All people enrolled in Texas Employees Group Benefits Program (GBP) health insurance plans must certify their status as tobacco users or non-users. Adult GBP participants who do not certify their tobacco-use status will be charged the monthly Tobacco User Premium-even if they don't use tobacco.
You must certify your status as a tobacco user or non-user as well as the status of any of your dependents enrolled in a state health plan-even if you and your covered dependents don't use tobacco. Additionally, state law offers tobacco users in the GBP coverage for prescription drugs to help them quit tobacco. It also authorizes charging higher premiums for people who continue to use tobacco.
Tobacco products are cigarettes, cigars, pipe tobacco, chewing tobacco, snuff, dip, or any other product that contains tobacco. Electronic or e-cigarettes that do not contain tobacco and are designed expressly for smoking cessation are not considered tobacco products. Nicotine replacement products, such as gum and patches, are not considered tobacco products.
A tobacco user is a person who has used any Tobacco Products five (5) or more times within the pasts three (3) consecutive months. If you or any of your dependents enrolled in a state health plan use tobacco, you will have to pay the higher premium.
Nicotine replacement products like gum and patches are not considered tobacco products.
The monthly Tobacco User Premium is $30 per tobacco user who is certified as a tobacco user (up to $90 per household). This cost is in addition to your health insurance premiums.
The charge for a child is the same regardless of how many children (age 18 or older) in the household use tobacco.
Contact your doctor who can prescribe cessation drugs.
Your GBP health plan offers tobacco cessation resources, including counseling. Contact your health plan for more information. You can also see if your employer offers a wellness program.
You will need to change your certification status or risk a penalty, fraud investigation, or termination from the GBP health plans. Any member caught falsifying information will be charged the premium amount owed for the entire time the member was employed by the State during the period the increased premiums for tobacco use were in effect.
If you have witnessed someone insured through the GBP, including a dependent, using a tobacco product five or more times within the past three consecutive months, please report this information to ERS.
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