1 | 1 | | By: King of Hemphill H.B. No. 4076 |
---|
2 | 2 | | |
---|
3 | 3 | | |
---|
4 | 4 | | A BILL TO BE ENTITLED |
---|
5 | 5 | | AN ACT |
---|
6 | 6 | | relating to benefits administered by the Teacher Retirement System |
---|
7 | 7 | | of Texas. |
---|
8 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
9 | 9 | | ARTICLE 1. TEACHER RETIREMENT SYSTEM COST-OF-LIVING ADJUSTMENT |
---|
10 | 10 | | SECTION 1.01. Subchapter H, Chapter 824, Government Code, |
---|
11 | 11 | | is amended by adding Section 824.703 to read as follows: |
---|
12 | 12 | | Sec. 824.703. ADDITIONAL COST-OF-LIVING ADJUSTMENT. (a) |
---|
13 | 13 | | Notwithstanding Section 824.702 and subject to Section 821.006, the |
---|
14 | 14 | | retirement system shall make a one-time cost-of-living adjustment |
---|
15 | 15 | | payable to annuitants receiving a monthly death or retirement |
---|
16 | 16 | | benefit annuity, as provided by this section. |
---|
17 | 17 | | (b) Subject to Subsections (c) and (d), to be eligible for |
---|
18 | 18 | | the adjustment, a person must be, on the effective date of the |
---|
19 | 19 | | adjustment and disregarding any forfeiture of benefits under |
---|
20 | 20 | | Section 824.601, an annuitant eligible to receive: |
---|
21 | 21 | | (1) a standard service or disability retirement |
---|
22 | 22 | | annuity payment; |
---|
23 | 23 | | (2) an optional service or disability retirement |
---|
24 | 24 | | annuity payment as either a retiree or beneficiary; |
---|
25 | 25 | | (3) an annuity payment under Section 824.402(a)(3) or |
---|
26 | 26 | | (4); |
---|
27 | 27 | | (4) an annuity payment under Section 824.502; or |
---|
28 | 28 | | (5) an alternate payee annuity payment under Section |
---|
29 | 29 | | 804.005. |
---|
30 | 30 | | (c) If the annuitant: |
---|
31 | 31 | | (1) is a retiree or is a beneficiary under an optional |
---|
32 | 32 | | retirement payment plan, to be eligible for the adjustment under |
---|
33 | 33 | | this section: |
---|
34 | 34 | | (A) the annuitant must be living on the effective |
---|
35 | 35 | | date of the adjustment; and |
---|
36 | 36 | | (B) the effective date of the retirement of the |
---|
37 | 37 | | member of the retirement system must have been on or before August |
---|
38 | 38 | | 31, 2019; |
---|
39 | 39 | | (2) is a beneficiary under Section 824.402(a)(3) or |
---|
40 | 40 | | (4) or 824.502, to be eligible for the adjustment: |
---|
41 | 41 | | (A) the annuitant must be living on the effective |
---|
42 | 42 | | date of the adjustment; and |
---|
43 | 43 | | (B) the date of death of the member of the |
---|
44 | 44 | | retirement system must have been on or before August 31, 2019; or |
---|
45 | 45 | | (3) is an alternate payee under Section 804.005, the |
---|
46 | 46 | | annuitant is eligible for the adjustment only if the effective date |
---|
47 | 47 | | of the election to receive the annuity payment was on or before |
---|
48 | 48 | | August 31, 2019. |
---|
49 | 49 | | (d) An adjustment made under this section does not apply to |
---|
50 | 50 | | payments under: |
---|
51 | 51 | | (1) Section 824.203(d), relating to retirees who |
---|
52 | 52 | | receive a standard service retirement annuity in an amount fixed by |
---|
53 | 53 | | statute; |
---|
54 | 54 | | (2) Section 824.304(a), relating to disability |
---|
55 | 55 | | retirees with less than 10 years of service credit; |
---|
56 | 56 | | (3) Section 824.304(b)(2), relating to disability |
---|
57 | 57 | | retirees who receive a disability annuity in an amount fixed by |
---|
58 | 58 | | statute; |
---|
59 | 59 | | (4) Section 824.404(a), relating to active member |
---|
60 | 60 | | survivor beneficiaries who receive a survivor annuity in an amount |
---|
61 | 61 | | fixed by statute; |
---|
62 | 62 | | (5) Section 824.501(a), relating to retiree survivor |
---|
63 | 63 | | beneficiaries who receive a survivor annuity in an amount fixed by |
---|
64 | 64 | | statute; or |
---|
65 | 65 | | (6) Section 824.804(b), relating to participants in |
---|
66 | 66 | | the deferred retirement option plan with regard to payments from |
---|
67 | 67 | | their deferred retirement option plan accounts. |
---|
68 | 68 | | (e) An adjustment under this section: |
---|
69 | 69 | | (1) must be made beginning with an annuity payable for |
---|
70 | 70 | | the month of December 2019; and |
---|
71 | 71 | | (2) is limited to an amount equal to 20 percent of the |
---|
72 | 72 | | monthly benefit subject to the increase. |
---|
73 | 73 | | (f) The board of trustees shall determine the eligibility |
---|
74 | 74 | | for and the amount of any adjustment in monthly annuities in |
---|
75 | 75 | | accordance with this section. |
---|
76 | 76 | | ARTICLE 2. TRANSFERRING COVERAGE PROVIDED TO ACTIVE EDUCATION |
---|
77 | 77 | | EMPLOYEES FROM TEXAS SCHOOL EMPLOYEES UNIFORM GROUP HEALTH COVERAGE |
---|
