34 Tex. Admin. Code § 41.4

Current through Reg. 49, No. 44; November 1, 2024
Section 41.4 - Employer Health Benefit Surcharge
(a) When used in this section, the term "employer" has the meaning given in § 821.001(7), Government Code.
(b) For each report month a retiree is enrolled in TRS-Care and working for an employer for more than 92 hours in that calendar month, the employer that reports the employment of the retiree on the Employment of Retired Members Report to TRS shall pay monthly to the Retired School Employees Group Insurance Fund (the Fund) a surcharge established by the Board of Trustees of TRS.
(c) The criteria used to determine if the retiree is working more than 92 hours in that calendar month are the same as the criteria for determining one-half time employment under § 31.13 of this title (relating to One-half Time Employment) even if the retiree's employment also qualifies for an exception under § 31.14 of this title (relating to Full-time Employment after 12 Consecutive Month Break in Service) or § 31.15 of this title (relating to Tutors under Education Code § 33.913).
(d) The surcharge is also owed by the employer on any retiree who is enrolled in TRS-Care, is working for a third party entity but is working for more than 92 hours in that calendar month and who is considered an employee of that employer under § 824.601(d) of the Government Code.
(e) The surcharge under this section is not owed:
(1) by an employer for any retiree who retired from TRS before September 1, 2005; or
(2) by an employer for a retiree reported as working under the exception for substitute service as provided in § 31.12 of this title (relating to Substitute Service) unless that retiree combines substitute service under § 31.12 of this title with other non-substitute employment with the same or another employer or third party entity in the same calendar month;
(3) by an employer for any retiree that is employed in multiple positions during a calendar month and does not exceed the limits for such combined employment under § 31.19 of this title (relating to Combining EAR Exceptions and Employer Surcharges); or
(4) by an employer for any service retiree that is employed in a position that qualifies as a federally-funded COVID-19 position under § 31.16 of this title (relating to Federally-funded COVID-19 Personnel) and Government Code § 824.6021.
(f) If more than one employer reports the employment of a retiree who is enrolled in TRS-Care to TRS during any part of a month, the surcharge under this section required to be paid into the Fund by each reporting employer for that month is the total amount of the surcharge due that month divided by the number of reporting employers. The pro rata share owed by each employer is not based on the number of hours respectively worked by the retiree for each employer, nor is it based on the number of days respectively worked during the month by the retiree for each employer.
(g) If a retiree who is enrolled in TRS-Care is employed concurrently by one or more employers in more than one position, the surcharge is owed if the combined employment exceeds the limits for such combined employment under § 31.19 of this title.
(h) The employer shall maintain the confidentiality of any information provided to the employer under this section and shall use the information only as needed to carry out the purposes stated in this section and related applicable rules or statutes.
(i) Employers shall not directly or indirectly pass the cost of the surcharge under this section on to the retiree through payroll deduction, by imposition of a fee, or by any other means designed to recover the cost.

34 Tex. Admin. Code § 41.4

The provisions of this §41.4 adopted to be effective January 10, 2006, 31 TexReg 166; amended to be effective June 8, 2008, 33 TexReg 4331; amended to be effective June 28, 2012, 37 TexReg 4601; amended to be effective June 20, 2013, 38 TexReg 3801; amended by Texas Register, Volume 44, Number 32, August 9, 2019, TexReg 4190, eff. 8/15/2019; amended by Texas Register, Volume 46, Number 41, October 8, 2021, TexReg 6943, eff. 11/1/2021