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Examples: A BA or TPA does not send termination for an employee in a timely manner. An exception request for credit will not be granted for this scenario. For instance, a BA sends a termination on May 1, 2026 for an employee who should have been terminated Sept. 1, 2025. This would not be considered timely.A new employee (participant) requests the effective date of their date of hire (April 22). The employee then realizes that they had to pay the full premium for the partial month (April). However, the employee does not communicate the issue until May 27. In this case, a credit and change of effective date will not be granted because the change was needed by May 23, within 31 days of the hire date.bswift will coordinate exception requests with TRS through its exception portal within the bswift platform. The portal allows a BA to create an exception request directly within an employee%u2019s record in bswift. This ensures that all correspondence between a BA, TRS and bswift will be documented and attached to the employee%u2018s record with the exception. BAs can explain the request, including all pertinent information and important dates. Fields such as %u201cRequest Type%u201d will be used for tracking. BAs can reference the Processing an Exception document on their bswift homepage for more information.Note: When completing an exception request, the BA will be prompted to complete the TRS Appeal/Questionnaire. This questionnaire must be completed before TRS will approve the exception.In no event will retroactive coverage be effective on a date earlier than the beginning of the current plan year or result in more than six months of credit being issued to the employer. Retroactive credit will not be granted due to BA or TPA errors.Example: In May 2026, an employee requests to change their coverage back to September of 2025. In this case, a credit and change of plan back to September of 2025 will not be granted.If applicable, the BA should inform the employee they will be responsible for any retroactive premiums. Please do not submit an exception if the employee is not willing to pay retroactive premiums. Exceptions submitted by the BAs are sent to TRS for review within 48 hours of submission. The timeframe for a decision from TRS varies based upon the complexity and volume of the requests. To ensure an efficient resolution time, it is important that BAs supply as much detail as possible and state what the desired outcome is.TRS will notify bswift when an exception request is approved or denied. bswift will process the request and notify the BA via the ticket in the exception portal when an exception request is completed. The BA will then need to notify the employee of the determination and any additional premiums. Any applicable updates due to the exception decision must also be made in the enrollment portal. A denial by TRS of an exception concerning a retroactive termination and credit cannot be appealed under TRS Rule, Section 41.51, Texas Administrative Code.Request for Appeals Resulting in a Denial of EligibilityIf an employee whose application to enroll themselves and their dependents in TRS-ActiveCare is denied by either TRS, the health plan administrator of TRS-ActiveCare, or a participating employer, the employee may file an appeal under TRS Rule, Section 41.51, Texas Administrative Code. Along with this appeal, the employee may submit additional explanations and documentation that have not previously been submitted to TRS. The appeal can be initiated by the employee following the instructions provided in the denial letter from TRS. Responses will be sent directly to the employee.www.bcbstx.com/trsactivecareba 41