78 | 78 | | ACT TO TEXAS EMPLOYEES GROUP BENEFITS ACT |
---|
79 | 79 | | SECTION 2.01. Section 1551.004(b), Insurance Code, is |
---|
80 | 80 | | amended to read as follows: |
---|
81 | 81 | | (b) In this section, "child" includes: |
---|
82 | 82 | | (1) a natural child, adopted child, stepchild, foster |
---|
83 | 83 | | child, or child in the possession of a participant who is designated |
---|
84 | 84 | | as managing conservator of the child under an irrevocable or |
---|
85 | 85 | | unrevoked affidavit of relinquishment under Chapter 161, Family |
---|
86 | 86 | | Code; or |
---|
87 | 87 | | (2) a child who is related by blood or marriage and was |
---|
88 | 88 | | claimed as a dependent on the federal income tax return of an |
---|
89 | 89 | | individual who is eligible to participate in the group benefits |
---|
90 | 90 | | program under Section 1551.101 or 1551.102 or as an education |
---|
91 | 91 | | employee under Subchapter D-1 for the calendar year preceding the |
---|
92 | 92 | | plan year in which the child is first enrolled as a dependent under |
---|
93 | 93 | | Subchapter D, and for each subsequent year in which the child is |
---|
94 | 94 | | enrolled as a dependent. |
---|
95 | 95 | | SECTION 2.02. Section 1551.151, Insurance Code, is amended |
---|
96 | 96 | | to read as follows: |
---|
97 | 97 | | Sec. 1551.151. ENTITLEMENT TO COVERAGE. An individual who |
---|
98 | 98 | | is eligible to participate in the group benefits program under |
---|
99 | 99 | | Section 1551.101, 1551.102, [or] 1551.1022, or 1551.167 is entitled |
---|
100 | 100 | | to secure for a dependent of the individual any group coverages |
---|
101 | 101 | | provided under this chapter, as determined by the board of trustees |
---|
102 | 102 | | and subject to the exceptions provided by this subchapter. |
---|
103 | 103 | | SECTION 2.03. Chapter 1551, Insurance Code, is amended by |
---|
104 | 104 | | adding Subchapter D-1 to read as follows: |
---|
105 | 105 | | SUBCHAPTER D-1. COVERAGE AND PARTICIPATION OF EDUCATION EMPLOYEES |
---|
106 | 106 | | Sec. 1551.161. DEFINITIONS. In this subchapter: |
---|
107 | 107 | | (1) "Charter school" means an open-enrollment charter |
---|
108 | 108 | | school established under Subchapter D, Chapter 12, Education Code. |
---|
109 | 109 | | (2) "Education employee" means a participating member |
---|
110 | 110 | | of the Teacher Retirement System of Texas who is employed by a |
---|
111 | 111 | | participating education entity and who is not receiving coverage |
---|
112 | 112 | | from a program under Chapter 1575 or 1601. The term does not |
---|
113 | 113 | | include an individual performing personal services as an |
---|
114 | 114 | | independent contractor. |
---|
115 | 115 | | (3) "Full-time education employee" and "part-time |
---|
116 | 116 | | education employee" have the meanings assigned by rules adopted by |
---|
117 | 117 | | the board of trustees. |
---|
118 | 118 | | (4) "Participating education entity" means an entity |
---|
119 | 119 | | that elects or is required to participate under this subchapter in |
---|
120 | 120 | | the group benefits program established under this chapter. The |
---|
121 | 121 | | term includes: |
---|
122 | 122 | | (A) a school district; |
---|
123 | 123 | | (B) another educational district whose employees |
---|
124 | 124 | | are members of the Teacher Retirement System of Texas; |
---|
125 | 125 | | (C) a regional education service center; and |
---|
126 | 126 | | (D) a charter school that meets the requirements |
---|
127 | 127 | | of Section 1551.166. |
---|
128 | 128 | | (5) "Regional education service center" means a |
---|
129 | 129 | | regional education service center established under Chapter 8, |
---|
130 | 130 | | Education Code. |
---|
131 | 131 | | Sec. 1551.162. REFERENCES TO COVERAGE PLAN. A reference in |
---|
132 | 132 | | this code to a "primary care coverage plan" or "health benefit plan" |
---|
133 | 133 | | under former Chapter 1579 means a basic coverage plan provided to |
---|
134 | 134 | | eligible education employees under this subchapter. |
---|
135 | 135 | | SECTION 2.04. Sections 1579.151, 1579.152, 1579.153, and |
---|
136 | 136 | | 1579.154, Insurance Code, are transferred to Subchapter D-1, |
---|
137 | 137 | | Insurance Code, as added by this Act, redesignated as Sections |
---|
138 | 138 | | 1551.163, 1551.164, 1551.165, and 1551.166, Insurance Code, and |
---|
139 | 139 | | amended to read as follows: |
---|
140 | 140 | | Sec. 1551.163 [1579.151]. REQUIRED PARTICIPATION OF SCHOOL |
---|
141 | 141 | | DISTRICTS WITH 500 OR FEWER EDUCATION EMPLOYEES. (a) Each school |
---|
142 | 142 | | district with 500 or fewer education employees and each regional |
---|
143 | 143 | | education service center is required to participate in the group |
---|
144 | 144 | | benefits program. |
---|
145 | 145 | | (b) Notwithstanding Subsection (a), a school district |
