34 Tex. Admin. Code § 85.13 - Funding
(a) Expenses of administration. Any expenses
incurred in the administration of the flexible benefits plan will be paid from
the State Employees Cafeteria Trust Fund. An administrative fee to defray costs
of administering the plan may be imposed on any, or each, reimbursement account
as the board of trustees determines to be necessary.
(b) Employee Contributions.
(1) Contributions to the flexible benefits
plan by active duty employees may be made only through payroll salary
reduction. An employee who elects to participate in the health care and
dependent care reimbursement plans must authorize, on an election form, the
exact amount of salary reduction, in addition to any monthly administrative
fee.
(2) Eligible health care
reimbursement account participants on inactive employment status must continue
to contribute to their health care reimbursement account with after-tax dollars
paid directly to the Employees Retirement System of Texas in the exact amount
of the election, plus any administrative fees.
(3) The minimum amount a participant may
elect to reduce his salary on a monthly basis for each reimbursement account is
$15. The maximum amount an employee may elect to reduce his salary on a monthly
basis for each reimbursement account is limited to the amount stipulated in
§
85.5(b) and (c)
of this title (relating to Benefits). Any administrative fee for a
reimbursement account is in addition to these minimum and maximum
amounts.
(4) When a participant
receives no salary in a pay period, no salary reduction will be made for that
pay period and no catch-up salary reduction will subsequently be permitted,
except as described in §
85.9(d)(2) of
this title (relating to Payment of Claims from Reimbursements Accounts) for
health care reimbursement account participants.
(5) In situations where there are
insufficient salary dollars to fund the amount of the salary reduction and
fees, no salary reduction will be made, except as indicated in paragraph (6) of
this subsection, for that pay period and no catch-up reduction will
subsequently be permitted, except as described in §
85.9(d)(2) of
this title for health care reimbursement account participants.
(6) In the event an employee has elected to
participate in more than one flexible benefits plan optional benefit and the
employee's pay is sufficient to pay for one or more, but not all of the
flexible benefits plan contributions, then payment of the flexible benefits
plan contributions shall be made in the following order: health care
reimbursement and dependent care reimbursement.
(7) If a participant elects to change
contributions due to a qualifying life event (QLE), the plan administrator
shall reimburse eligible claims based on the contribution in place when they
occurred. Claims incurred during the initial enrollment period shall be
reimbursed up to the amount of the participant's original contribution
election. The plan administrator shall treat the remainder of the plan year
following the QLE as a new coverage period, and claims incurred in this time
period shall be reimbursed up to the amount of the new contribution
election.
(c) Employer
Contributions. The employer contributions referenced in §
85.8(b) of this
title made to active duty employees' health care reimbursement accounts or
limited purpose health care reimbursement accounts in connection with the
HealthSelectShoppERS program are the only Employer Contributions available
under the TexFlex Program.
Notes
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