Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-558 - Premium payment program
Section 182-558-0050 - PPP for a client with an employer-sponsored group health insurance plan

Universal Citation: WA Admin Code 182-558-0050

Current through Register Vol. 24-18, September 15, 2024

(1) General rule. Under section 1906 of the Social Security Act, the agency pays a premium assistance subsidy:

(a) Up to an eligible person's employer-sponsored group health insurance plan premium obligation; and

(b) When the agency determines it is cost effective as defined in WAC 182-558-0020.

(2) Eligible persons. An eligible person is any client who:

(a) Has a comprehensive employer-sponsored group health insurance plan, which may be a Consolidated Omnibus Budget Reconciliation Act (COBRA) health insurance plan as described in 26 C.F.R. 54.4980; and

(b) Is receiving categorically needy, medically needy, or the alternative benefit plan scope of coverage.

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