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A BILL TO BE ENTITLED
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AN ACT
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relating to health insurance coverage for eligible survivors of |
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certain public servants killed in the line of duty. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 615.071, Government Code, is amended to |
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read as follows: |
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Sec. 615.071. APPLICABILITY. This subchapter applies only |
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to eligible survivors of: |
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(1) an individual listed in Section 615.003(1), (6), |
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or (7); [or] |
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(2) an individual listed in Section 615.003(10) or |
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(11) who is employed by a political subdivision of the state; or |
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(3) an individual who is: |
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(A) described by Section 615.003(15); and |
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(B) employed as a trainee for a position |
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otherwise described by this section. |
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SECTION 2. Section 615.072, Government Code, is amended by |
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adding Subsection (b-1) to read as follows: |
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(b-1) A survivor of an individual listed under Section |
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615.071 who would have been eligible for health insurance benefits |
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during the life of the individual may not be denied health insurance |
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benefits on the ground that the survivor was enrolled in group |
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health insurance with another employer as of the date of the |
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individual's death. |
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SECTION 3. Section 615.073, Government Code, is amended to |
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read as follows: |
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Sec. 615.073. BENEFIT TO SURVIVING SPOUSE. (a) An |
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eligible surviving spouse of a deceased individual listed in |
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Section 615.071 who was employed by the state is entitled to |
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purchase or continue to purchase [continued] health insurance |
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benefits under Chapter 1551, Insurance Code, as provided by this |
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subchapter. |
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(b) An eligible surviving spouse of a deceased individual |
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listed in Section 615.071 who was employed by a political |
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subdivision of the state is entitled to purchase or continue to |
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purchase [continued] health insurance benefits from the political |
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subdivision that employed the deceased individual, including |
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health coverage: |
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(1) provided by or through a political subdivision |
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under: |
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(A) a health insurance policy or health benefit |
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plan written by a health insurer; or |
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(B) a self-insured health benefits plan; or |
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(2) under Chapter 172, Local Government Code. |
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(c) The surviving spouse is entitled to [continue to] |
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purchase or continue to purchase health insurance coverage until |
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the date the surviving spouse becomes eligible for federal Medicare |
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benefits. |
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SECTION 4. Section 615.074, Government Code, is amended to |
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read as follows: |
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Sec. 615.074. BENEFIT TO DEPENDENT. (a) An eligible |
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surviving dependent who is a minor child is entitled to purchase or |
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continue to purchase health insurance coverage until the date the |
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dependent reaches the age of 18 or a later date to the extent |
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required by state or federal law. |
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(b) An eligible surviving dependent who is not a minor child |
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is entitled to purchase or continue to purchase health insurance |
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coverage until the earlier of: |
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(1) the date the dependent becomes eligible for group |
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health insurance through another employer; or |
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(2) the date the dependent becomes eligible for |
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federal Medicare benefits. |
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SECTION 5. Subsections (a) and (c), Section 615.075, |
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Government Code, are amended to read as follows: |
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(a) An employing entity shall provide written notice to an |
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eligible survivor to whom this subchapter may apply of the |
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survivor's rights under this subchapter not later than the 10th day |
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after the date of the decedent's death. Not later than the 150th |
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day after the date of the decedent's death, the employing entity |
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shall send a subsequent written notice under this subsection by |
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certified mail to any eligible survivor who has not already elected |
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to purchase or continue to purchase coverage on or before that date. |
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(c) To receive [continued] coverage under this subchapter, |
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the employing entity must be informed not later than the 180th day |
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after the date the decedent died that the eligible survivor elects |
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to purchase or continue to purchase coverage. |
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SECTION 6. Section 615.076, Government Code, is amended to |
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read as follows: |
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Sec. 615.076. LEVEL OF COVERAGE. (a) An eligible survivor |
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may elect to purchase or continue to purchase coverage at any level |
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of benefits currently offered by the employing entity to dependents |
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of an active employee. |
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(b) An eligible survivor may elect to purchase or continue |
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to purchase coverage at a reduced level of benefits if the employing |
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entity offers that option. |
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SECTION 7. Section 615.077, Government Code, is amended to |
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read as follows: |
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Sec. 615.077. PAYMENTS; RATE. An eligible survivor who is |
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entitled to [continued] coverage under this subchapter: |
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(1) is entitled to: |
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(A) make payments for the coverage or have |
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payments made on the survivor's behalf at the same time and to the |
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same entity that payments for coverage are made by current |
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employees of the employing entity; and |
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(B) obtain the coverage at the rate paid by |
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current employees of the employing entity for that coverage; and |
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(2) may not be required to pay a premium amount for the |
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coverage that is greater than the premium amount that a current |
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employee of the employing entity without a spouse is required to pay |
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to cover the employee alone or to cover the employee and the |
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employee's dependent children, as applicable to the eligible |
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survivor. |
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SECTION 8. Subchapter D, Chapter 615, Government Code, is |
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amended by adding Section 615.082 to read as follows: |
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Sec. 615.082. LIMITED ELIGIBILITY OF CERTAIN SURVIVORS TO |
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REAPPLY FOR COVERAGE. (a) This section applies only to the |
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eligible survivor of an individual described by Section 615.071 who |
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died on or after September 1, 1993. |
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(b) Notwithstanding any other law, an eligible survivor to |
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whom this section applies who did not purchase or receive health |
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insurance coverage or benefits under this chapter on or before the |
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date of the individual's death, or who did not notify the |
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individual's employing entity of the survivor's election to |
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purchase or continue to purchase coverage within the time allowed |
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by law after the individual's death, may apply for health insurance |
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benefits or coverage not later than September 1, 2012. An eligible |
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survivor who applies for coverage under this section may purchase |
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coverage according to the same rate schedule and coverage options |
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that would apply if the eligible survivor had continued to purchase |
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coverage after the individual's death. |
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(c) This section expires September 2, 2012. |
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SECTION 9. This Act takes effect immediately if it receives |
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a vote of two-thirds of all the members elected to each house, as |
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provided by Section 39, Article III, Texas Constitution. If this |
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Act does not receive the vote necessary for immediate effect, this |
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Act takes effect September 1, 2011. |
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