34 Tex. Admin. Code § 41.17

Current through Reg. 49, No. 44; November 1, 2024
Section 41.17 - Limited-time Enrollment Opportunity for Medicare-eligible Retirees
(a) Eligibility.
(1) Retiree. A retiree who is eligible to enroll in the Medicare Advantage plan offered under TRS-Care in accordance with Section 1575.1582(b), Insurance Code (hereinafter referred to as "MA plan") and who is not currently enrolled in the MA plan, may enroll in the MA plan if the retiree applies for enrollment during the limited-time enrollment period. For the purpose of this section, the limited-time enrollment period is the period that begins on October 1, 2024, and extends through March 31, 2026.
(2) Surviving spouses or surviving dependent children. If a retiree has passed away, the retiree's surviving spouse or the retiree's surviving dependent child may enroll under this section, as long as:
(A) The surviving spouse or surviving dependent child qualifies as such under Section 1575.003, Insurance Code, and
(B) The surviving spouse or surviving dependent child is eligible for Medicare and is eligible to enroll in the MA plan offered under TRS-Care in accordance with Section 1575.1582(b), Insurance Code.
(3) Dependents. If the retiree's or surviving spouse's application to enroll under this section is approved, the retiree or surviving spouse may also enroll any eligible dependents.
(4) Single enrollment opportunity. A retiree, surviving spouse, or surviving dependent child may only enroll one time during the limited-time enrollment period.
(b) Effective Date of Coverage.
(1) January 1, 2025. For those applications received and approved before January 1, 2025, coverage shall be effective on January 1, 2025.
(2) After January 1, 2025. For those applications received after January 1, 2025, the effective date of coverage shall be the first day of the month after TRS receives and approves the request to enroll.
(3) Range. In no event shall the effective date be prior to January 1, 2025, or after April 1, 2026.

34 Tex. Admin. Code § 41.17

The provisions of this §41.17 adopted to be effective August 27, 2000, 25 TexReg 8412; amended to be effective March 12, 2003, 28 TexReg 2113; amended to be effective February 4, 2004, 29 TexReg 1014; amended to be effective March 8, 2007, 32 TexReg 1092; Repealed by Texas Register, Volume 48, Number 39, September 29, 2023, TexReg 5740, eff. 10/5/2023; Adopted by Texas Register, Volume 49, Number 31, August 2, 2024, TexReg 5780, eff. 8/11/2024