(a) The Texas Public School Retirees Group Insurance Program may include separate contracts for:
- (1) a health benefit plan;
- (2) a utilization review service; and
- (3) services to provide other ancillary benefits.
- (b) To be eligible to bid on the health benefit services or products a bidder must have annual health benefit premiums and premium equivalents of at least $1 billion.
(c) To be eligible to bid on utilization review a bidder must:
- (1) satisfy the eligibility requirement set forth in subsection (b) of this section; and
- (2) currently be servicing at least twice as many persons as will be covered under this program.
- (d) To be eligible to bid on services to provide other ancillary benefits a bidder must currently be servicing at least twice as many persons as will be covered under this program.
- (e) Bidders who desire to bid on the administrative services only of a TRS benefits program which includes group health benefits are not covered by subsection (f) of this section.
- (f) Bidders who wish to bid on services or products available to the entire state or to a region of the state shall provide information for each area consisting of a county and all adjacent counties, on the number and types of qualified providers willing to participate in coverage or plan, for which the bid is made.
- (g) In determining the quality of the bids, the Board of Trustees or its designee may consider such factors and criteria as they deem relevant and appropriate under the circumstances.
Source Note:The provisions of this §41.8 adopted to be effective April 5, 1991, 16 TexReg 1754; amended to be effective August 31, 1998, 23 TexReg 8842.