1. (a) When a large school district, as defined in subsection (b) of this section, submits its notice of election or within 15 calendar days after receiving notice from TRS staff, the large school district must submit to TRS the information listed in the following paragraphs for each medical and prescription drug plan that the large school district offered to its employees during the designated time period. Large school districts must include this information for the year to date for the plan year in which the large school district submits its notice of election (current year) and for the two complete plan years immediately preceding the current year. The required information is:

   1. (1) Plan type (PPO, POS, HMO, etc.), including the effective date of each plan;
   2. (2) Average number of employees participating in each plan;
   3. (3) Average number of covered lives in each plan;
   4. (4) Description of all medical and prescription drug benefits, including effective dates of any changes in each plan;
   5. (5) Total premium rates by family tier for each insured plan, including effective dates of any changes;
   6. (6) Total COBRA rates by family tier for each self-funded plan, including effective dates of any changes;
   7. (7) Required employee contribution rates by family tier for each plan, including effective dates of any changes;
   8. (8) Funding arrangement (fully insured, self-funded, etc.) for each plan;
   9. (9) Total premiums paid by year for each plan, if insured; and
   10. (10) Total claims paid by year for each plan.
2. (b) For purposes of this section, a large school district means a school district that had 1001 or more employees at any time during the 2001 school year, as reflected on any report received by TRS from that school district for a reporting period in that school year.
3. (c) If a large school district cannot obtain the information required under subsection (a) of this section, the large school district must obtain a letter from the insurer or third-party administrator stating that the insurer or third-party administrator cannot legally provide that information to the large school district. The large school district must submit that letter to TRS in lieu of the requested information in subsection (a) of this section.
4. (d) TRS will not deny a large school district's request to participate in TRS-ActiveCare based on any information provided to TRS in accordance with the requirements of this section.
5. (e) TRS may delay a large school district's effective date of participation in TRS-ActiveCare if the school district does not provide the information required by this section within the time frames prescribed in subsection (a) of this section.
6. (f) TRS may prescribe the form in which large school districts must submit the information required by this section.

Source Note:The provisions of this §41.45 adopted to be effective June 18, 2003, 28 TexReg 4561.