tx-May292026-36: 34 TAC §41.38 — Health Care and Insurance Programs
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The Board of Trustees of the Teacher Retirement System of Texas (TRS) proposes to amend §41.38 (relating to Termination Date of Coverage) under Subchapter C (relating to Texas School Employees Group Health (TRS-ACTIVECARE)) of Chapter 41 in Part 3 of Title 34 of the Texas Administrative Code. BACKGROUND AND PURPOSE TRS proposes to delete §41.38(a)(7) to eliminate participants' ability to voluntarily terminate their TRS-ActiveCare enrollment in the middle of the plan year. This change addresses the instability to the TRS-ActiveCare trust fund that this conduct creates, including disruptions to premium collection, rate setting, increased risk of adverse selection, and administrative burden. As trustee of the program, TRS is proposing this amendment to protect the fiscal health and stability of the trust fund, which in turn serves the best interests of all plan participants. The following factors support this proposal. First, allowing a participant to leave TRS-ActiveCare mid-year is inconsistent with industry standards. Typically, individuals enrolled in a health plan are required to remain enrolled until the end of that plan year, absent a qualifying mid-year life event that,...
The agency’s own summary, as published.
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