A B C D E F G H I J K L M N O P Q R S T U V W X Y Z #
Accidental Death & Dismemberment (AD&D)

Insurance coverage for active employees that provides benefits to beneficiaries if the employee suffers certain accidental injuries or an accidental death. Coverage of $5,000 of AD&D is included with health insurance.



Act

Act means the Texas Employees Group Benefits Act (Chapter 1551 of the Texas Insurance Code).



active account

Status of a TexFlex account for someone who is:

  • an active employee, 
  • in leave of absence status,
  • retired, or
  • has ended employment, and has paid his or her annual pledge in full as of August 31.
     

 

active employee benefits

Benefits offered to an active employee. When a return-to-work (RTW) retiree comes back to work, he or she can choose active employee benefits or continue with retiree benefits.



Activities of Daily Living

Individuals covered under Long-Term Care Insurance must need assistance from another person for at least 2 Activities of Daily Living before the policy begins to pay benefits. The six ADLs are:

  • Bathing
  • Dressing
  • Eating
  • Maintaining continence
  • Toileting
  • Transferring 

Additional Service Credit (ASC)

A type of service credit available for purchase by an ERS member with 10 years of service. Purchasing ASC gives the member service credit for time not actually worked.



adjunct faculty

Teachers on a contract basis at a higher education institution.

To be eligible for GBP health coverage, you must:

  • receive pay from a participating higher education institution, 
  • taught at the same institution for past three academic years, and
  • taught at least one course in each fall and spring semester.

Offering health coverage to adjunct faculty members is optional. Each institution determines guidelines on how to meet the eligibility criteria.



Age 50 and Over Catch-up Provision

A type of service credit available for purchase by an ERS member with 10 years of service. Purchasing ASC gives the member service credit for time not actually worked.



Allowable Amount

The allowable amount is the most HealthSelect will pay for a service. Doctors and hospitals that contract with HealthSelect agree to accept these allowable amounts and your coinsurance as payment in full. If you use a non-network or non-ParPlan provider, you are responsible for coinsurance plus any charges over the allowable amount.



Alternative care facility

A facility that provides is 24-hour Custodial Care.



annual contribution

Annual enrollment period when you can make changes to your and your dependents' GBP and TexFlex benefits.

Evidence of insurability (EOI) may be required to enroll in or change benefits.



annuity

Retirement account set up to pay a monthly amount to a retiree.



annuity payment

Monthly payment received by a retired member of a retirement plan.