---|
146 | 146 | | otherwise subject to Subsection (a) that, on January 1, 2001, was |
---|
147 | 147 | | individually self-funded for the provision of health coverage to |
---|
148 | 148 | | its education employees may elect not to participate in the group |
---|
149 | 149 | | benefits program. |
---|
150 | 150 | | (c) An educational district described by Section |
---|
151 | 151 | | 1551.161(4)(B) [1579.002(5)(B)] that, on January 1, 2001, had 500 |
---|
152 | 152 | | or fewer education employees may elect not to participate in the |
---|
153 | 153 | | group benefits program. |
---|
154 | 154 | | Sec. 1551.164 [1579.152]. PARTICIPATION OF OTHER SCHOOL |
---|
155 | 155 | | DISTRICTS. A [Effective September 1, 2005, a] school district with |
---|
156 | 156 | | more than 500 education employees may elect to participate in the |
---|
157 | 157 | | group benefits program. A school district that elects to |
---|
158 | 158 | | participate under this section shall apply for participation in the |
---|
159 | 159 | | manner prescribed by the board of trustees [trustee] by rule. |
---|
160 | 160 | | Sec. 1551.165 [1579.153]. PARTICIPATION BY CERTAIN RISK |
---|
161 | 161 | | POOLS. (a) In determining the number of education employees of a |
---|
162 | 162 | | school district for purposes of Sections 1551.163 [1579.151] and |
---|
163 | 163 | | 1551.164 [1579.152], school districts that, on January 1, 2001, |
---|
164 | 164 | | were members of a risk pool established under the authority of |
---|
165 | 165 | | Chapter 172, Local Government Code, as provided by Section 22.004, |
---|
166 | 166 | | Education Code, are [may elect to be] treated as a single unit if an |
---|
167 | 167 | | appropriate election was made[. A school district shall elect |
---|
168 | 168 | | whether to be considered as a member of a risk pool under this |
---|
169 | 169 | | section] by notifying the Teacher Retirement System of Texas |
---|
170 | 170 | | [trustee] not later than September 1, 2001. |
---|
171 | 171 | | (b) A risk pool in existence on January 1, 2001, that, as of |
---|
172 | 172 | | that date, provided group health coverage to 500 or fewer school |
---|
173 | 173 | | district education employees may elect to participate in the group |
---|
174 | 174 | | benefits program. |
---|
175 | 175 | | (c) A school district with 500 or fewer education employees |
---|
176 | 176 | | that is a member of a risk pool described by Subsection (a) that |
---|
177 | 177 | | provides group health coverage to more than 500 school district |
---|
178 | 178 | | education employees is [must elect, not later than September 1, |
---|
179 | 179 | | 2001, whether to be] treated as a school district with 500 or fewer |
---|
180 | 180 | | education employees or as part of a unit with more than 500 |
---|
181 | 181 | | education employees in accordance with the election made by |
---|
182 | 182 | | notification to[. The school district must notify] the Teacher |
---|
183 | 183 | | Retirement System of Texas [trustee of the election, in the manner |
---|
184 | 184 | | prescribed by the trustee,] not later than September 1, 2001. |
---|
185 | 185 | | (d) For purposes of this section, participation in the group |
---|
186 | 186 | | benefits program by school districts covered by a risk pool is |
---|
187 | 187 | | limited to school districts covered by the risk pool as of January |
---|
188 | 188 | | 1, 2001. |
---|
189 | 189 | | Sec. 1551.166 [1579.154]. PARTICIPATION BY CHARTER |
---|
190 | 190 | | SCHOOLS; ELIGIBILITY. (a) A charter school is eligible to |
---|
191 | 191 | | participate in the group benefits program if the school agrees: |
---|
192 | 192 | | (1) that all records of the school relating to |
---|
193 | 193 | | participation in the group benefits program are open to inspection |
---|
194 | 194 | | by the board of trustees [trustee], the administering firm, the |
---|
195 | 195 | | commissioner of education, or a designee of any of those entities; |
---|
196 | 196 | | and |
---|
197 | 197 | | (2) to have the school's accounts relating to |
---|
198 | 198 | | participation in the group benefits program annually audited by a |
---|
199 | 199 | | certified public accountant at the school's expense. |
---|
200 | 200 | | (b) A charter school must notify the board of trustees |
---|
201 | 201 | | [trustee] of the school's intent to participate in the group |
---|
202 | 202 | | benefits program in the manner and within the time required by rules |
---|
203 | 203 | | adopted by the board of trustees [trustee]. |
---|
204 | 204 | | SECTION 2.05. Sections 1579.202, 1579.203, 1579.204, and |
---|
205 | 205 | | 1579.205, Insurance Code, are transferred to Subchapter D-1, |
---|
206 | 206 | | Insurance Code, as added by this Act, redesignated as Sections |
---|
207 | 207 | | 1551.167, 1551.168, 1551.169, and 1551.170, Insurance Code, and |
