Tex. Ins. Code Section 1579.052
Authority to Adopt Rules; Other Authority

(a)

The trustee may adopt rules relating to the program as considered necessary by the trustee.

(b)

The trustee may adopt rules to administer the program, including rules relating to adjudication of claims and expelling participants from the program for cause.

(c)

The trustee may contract with independent and experienced group insurance consultants and actuaries for advice and counsel in implementing and administering the program.

(d)

The trustee may enter into interagency contracts with any agency of the state, including the Employees Retirement System of Texas and the department, for the purpose of assistance in implementing the program.

(e)

The trustee shall take the actions it considers necessary to devise, implement, and administer the program.
Added by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.471(a), eff. Sept. 1, 2003.
Amended by:
Acts 2005, 79th Leg., Ch. 1359 (S.B. 1691), Sec. 49, eff. September 1, 2005.

Source: Section 1579.052 — Authority to Adopt Rules; Other Authority, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1579.­htm#1579.­052 (accessed Jun. 5, 2024).

1579.001
Short Title 1579.002
General Definitions 1579.003
Definition of Employee 1579.004
Definition of Dependent 1579.005
Confidentiality 1579.006
Exemption from Process 1579.007
Exemption from State Taxes and Fees 1579.008
Coverage Exempt from Insurance Law 1579.009
Balance Billing Prohibition Notice 1579.010
Information Regarding Appeals 1579.051
Administration of Group Program 1579.052
Authority to Adopt Rules 1579.053
Personnel 1579.054
Competitive Bidding Requirements 1579.055
Contract Award 1579.057
Pharmacy Benefit Manager Contracts 1579.101
Plans of Group Coverages 1579.102
Catastrophic Care Coverage Plan 1579.104
Optional Coverages 1579.105
Preexisting Condition Limitation 1579.106
Prior Authorization for Certain Drugs 1579.107
Disease Management Services 1579.108
Limitations 1579.109
Emergency Care Payments 1579.110
Out-of-network Facility-based Provider Payments 1579.111
Out-of-network Diagnostic Imaging Provider or Laboratory Service Provider Payments 1579.112
Out-of-network Emergency Medical Services Provider Payments 1579.152
Participation of Other School Districts 1579.153
Participation by Certain Risk Pools 1579.154
Participation by Charter Schools 1579.155
Program Participation: Election 1579.201
Definition 1579.202
Eligible Employees 1579.203
Selection of Coverage 1579.204
Certain Part-time Employees 1579.205
Payment by Participating Entity 1579.251
State Assistance 1579.252
Contribution by Participating Entities 1579.253
Contribution by Employee 1579.254
Contributions Held in Trust for Fund 1579.255
Interest Assessed on Late Payment of Contributions by Participating Entities 1579.301
Fund 1579.302
Composition of Fund 1579.303
Payments from Fund 1579.304
Investment of Fund 1579.1045
Alternative Group Health Coverage Prohibited 1579.1061
Exemption from Preauthorization Requirements for Physicians and Health Care Providers Providing Certain Health Care Services
Green check means up to date. Up to date

Accessed:
Jun. 5, 2024

§ 1579.052’s source at texas​.gov