34 Tex. Admin. Code § 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.
Notes
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