Page 50 - Demo
P. 50
Who Can Enroll in TRS-ActiveCare? You To be eligible for TRS-ActiveCare, an individual: %u2022 must either be (i) a participating member currently employed by a participating employer who is also eligible for TRS pension membership, or (ii) an individual who%u2019s currently employed by a participating employer for 10 or more regularly scheduled hours each week in a position that is not eligible for TRS pension membership; and %u2022 must not be receiving health care coverage as an employee or retiree under (i) the Texas State College and University Employees Uniform Insurance Benefits Act (for example, coverage offered by The University of Texas System or the Texas A&M University System); (ii) the Texas Employees Uniform Group Insurance Benefits Act (for example, coverage offered by ERS); or (iii) TRS-Care. Although a retiree, higher education employee, or state employee may not be covered as an employee of a participating employer, they may be able to be covered as a dependent of an eligible employee. Employees covered as dependents by a higher education employer or a state program may also be able to be covered under TRS-ActiveCare as an employee. Note: Under Section 22.004 of the Texas Education Code, and TRS rules, an employee participating in TRS-ActiveCare is entitled to continue participating if they resign after the end of the instructional year and, on the effective date of resignation, are in good standing with TRS-ActiveCare. TRS Rule 41.38 of the Texas Administrative Code, will be applied by TRSActiveCare to determine when TRS-ActiveCare coverage terminates. This is important when planning for retirement and determining when your TRS-Care coverage begins. Talk with your employer about your health coverage options when planning for retirement.Medicare Secondary Payer for Return-to-Work RetireesAs of Sept.1, 2022, the Medicare Secondary Payer Law lets Medicare-eligible TRS-Care retirees enroll in TRS-ActiveCare if they return to work for a TRS-covered employer. If you%u2019re a return-to-work retiree enrolled in TRS-Care and eligible for Medicare, you may enroll in TRS-ActiveCare if you return to a TRS employer and work 10 or more hours per week. Find more information in the TRS-ActiveCare Benefits Booklets at www.bcbstx.com/trsactivecare/coverage.ENROLLMENT AND ELIGIBILITY 50 www.bcbstx.com/trsactivecare