---|
208 | 208 | | amended to read as follows: |
---|
209 | 209 | | Sec. 1551.167 [1579.202]. ELIGIBLE EDUCATION EMPLOYEES. |
---|
210 | 210 | | (a) Except as provided by Section 1551.169 [1579.204], |
---|
211 | 211 | | participation under this subchapter in the group benefits program |
---|
212 | 212 | | is limited to education employees of participating education |
---|
213 | 213 | | entities who are full-time employees and to part-time employees who |
---|
214 | 214 | | are participating members in the Teacher Retirement System of |
---|
215 | 215 | | Texas. |
---|
216 | 216 | | (b) An education employee described by Subsection (a) who |
---|
217 | 217 | | applies for coverage during an open enrollment period prescribed by |
---|
218 | 218 | | the board of trustees [trustee] is automatically covered by the |
---|
219 | 219 | | basic [catastrophic care] coverage plan for employees unless the |
---|
220 | 220 | | employee: |
---|
221 | 221 | | (1) specifically waives coverage under this chapter; |
---|
222 | 222 | | or |
---|
223 | 223 | | (2) [selects a higher tier coverage plan; or |
---|
224 | 224 | | [(3)] is expelled from the program. |
---|
225 | 225 | | Sec. 1551.168 [1579.203]. SELECTION OF COVERAGE. (a) A |
---|
226 | 226 | | participating education employee may select coverage in any |
---|
227 | 227 | | coverage plan offered by the board of trustees [trustee]. |
---|
228 | 228 | | (b) The education employee is not required to continue |
---|
229 | 229 | | participation in the coverage plan initially selected and may |
---|
230 | 230 | | select a different [higher or lower tier] coverage plan than the |
---|
231 | 231 | | plan initially selected by the employee in the manner provided by |
---|
232 | 232 | | rules adopted by the board of trustees [trustee]. |
---|
233 | 233 | | (c) If the combined contributions received from the state |
---|
234 | 234 | | and the employing participating education entity under this |
---|
235 | 235 | | subchapter [Subchapter F] exceed the cost of a coverage plan |
---|
236 | 236 | | selected by the education employee, the employee may use the excess |
---|
237 | 237 | | amount of contributions to obtain optional coverages provided |
---|
238 | 238 | | [coverage] under this chapter [a higher tier coverage plan] or to |
---|
239 | 239 | | pay all or part of the cost of coverage for the employee's |
---|
240 | 240 | | dependents. |
---|
241 | 241 | | (d) A married couple, both of whom are eligible for coverage |
---|
242 | 242 | | under this subchapter under the group benefits program, may pool |
---|
243 | 243 | | the amount of contributions to which the couple are entitled under |
---|
244 | 244 | | this subchapter [the program] to obtain coverage for themselves and |
---|
245 | 245 | | dependent coverage. |
---|
246 | 246 | | Sec. 1551.169 [1579.204]. CERTAIN PART-TIME EDUCATION |
---|
247 | 247 | | EMPLOYEES. A part-time education employee of a participating |
---|
248 | 248 | | education entity who is not a participating member in the Teacher |
---|
249 | 249 | | Retirement System of Texas is eligible to participate in the |
---|
250 | 250 | | program only if the employee pays all of the premiums and other |
---|
251 | 251 | | costs associated with the health coverage plan selected by the |
---|
252 | 252 | | employee. |
---|
253 | 253 | | Sec. 1551.170 [1579.205]. PAYMENT BY PARTICIPATING |
---|
254 | 254 | | EDUCATION ENTITY. Notwithstanding Section 1551.169 [1579.204], a |
---|
255 | 255 | | participating education entity may pay any portion of what |
---|
256 | 256 | | otherwise would be the employee share of premiums and other costs |
---|
257 | 257 | | associated with the coverage selected by the education employee. |
---|
258 | 258 | | SECTION 2.06. Sections 1579.251, 1579.252, 1579.253, |
---|
259 | 259 | | 1579.254, and 1579.255, Insurance Code, are transferred to |
---|
260 | 260 | | Subchapter D-1, Insurance Code, as added by this Act, redesignated |
---|
261 | 261 | | as Sections 1551.171, 1551.172, 1551.173, 1551.174, and 1551.175, |
---|
262 | 262 | | Insurance Code, and amended to read as follows: |
---|
263 | 263 | | Sec. 1551.171 [1579.251]. STATE ASSISTANCE. (a) The state |
---|
264 | 264 | | shall assist education employees of participating school districts |
---|
265 | 265 | | and charter schools in the purchase of group health coverage under |
---|
266 | 266 | | this chapter by providing for each covered education employee the |
---|
267 | 267 | | amount of $900 each state fiscal year or a greater amount as |
---|
268 | 268 | | provided by the General Appropriations Act. The state contribution |
---|
269 | 269 | | shall be distributed through the school finance formulas under |
---|
270 | 270 | | Chapters 41 and 42, Education Code, and used by school districts and |
---|
271 | 271 | | charter schools as provided by Section 42.260, Education Code. |
