34 Tex. Admin. Code § 85.8 - HealthSelect ShoppERS

(a) Description. The HealthSelectShoppERS program is designed to provide an incentive for eligible GBP health benefit plan participants to select certain network facilities for specified elective, non-emergency medical services and procedures. The program is described in § 81.12 of this title (relating to HealthSelectShoppERS). The incentive is an employer contribution by a GBP health benefit plan to an active duty employee's health care reimbursement account or limited purpose health care reimbursement account.

(b) Employer Contributions by a GBP Health Benefit Plan.

(1) All HealthSelectShoppERS program incentives shall be employer contributions to active duty employees' health care reimbursement accounts or limited purpose health care reimbursement accounts.

(2) The annual employer contributions by GBP health benefit plans to any active duty employee in connection with the HealthSelectShoppERS program shall not exceed a designated amount set by the Employees Retirement System of Texas and publicly posted. Any employer contributions by a GBP health benefit plan to an active employee's account shall be in addition to the annual maximum employee contribution amount established by the plan administrator.

(3) The TPA will establish a health care reimbursement account or limited purpose health care reimbursement account for any active duty employee who receives an employer contribution from a GBP health benefit plan but does not have an established account.

(4) Once credited into an active duty employee's health care reimbursement account or limited purpose health care reimbursement account, the employer contribution by the GBP health benefit plan is available to the employee as flexible benefit plan dollars.

Notes

34 Tex. Admin. Code § 85.8

Adopted by Texas Register, Volume 45, Number 36, September 4, 2020, TexReg 6240, eff. 9/8/2020