Tex.
Ins. Code Section 1551.055
General Powers of Board of Trustees Regarding Coverage Plans
(1)
prepare specifications for a coverage provided under this chapter;(2)
prescribe the time and conditions under which an employee, annuitant, or dependent is eligible for a coverage provided under this chapter;(3)
determine the methods and procedures of claims administration;(4)
determine the amount of payroll deductions and reductions applicable to employees and annuitants and establish procedures to implement those deductions and reductions;(5)
establish procedures for the board of trustees to decide contested cases arising from a coverage provided under this chapter;(6)
study, on an ongoing basis, the operation of all coverages provided under this chapter, including gross and net costs, administration costs, benefits, utilization of benefits, and claims administration;(7)
administer the employees life, accident, and health insurance and benefits fund;(8)
provide the beginning and ending dates of coverages of participants under all benefit plans;(9)
develop basic group coverage plans applicable to all individuals eligible to participate in the group benefits program under Sections 1551.101 (Participation Eligibility: State Officers and Employees) and 1551.102 (Participation Eligibility: Annuitants);(10)
provide for optional group coverage plans in addition to the basic group coverage plans;(11)
provide, as the board of trustees determines is appropriate, either additional statewide optional coverage plans or individual agency coverage plans;(12)
develop health benefit plans that permit access to high-quality, cost-effective health care;(13)
design, implement, and monitor health benefit plan features intended to discourage excessive utilization, promote efficiency, and contain costs;(14)
develop and refine, on an ongoing basis, a health benefit strategy consistent with evolving benefit delivery systems;(15)
develop a funding strategy that efficiently uses employer contributions to achieve the purposes of this chapter and that is reasonable and ensures participants a fair choice among health benefit plans as provided by Section 1551.302 (Allocation of Employer Contributions); and(16)
appoint an advisory committee for the group benefits program under the terms provided by Section 815.509 (Advisory Committees), Government Code.
Source:
Section 1551.055 — General Powers of Board of Trustees Regarding Coverage Plans, https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1551.htm#1551.055 (accessed Jun. 5, 2024).