---|
272 | 272 | | (b) The state shall assist education employees of |
---|
273 | 273 | | participating regional education service centers and educational |
---|
274 | 274 | | districts described by Section 1551.161(4)(B) [1579.002(5)(B)] in |
---|
275 | 275 | | the purchase of group health coverage under this chapter by |
---|
276 | 276 | | providing to the employing service center or educational district, |
---|
277 | 277 | | for each covered education employee, the amount of $900 each state |
---|
278 | 278 | | fiscal year or a greater amount as provided by the General |
---|
279 | 279 | | Appropriations Act. |
---|
280 | 280 | | Sec. 1551.172 [1579.252]. CONTRIBUTION BY PARTICIPATING |
---|
281 | 281 | | EDUCATION ENTITIES. A participating education entity shall make |
---|
282 | 282 | | contributions for the program as provided by Chapter 1581. |
---|
283 | 283 | | Sec. 1551.173 [1579.253]. CONTRIBUTION BY EDUCATION |
---|
284 | 284 | | EMPLOYEE. (a) An education employee covered by the group benefits |
---|
285 | 285 | | program shall pay that portion of the cost of coverage selected by |
---|
286 | 286 | | the employee that exceeds the amount of the state contribution |
---|
287 | 287 | | under Section 1551.171 [1579.251] and the participating education |
---|
288 | 288 | | entity contribution under Section 1551.172 in the manner required |
---|
289 | 289 | | by the board of trustees [1579.252]. |
---|
290 | 290 | | (b) The education employee may pay the employee's |
---|
291 | 291 | | contribution under this subsection from the amount distributed to |
---|
292 | 292 | | the employee under Subchapter D, Chapter 22, Education Code. |
---|
293 | 293 | | (c) Notwithstanding Subsection (a), a participating |
---|
294 | 294 | | education entity may pay any portion of what otherwise would be the |
---|
295 | 295 | | employee share of premiums and other costs associated with the |
---|
296 | 296 | | coverage selected by the education employee. |
---|
297 | 297 | | Sec. 1551.174 [1579.254]. CONTRIBUTIONS HELD IN TRUST FOR |
---|
298 | 298 | | FUND. A participating education entity: |
---|
299 | 299 | | (1) shall hold contributions required by this |
---|
300 | 300 | | subchapter in trust for the Texas school employees uniform group |
---|
301 | 301 | | coverage trust fund and its participants; and |
---|
302 | 302 | | (2) may not divert the contributions for any other |
---|
303 | 303 | | purpose. |
---|
304 | 304 | | Sec. 1551.175 [1579.255]. INTEREST ASSESSED ON LATE |
---|
305 | 305 | | PAYMENT OF CONTRIBUTIONS BY PARTICIPATING EDUCATION ENTITIES. (a) |
---|
306 | 306 | | A participating education entity that does not remit to the board of |
---|
307 | 307 | | trustees [trustee] all contributions required by this subchapter |
---|
308 | 308 | | before the seventh day after the last day of the month shall pay to |
---|
309 | 309 | | the Texas school employees uniform group coverage trust fund: |
---|
310 | 310 | | (1) the contributions; and |
---|
311 | 311 | | (2) interest on the unpaid amounts at the annual rate |
---|
312 | 312 | | of six percent compounded monthly. |
---|
313 | 313 | | (b) On request, the board of trustees [trustee] may grant a |
---|
314 | 314 | | waiver of the deadline imposed by this section based on a |
---|
315 | 315 | | participating education entity's financial or technological |
---|
316 | 316 | | resources. |
---|
317 | 317 | | SECTION 2.07. Section 1579.301, Insurance Code, is |
---|
318 | 318 | | transferred to Subchapter D-1, Insurance Code, as added by this |
---|
319 | 319 | | Act, and redesignated as Section 1551.176, Insurance Code, to read |
---|
320 | 320 | | as follows: |
---|
321 | 321 | | Sec. 1551.176 [1579.301]. FUND; ADMINISTRATION. The Texas |
---|
322 | 322 | | school employees uniform group coverage trust fund is a trust fund |
---|
323 | 323 | | with the comptroller. |
---|
324 | 324 | | SECTION 2.08. Sections 1579.302, 1579.303, and 1579.304, |
---|
325 | 325 | | Insurance Code, are transferred to Subchapter D-1, Insurance Code, |
---|
326 | 326 | | as added by this Act, redesignated as Sections 1551.177, 1551.178, |
---|
327 | 327 | | and 1551.179, Insurance Code, and amended to read as follows: |
---|
328 | 328 | | Sec. 1551.177 [1579.302]. COMPOSITION OF FUND. The Texas |
---|
329 | 329 | | school employees uniform group coverage trust fund is composed of: |
---|
330 | 330 | | (1) all contributions made to the fund under this |
---|
331 | 331 | | subchapter [chapter] from education employees, participating |
---|
332 | 332 | | education entities, and the state; |
---|
333 | 333 | | (2) contributions made by education employees or |
---|
334 | 334 | | participating education entities for optional coverages; |
---|
335 | 335 | | (3) investment income; |
---|
336 | 336 | | (4) any additional amounts appropriated by the |
---|
