The change in plan administrators does not directly affect rates or out-of-pocket costs like copays and coinsurance. ERS manages the contract and sets rates, eligibility and enrollment for all the health plans in the Texas Employees Group Benefits Program. ERS also sets the plan design, including copays, coinsurance and deductibles.
Rates could change when the new plan year starts on September 1, 2017. If they do, it will be because of state funding changes, rising health costs or other factors – not the new TPA.