Washington Administrative Code
Title 182 - Health Care Authority
PUBLIC EMPLOYEES BENEFITS BOARD (PEBB) PROGRAM
Chapter 182-16 - Appeals practice and procedure
Part I - GENERAL PROVISIONS
Section 182-16-038 - How can an entity or organization appeal a decision of the health care authority to deny an employer group application?
Current through Register Vol. 24-18, September 15, 2024
An entity or organization whose employer group application is denied by the authority may appeal the decision to the public employees benefits board (PEBB) appeals committee. For rules regarding eligible entities, see WAC 182-12-111. The PEBB appeals manager must receive the notice of appeal no later than thirty days after the date of the denial notice. The contents of the notice of appeal are to be provided as described in WAC 182-16-040.
(1) The PEBB appeals manager shall notify the appellant in writing when the notice of appeal has been received.
(2) The PEBB appeals committee shall render a written decision to the appellant on the notice of appeal within thirty days of receiving the notice of appeal. The committee may extend the thirty-day time requirement for rendering a decision upon issuing a written finding of a good reason explaining the cause for the delay.
(3) Any appellant aggrieved with the decision of the PEBB appeals committee may request an administrative hearing, as described in WAC 182-16-050.
Statutory Authority: RCW 41.05.160. 12-20-022 (Order 2012-01), §182-16-038, filed 9/25/12, effective 11/1/12; 08-20-128 (Order 08-03), §182-16-038, filed 10/1/08, effective 1/1/09.