337 | 337 | | legislature for contingency reserves, administrative expenses, or |
---|
338 | 338 | | other expenses; and |
---|
339 | 339 | | (5) any other money required or authorized to be paid |
---|
340 | 340 | | into the fund. |
---|
341 | 341 | | Sec. 1551.178 [1579.303]. PAYMENTS FROM FUND. The board |
---|
342 | 342 | | of trustees [trustee] may use amounts in the Texas school employees |
---|
343 | 343 | | uniform group coverage trust fund only to provide group coverages |
---|
344 | 344 | | to eligible education employees under the group benefits program |
---|
345 | 345 | | [this chapter] and to pay the expenses of administering the group |
---|
346 | 346 | | benefits program for participating education entities. |
---|
347 | 347 | | Sec. 1551.179 [1579.304]. INVESTMENT OF FUND. The board of |
---|
348 | 348 | | trustees [trustee] may invest assets of the Texas school employees |
---|
349 | 349 | | uniform group coverage trust fund in the manner provided by Section |
---|
350 | 350 | | 67(a)(3), Article XVI, Texas Constitution. |
---|
351 | 351 | | SECTION 2.09. Section 1501.009(b), Insurance Code, is |
---|
352 | 352 | | amended to read as follows: |
---|
353 | 353 | | (b) An independent school district that is participating in |
---|
354 | 354 | | the state employees [uniform] group benefits [coverage] program |
---|
355 | 355 | | established under Chapter 1551 [1579] may not participate in the |
---|
356 | 356 | | small employer market under this section for health insurance |
---|
357 | 357 | | coverage [and may not renew a health insurance contract obtained in |
---|
358 | 358 | | accordance with this section after the date on which the program of |
---|
359 | 359 | | coverages provided under Chapter 1579 is implemented]. This |
---|
360 | 360 | | subsection does not affect a contract for the provision of optional |
---|
361 | 361 | | coverages not included in a health benefit plan under this chapter. |
---|
362 | 362 | | SECTION 2.10. Section 1581.001(2), Insurance Code, is |
---|
363 | 363 | | amended to read as follows: |
---|
364 | 364 | | (2) "Participating charter school" means an |
---|
365 | 365 | | open-enrollment charter school established under Subchapter D, |
---|
366 | 366 | | Chapter 12, Education Code, that participates in the [uniform] |
---|
367 | 367 | | group benefits [coverage] program established under Chapter 1551 |
---|
368 | 368 | | [1579]. |
---|
369 | 369 | | SECTION 2.11. Sections 22.004(a), (c), (i), and (j), |
---|
370 | 370 | | Education Code, are amended to read as follows: |
---|
371 | 371 | | (a) A district shall participate in the state employees |
---|
372 | 372 | | [uniform] group benefits [coverage] program established under |
---|
373 | 373 | | Chapter 1551 [1579], Insurance Code, as provided by Subchapter D-1 |
---|
374 | 374 | | [D] of that chapter. |
---|
375 | 375 | | (c) The cost of the coverage provided under the program |
---|
376 | 376 | | described by Subsection (a) shall be paid by the state, the |
---|
377 | 377 | | district, and the employees in the manner provided by Subchapter |
---|
378 | 378 | | D-1 [F], Chapter 1551 [1579], Insurance Code. The cost of coverage |
---|
379 | 379 | | provided under a plan adopted under Subsection (b) shall be shared |
---|
380 | 380 | | by the employees and the district using the contributions by the |
---|
381 | 381 | | state described by Subchapter D-1 [F], Chapter 1551 [1579], |
---|
382 | 382 | | Insurance Code, or Subchapter D. |
---|
383 | 383 | | (i) Notwithstanding any other provision of this section, a |
---|
384 | 384 | | district participating in the state employees [uniform] group |
---|
385 | 385 | | benefits [coverage] program established under Chapter 1551 [1579], |
---|
386 | 386 | | Insurance Code, may not make group health coverage available to its |
---|
387 | 387 | | employees under this section after the date on which the program of |
---|
388 | 388 | | coverages provided under Chapter 1551 [1579], Insurance Code, is |
---|
389 | 389 | | implemented. |
---|
390 | 390 | | (j) This section does not preclude a district that is |
---|
391 | 391 | | participating in the state employees [uniform] group benefits |
---|
392 | 392 | | [coverage] program established under Chapter 1551 [1579], |
---|
393 | 393 | | Insurance Code, from entering into contracts to provide optional |
---|
394 | 394 | | insurance coverages for the employees of the district. |
---|
395 | 395 | | SECTION 2.12. Section 22.101(3), Education Code, is amended |
---|
396 | 396 | | to read as follows: |
---|
397 | 397 | | (3) "Participating charter school" means an |
---|
398 | 398 | | open-enrollment charter school established under Subchapter D, |
---|
399 | 399 | | Chapter 12, that participates in the group benefits program |
---|
400 | 400 | | established under Chapter 1551 [1579], Insurance Code. |
---|
