2005 Texas Local Government Code CHAPTER 175. RIGHT OF CERTAIN MUNICIPAL AND COUNTY EMPLOYEES TO PURCHASE CONTINUED HEALTH COVERAGE AT RETIREMENT


LOCAL GOVERNMENT CODE
CHAPTER 175. RIGHT OF CERTAIN MUNICIPAL AND COUNTY EMPLOYEES TO PURCHASE CONTINUED HEALTH COVERAGE AT RETIREMENT
§ 175.001. APPLICABILITY. This chapter applies to a person who: (1) retires from county employment in a county with a population of 75,000 or more or municipal employment in a municipality with a population of 25,000 or more; and (2) is entitled to receive retirement benefits from a county or municipal retirement plan. Added by Acts 1993, 73rd Leg., ch. 663, § 1, eff. Sept. 1, 1993. Renumbered from V.T.C.A., Local Government Code § 174.001 by Acts 1995, 74th Leg., ch. 76, § 17.01(38), eff. Sept. 1, 1995. § 175.002. RIGHT TO PURCHASE CONTINUED COVERAGE. (a) A person to whom this chapter applies is entitled to purchase continued health benefits coverage for the person and the person's dependents as provided by this chapter unless the person is eligible for group health benefits coverage through another employer. The coverage shall be provided under the group health insurance plan or group health coverage plan provided by or through the employing county or municipality to its employees. (b) To receive continued coverage under this chapter, the person must inform the employing county or municipality, not later than the day on which the person retires from the county or municipality, that the person elects to continue coverage. (c) If the person elects to continue coverage for the person and on any subsequent date elects to discontinue such coverage, the person is no longer eligible for coverage under this chapter. (d) If the person elects to continue coverage for any dependent and on any subsequent date elects to discontinue such coverage, the dependent is no longer eligible for coverage under this chapter. Added by Acts 1993, 73rd Leg., ch. 663, § 1, eff. Sept. 1, 1993. Renumbered from V.T.C.A., Local Government Code § 174.002 by Acts 1995, 74th Leg., ch. 76, § 17.01(38), eff. Sept. 1, 1995. § 175.003. LEVEL OF COVERAGE. (a) The person may elect to cover the same persons who were covered under the county's or municipality's group health insurance plan or group health coverage plan through the person at the time the person left county or municipal employment, or the person may elect to discontinue coverage for one or more persons. A person who was not covered under the plan at the time the person to whom this chapter applies left county or municipal employment is not eligible for coverage under this chapter. (b) Except as provided by Subsections (c) and (d), the level of coverage provided under this chapter at any given time is the same level of coverage provided to current employees of the county or municipality at that time. (c) A county or municipality may substitute Medicare supplement health benefits coverage as the coverage provided for a person who receives health benefits coverage under this chapter, including a dependent, after the date that the person becomes eligible for federal Medicare benefits. (d) The person may elect to continue coverage at a reduced level, if offered by the county or municipality. Added by Acts 1993, 73rd Leg., ch. 663, § 1, eff. Sept. 1, 1993. Renumbered from V.T.C.A., Local Government Code § 174.003 by Acts 1995, 74th Leg., ch. 76, § 17.01(38), eff. Sept. 1, 1995. § 175.004. PAYMENT FOR COVERAGE. A person who is entitled to continued coverage under this chapter is entitled to make payments for the coverage at the same time and to the same entity that payments for the coverage are made by current employees of the county or municipality. Added by Acts 1993, 73rd Leg., ch. 663, § 1, eff. Sept. 1, 1993. Renumbered from V.T.C.A., Local Government Code § 174.004 by Acts 1995, 74th Leg., ch. 76, § 17.01(38), eff. Sept. 1, 1995. § 175.005. DUTY TO INFORM RETIREE OF RIGHTS. A county and a municipality shall provide written notice to a person to whom this chapter may apply of the person's rights under this chapter not later than the date the person retires from the county or municipality. A county or municipality may fulfill its requirements under this section by placing the written notice required by this section in a personnel manual or employee handbook that is available to all employees. Added by Acts 1993, 73rd Leg., ch. 663, § 1, eff. Sept. 1, 1993. Renumbered from V.T.C.A., Local Government Code § 174.005 by Acts 1995, 74th Leg., ch. 76, § 17.01(38), eff. Sept. 1, 1995. § 175.006. CERTAIN MATTERS NOT AFFECTED. This chapter does not: (1) prohibit a county or municipality from uniformly changing the group health insurance plan or group health coverage plan provided for its employees and retirees; (2) affect the definition of a dependent or the eligibility requirements for a dependent under a plan; (3) prohibit a county or municipality from agreeing with a person to deduct the cost of coverage provided under this chapter from a pension check; (4) prohibit a county or municipality from agreeing with a person to pay for the coverage provided under this chapter provided the person reimburses the county or municipality for the actual cost of the coverage; (5) prohibit a county, municipality, or a pool established under Chapter 172 from increasing the cost of group health coverage to its employees and to persons covered under this chapter to reflect the increased cost, if any, attributable to compliance with this chapter; (6) affect the right of a county or municipality to provide coverage under Chapter 172; or (7) affect the right of a county, municipality, or a pool established under Chapter 172 to offer the coverage at the same rate that is available to active employees or to offer the coverage at a reasonable or actual rate established for retirees that may be greater than the rate offered to active employees. Added by Acts 1993, 73rd Leg., ch. 663, § 1, eff. Sept. 1, 1993. Renumbered from V.T.C.A., Local Government Code § 174.006 by Acts 1995, 74th Leg., ch. 76, § 17.01(38), eff. Sept. 1, 1995. § 175.007. EXEMPTIONS. (a) A county or municipality that does not provide health benefits coverage through a self-insured plan or a plan authorized under Chapter 172 is not required to provide coverage under this chapter if the county or municipality makes a good faith effort to purchase insurance coverage that includes coverage required by this chapter from an insurance company authorized to do business in this state and from pools established under Chapter 172 but is unable to find a provider for the coverage. (b) A county or municipality that is providing coverage substantially similar to or better than the coverage required by this chapter is exempt from this chapter. Added by Acts 1993, 73rd Leg., ch. 663, § 1, eff. Sept. 1, 1993. Renumbered from V.T.C.A., Local Government Code § 174.007 by Acts 1995, 74th Leg., ch. 76, § 17.01(38), eff. Sept. 1, 1995.

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