011, 82nd Leg., R.S., Ch. 455 (S.B. 1667), Sec. 24, eff. September 1, 2011.Acts 2013, 83rd Leg., R.S., Ch. 1078 (H.B. 3357), Sec. 20, eff. June 14, 2013.|
TX Ins Code § 1579.005 (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 1579 - Texas School Employees Uniform Group Health Coverage|Subchapter A. General Provisions|Section 1579.005. Confidentiality

Sec. 1579.005.  CONFIDENTIALITY.  (a)  Section 825.507, Government Code, applies to records relating to an employee or dependent under the program and in the custody of the Teacher Retirement System of Texas or in the custody of an administrator, carrier, agent, attorney, consultant, or governmental body acting in cooperation with or on behalf of the system.(b)  The Teacher Retirement System of Texas may disclose to a health care provider, benefit provider, or claims administrator information in the records of an individual that the system determines is necessary to administer the program.|Added by Acts 2005, 79th Leg., Ch. 1359 (S.B. 1691), Sec. 48, eff. September 1, 2005.|
TX Ins Code § 1579.006 (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 1579 - Texas School Employees Uniform Group Health Coverage|Subchapter A. General Provisions|Section 1579.006. Exemption From Process

Sec. 1579.006.  EXEMPTION FROM PROCESS.  (a)  The following are exempt from execution, attachment, garnishment, or any other process:(1)  benefit payments, including optional benefit payments;(2)  contributions of active employees, the state, and a participating entity, and any other contributions;(3)  any rights, benefits, or payments accruing to any person under this chapter; and(4)  any money in the Texas school employees uniform group coverage trust fund.(b)  The items listed in Subsection (a) may not be assigned except for direct payment to benefit providers as authorized by the trustee by contract, rule, or otherwise.|Added by Acts 2005, 79th Leg., Ch. 1359 (S.B. 1691), Sec. 48, eff. September 1, 2005.|
TX Ins Code § 1579.007 (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 1579 - Texas School Employees Uniform Group Health Coverage|Subchapter A. General Provisions|Section 1579.007. Exemption From State Taxes and Fees

Sec. 1579.007.  EXEMPTION FROM STATE TAXES AND FEES.  A premium or contribution on a policy, insurance contract, or agreement authorized by this chapter is not subject to any state tax, regulatory fee, or surcharge, including a premium or maintenance tax or fee.|Added by Acts 2005, 79th Leg., Ch. 1359 (S.B. 1691), Sec. 48, eff. September 1, 2005.|