401 | 401 | | SECTION 2.13. Sections 42.260(a) and (c), Education Code, |
---|
402 | 402 | | are amended to read as follows: |
---|
403 | 403 | | (a) In this section, "participating charter school" means |
---|
404 | 404 | | an open-enrollment charter school that participates in the state |
---|
405 | 405 | | employees [uniform] group benefits [coverage] program established |
---|
406 | 406 | | under Chapter 1551 [1579], Insurance Code. |
---|
407 | 407 | | (c) Notwithstanding any other provision of this code, a |
---|
408 | 408 | | school district or participating charter school may use the sum of |
---|
409 | 409 | | the following amounts of funds only to pay contributions under a |
---|
410 | 410 | | group health coverage plan for district or school employees: |
---|
411 | 411 | | (1) the amount determined by multiplying the amount of |
---|
412 | 412 | | $900 or the amount specified in the General Appropriations Act for |
---|
413 | 413 | | that year for purposes of the state contribution under Section |
---|
414 | 414 | | 1551.171 [1579.251], Insurance Code, by the number of district or |
---|
415 | 415 | | school employees who participate in a group health coverage plan |
---|
416 | 416 | | provided by or through the district or school; and |
---|
417 | 417 | | (2) the difference between the amount necessary for |
---|
418 | 418 | | the district or school to comply with Section 1581.052, Insurance |
---|
419 | 419 | | Code, for the school year and the amount the district or school is |
---|
420 | 420 | | required to use to provide health coverage under Section 1581.051, |
---|
421 | 421 | | Insurance Code, for that year. |
---|
422 | 422 | | SECTION 2.14. The following provisions of the Insurance |
---|
423 | 423 | | Code are repealed: |
---|
424 | 424 | | (1) Subchapters A, B, and C, Chapter 1579; |
---|
425 | 425 | | (2) the headings to Subchapters D and E, Chapter 1579; |
---|
426 | 426 | | (3) Section 1579.201; and |
---|
427 | 427 | | (4) the headings to Subchapters F and G, Chapter 1579. |
---|
428 | 428 | | SECTION 2.15. (a) In this section, "program" means the |
---|
429 | 429 | | uniform group coverage program under Chapter 1579, Insurance Code, |
---|
430 | 430 | | as it existed before amendment by this Act. |
---|
431 | 431 | | (b) Effective September 1, 2020: |
---|
432 | 432 | | (1) all functions and activities of the Teacher |
---|
433 | 433 | | Retirement System of Texas under Chapter 1579, Insurance Code, |
---|
434 | 434 | | before that date are transferred to the Employees Retirement System |
---|
435 | 435 | | of Texas; |
---|
436 | 436 | | (2) all rules, fees, policies, procedures, decisions, |
---|
437 | 437 | | and forms of the Teacher Retirement System of Texas related to the |
---|
438 | 438 | | program become applicable rules, fees, policies, procedures, |
---|
439 | 439 | | decisions, and forms of the Employees Retirement System of Texas |
---|
440 | 440 | | until changed by the board of trustees of that system; |
---|
441 | 441 | | (3) a complaint, investigation, contested case, or |
---|
442 | 442 | | other proceeding related to the program that is pending on |
---|
443 | 443 | | September 1, 2020, is transferred without change in status to the |
---|
444 | 444 | | Employees Retirement System of Texas; |
---|
445 | 445 | | (4) the management of the Texas school employees |
---|
446 | 446 | | uniform group coverage trust fund and all other money, contracts, |
---|
447 | 447 | | property, and obligations related to the program are transferred to |
---|
448 | 448 | | the Employees Retirement System of Texas; and |
---|
449 | 449 | | (5) the unexpended and unobligated balance of any |
---|
450 | 450 | | money appropriated by the legislature for the program for the |
---|
451 | 451 | | purpose of administering the program is transferred to the |
---|
452 | 452 | | Employees Retirement System of Texas. |
---|
453 | 453 | | (c) The Teacher Retirement System of Texas shall provide to |
---|
454 | 454 | | the Employees Retirement System of Texas the records and other |
---|
455 | 455 | | information necessary for the Employees Retirement System of Texas |
---|
456 | 456 | | to implement its duties under this Act. |
---|
457 | 457 | | SECTION 2.16. The changes in law made by this article apply |
---|
458 | 458 | | only to group coverage provided under Chapter 1551, Insurance Code, |
---|
459 | 459 | | or Chapter 1579, Insurance Code, for a plan year beginning on or |
---|
460 | 460 | | after September 1, 2020. A plan year that begins before that date is |
---|
461 | 461 | | governed by the law as it existed immediately before the effective |
---|
462 | 462 | | date of this Act, and that law is continued in effect for that |
---|
463 | 463 | | purpose. |
---|
464 | 464 | | ARTICLE 3. TERMINATION OF TEXAS PUBLIC SCHOOL EMPLOYEES GROUP |
---|
465 | 465 | | INSURANCE PROGRAM FOR RETIREES |
---|
