(a) The initial enrollment period for an eligible full-time or part-time employee shall begin on the date the full-time or part-time employee first becomes eligible to enroll in the TRS-ActiveCare program and shall end at 11:59 p.m. Central Time on the 31st day after the date that full-time or part-time employee first became eligible to enroll in the TRS-ActiveCare program. The date a full-time or part-time employee is first eligible to enroll in the TRS-ActiveCare program shall be the later of the following dates:
- (1) The first day a full-time or part-time employee's employer becomes a participating entity; or
- (2) The first day a full-time or part-time employee becomes employed in an eligible capacity with a participating entity.
- (b) A full-time or part-time employee's eligible dependents, if covered, must be enrolled in the same coverage plan as the full-time or part-time employee under whom they qualify as a dependent. Except as otherwise provided under applicable state or federal law, an eligible full-time or part-time employee may not change coverage plans or add dependents during a plan year.
- (c) The enrollment period for an individual who becomes eligible for coverage due to a special enrollment event shall be as defined under provisions of the Health Insurance Portability and Accountability Act of 1996 (Pub. L. No. 104-191, 110 Stat. 1936 (1996)) (HIPAA). During a special enrollment period as defined by HIPAA an individual who is already covered under a plan offered under TRS-ActiveCare may not elect a different plan, for himself or any eligible dependents, for the remainder of the existing plan year but may only add eligible dependents for coverage under the employee's existing plan selection.
- (d) The trustee by resolution may prescribe open-enrollment periods and the conditions under which an eligible full-time or part-time employee and his eligible dependents may enroll during an open enrollment.
Source Note:The provisions of this §41.36 adopted to be effective August 26, 2002, 27 TexReg 7970.