Washington Administrative Code
Title 182 - Health Care Authority
PUBLIC EMPLOYEES BENEFITS BOARD (PEBB) PROGRAM
Chapter 182-12 - Eligible and noneligible employees
Section 182-12-207 - When can a retiree or an eligible dependent's public employees benefits board (PEBB) insurance coverage be terminated by the health care authority (HCA)?
Current through Register Vol. 24-18, September 15, 2024
A retiree or an eligible dependent's public employees benefits board (PEBB) insurance coverage can be terminated by the health care authority (HCA) for the following reasons:
(1) Failure to comply with the PEBB program's procedural requirements, including failure to provide information or documentation requested by the due date in written requests from the PEBB program;
(2) Knowingly providing false information;
(3) Failure to pay the monthly premium or applicable premium surcharges when due as described in WAC 182-08-180(1)(c);
(4) Misconduct. If a retiree's PEBB insurance coverage is terminated for misconduct, PEBB retiree insurance coverage will not be reinstated at a later date. Examples of such termination include, but are not limited to the following:
If a retiree's PEBB insurance coverage is terminated by HCA for the above reasons, PEBB insurance coverage for all of the retiree's eligible dependents is also terminated.
Statutory Authority: RCW 41.05.160. 09-23-102 (Order 09-02), §182-12-207, filed 11/17/09, effective 1/1/10; 07-20-129 (Order 07-01), §182-12-207, filed 10/3/07, effective 11/3/07.