466 | 466 | | SECTION 3.01. Chapter 1575, Insurance Code, is amended by |
---|
467 | 467 | | adding Subchapters L and M to read as follows: |
---|
468 | 468 | | SUBCHAPTER L. TERMINATION OF GROUP PROGRAM |
---|
469 | 469 | | Sec. 1575.551. PROGRAM TERMINATION. Subject to Section |
---|
470 | 470 | | 1575.552, effective September 1, 2019, the group program is |
---|
471 | 471 | | terminated. |
---|
472 | 472 | | Sec. 1575.552. COVERAGE ELIGIBILITY TERMINATES; PHASE-OUT |
---|
473 | 473 | | PERIOD. (a) An individual who is not a participant in the group |
---|
474 | 474 | | program on August 31, 2019, is not entitled to obtain coverage under |
---|
475 | 475 | | the group program after that date. |
---|
476 | 476 | | (b) An individual who is a participant in the group program |
---|
477 | 477 | | on August 31, 2019, and who is, on September 1, 2019, eligible to |
---|
478 | 478 | | participate in Medicare, is not entitled to continue coverage under |
---|
479 | 479 | | the group program after August 31, 2019. |
---|
480 | 480 | | (c) An individual who is a participant in the group program |
---|
481 | 481 | | on August 31, 2019, but who is not, on September 1, 2019, eligible |
---|
482 | 482 | | to participate in Medicare, may continue coverage under the group |
---|
483 | 483 | | program in accordance with this subchapter until the earlier of: |
---|
484 | 484 | | (1) the date the individual first becomes eligible to |
---|
485 | 485 | | participate in Medicare; or |
---|
486 | 486 | | (2) September 1, 2029. |
---|
487 | 487 | | Sec. 1575.553. AUTHORIZED COVERAGE. Notwithstanding |
---|
488 | 488 | | Section 1575.151, on and after September 1, 2019, the group program |
---|
489 | 489 | | may not offer coverage other than health benefit plan coverage. |
---|
490 | 490 | | Sec. 1575.554. EXCESS GROUP INSURANCE FUND MONEY. (a) Not |
---|
491 | 491 | | later than December 31, 2019, the trustee shall determine the |
---|
492 | 492 | | amount of money required to fund coverage for individuals under |
---|
493 | 493 | | Section 1575.552(c) for the 2019-2020 fiscal year and shall certify |
---|
494 | 494 | | that amount to the comptroller. |
---|
495 | 495 | | (b) As soon as practicable after January 1, 2020, the |
---|
496 | 496 | | trustee shall, notwithstanding Section 1575.206, pay to each |
---|
497 | 497 | | retiree participating in the group program on August 31, 2019, an |
---|
498 | 498 | | equal share of the amount by which the money in the group insurance |
---|
499 | 499 | | fund exceeds the amount of money determined under Subsection (a). |
---|
500 | 500 | | Sec. 1575.555. REDUCTION IN CONTRIBUTIONS. (a) Beginning |
---|
501 | 501 | | not later than June 1, 2020, the trustee shall annually determine |
---|
502 | 502 | | the amount of money required to fund coverage for individuals under |
---|
503 | 503 | | Section 1575.552(c) for the subsequent fiscal year. The trustee |
---|
504 | 504 | | shall certify that amount to the comptroller. |
---|
505 | 505 | | (b) The trustee, in consultation with the comptroller, may |
---|
506 | 506 | | annually adjust the amounts of contributions to be made under |
---|
507 | 507 | | Sections 1575.201, 1575.202, 1575.203, and 1575.204, to the extent |
---|
508 | 508 | | that the trustee determines that money otherwise to be contributed |
---|
509 | 509 | | under those sections for a fiscal year will exceed the amount |
---|
510 | 510 | | determined to be required for that fiscal year under Subsection |
---|
511 | 511 | | (a). |
---|
512 | 512 | | Sec. 1575.556. FINAL RECONCILIATION; TERMINATION OF FUND. |
---|
513 | 513 | | As soon as practicable after August 31, 2029, the trustee, in |
---|
514 | 514 | | consultation with the comptroller, shall determine any |
---|
515 | 515 | | unencumbered amount remaining in the group insurance fund. The |
---|
516 | 516 | | trustee shall pay that amount in equal shares to individuals |
---|
517 | 517 | | participating in the program on August 31, 2029. |
---|
518 | 518 | | Sec. 1575.557. GROUP PROGRAM AND GROUP INSURANCE FUND |
---|
519 | 519 | | ABOLISHED. Effective September 1, 2029, the group program and the |
---|
520 | 520 | | group insurance fund are abolished. |
---|
521 | 521 | | Sec. 1575.558. DUTIES OF THE TRUSTEE. (a) The trustee |
---|
522 | 522 | | shall implement a plan for the orderly termination of the group |
---|
523 | 523 | | program in accordance with this subchapter. |
---|
524 | 524 | | (b) The determinations made by the trustee under Sections |
---|
525 | 525 | | 1575.554 and 1575.555 must be actuarially justified. |
---|
526 | 526 | | SUBCHAPTER M. EXPIRATION OF CHAPTER |
---|
527 | 527 | | Sec. 1575.601. EXPIRATION OF CHAPTER. This chapter expires |
---|
528 | 528 | | September 1, 2030. |
---|
529 | 529 | | ARTICLE 4. |
---|
530 | 530 | | EFFECTIVE DATE |
---|
531 | 531 | | SECTION 4.01. This Act takes effect September 1, 2019. |
---|