4.24.2 Eligibility of Retirees for Group Insurance Coverage

A. Purpose

The purpose of this policy is to state the eligibility of retirees for group insurance coverage.

B. Persons Affected

University of Texas at Tyler retirees

C. Definitions

N/A

D. Policy and Procedures

Retired University of Texas at Tyler employees are eligible for coverage under the Employee Group Insurance Program (EGIP) if they meet the eligibility standards for the retiree group insurance coverage.

Retired Employees Eligibility

  1. Individuals who met the requirements in Texas Insurance Code Section 1601.102(b)(1)- (3), and who retired, as an annuitant (for ORP you do not have to be an annuitant), on or before 8/31/03 may participate as a retired employee in group insurance benefits if:
    1. the individual had at least 3 years of service with UT for which the individual was eligible to participate in the group insurance plan; and
    2. the individual’s last state employment before retirement was with UT; and c. the individual retired under the jurisdiction of:
      1. the Teachers Retirement System of Texas; or
      2. the Employees Retirement System of Texas; or
      3. the Optional Retirement Program established by Chapter 830, Government Code or any other federal or state statutory retirement program to which The University of Texas System has made employer contributions.
  2. Individuals who were employed with The University of Texas System or were eligible to retire on 8/31/03, but chose not to and currently meet the requirements in Section 1601.102(b) as enumerated in a-c above and who retire as an annuitant after 8/31/03 must meet the criteria as defined above in number one.
  3. Individuals that began work on or after 9/1/03 and who subsequently retire as an annuitant, must meet the following criteria in order to be eligible for UT group retirement benefits:
    1. the individual has at least 10 years of UT service; and
    2. the individual’s last state employment before retirement was with UT; and
    3. the individual retires under the jurisdiction of:
      1. the Teachers Retirement System of Texas; or
      2. the Employees Retirement System of Texas; or
      3.  the Optional Retirement Program established by Chapter 830, Government Code or any other federal or state statutory retirement program to which The University of Texas System has made employer contributions.
    4. the individual meets the rule of 80 with at least 10 years total creditable service, or the individual has10 years total creditable service and is age 65.
  4. The covered retiree's surviving spouse or surviving dependent child(ren), covered under a University-sponsored group health plan at the time of death of a retiree, may continue coverage under the group plan.
  5. A University retiree’s eligibility for group health insurance coverage shall terminate upon the termination of disability status. The disability retiree shall have the same conversion rights as an active employee upon termination of group coverage. The coverage spouse or dependent child(ren) shall also have the same conversion rights.
  6. University employees having group term life insurance coverage at the time of retirement may retain reduced group coverage as a retiree. Contact the Office of Human Resources for coverage amounts.

Dependents

  1. You may also enroll your eligible dependents under most plans offered by UT System. Your eligible dependents include:
    1. Your legally-married spouse, or person with whom you have filed a Declaration of Informal Marriage
    2. Your unmarried child under age 25, including:
      1. Stepchildren
      2. Adopted children
      3. Children for whom you are the legal guardian
      4. Your unmarried child is not required to be enrolled in school.
    3. Your unmarried grandchild under age 25,
      1. For UT Select, the natural parent must also be enrolled.
      2. For HMO coverage, the natural parent does not need to be enrolled, but your grandchild must be claimed by you as a dependent for tax purposes at the time of enrollment.
    4. Your child over age 25, if determined by EGI to be medically incapacitated. Examples of dependents who are not eligible for coverage include:
      1. Your common-law spouse, unless you have obtained a Declaration of Informal Marriage
      2. Your same-sex partner
      3. Your former spouse
      4. Your married child
      5. Your child over age 25, if not medically incapacitated
      6. Foster children covered by another government program, unless required by law
      7. Any child for whom you have Power of Attorney only
      8. Any dependent insured by another UT employee or retiree
      9. Any dependent insured by another plan that received State contributions
      10. Any dependent who is active in the Armed Forces of any country

E. Responsibilities

See Policy and Procedures section.

F. Review

This policy shall be reviewed by Human Resources every five years or as legislation changes.

ORIGINALLY APPROVED:  12/01/2001

LAST AMENDED:  04/22/2009

REVIEWED:  AY 2014-15