WSR 12-01-069

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY


(Public Employees Benefits Board)

[ Filed December 19, 2011, 10:22 a.m. ]


Notice of Interpretive or Policy Statements


The public employee[s] benefits board (PEBB) program has adopted the following policies regarding eligibility and enrollment. The complete policy statements can be downloaded on-line from http://www.pebb.hca.wa.gov/policy.html:


Policy #26-1: Administering PEBB insurance in coordination with Medicare Part D. The purpose of this policy is to administer PEBB retiree medical plan enrollment in order to participate in the employer incentive program established in Section 1860D-22 of the Medicare Prescription Drug Improvement and Modernization Act of 2003. (Effective January 1, 2012.)
Policy #36-1: Certifying eligibility for dependent children with disabilities who are age 26 and older. The purpose of this policy is to clarify criteria used by the PEBB program to certify the eligibility of a dependent child with a disability who is age twenty-six and older. (Effective January 1, 2012.)
Policy #37-1: Certifying eligibility for extended dependents. The purpose of this policy is to clarify the criteria used by the PEBB program to certify the eligibility of an extended dependent. (Effective December 12, 2011.)

The PEBB program rescinded the following administrative policies effective January 1, 2012:


Policy #2-01: Records Retention.
Policy #2-02: Pager.
Policy #2-03: Phone Coverage.
Policy #2-04: Destruction of Personal/Confidential Information.
Policy #2-05: Open Enrollment Procedures.
Policy #2-06: PEBB Agency Training & Outreach Activities.
Policy #2-07: Returned mail processing.
Policy #2-08: Administration of an Address Change for a Subscriber.
Policy #2-09: Mailing of Open Enrollment Packets after Oct 1 (Late Notification).
Policy #3-01: Management of enrollment in PEBB retiree insurance coverage for members enrolling in a Medicare Part D Plan.
Policy #3-02: Medicare Part D: PEBB retiree and employee coverage for members not eligible for enrollment in a Medicare Supplement who pay the non-Medicare medical plan rate and not receiving the prescription drug subsidy.
Policy #3-03: Medicare Part D: PEBB retiree and employee coverage for dependent children enrolled in Medicare Part D.
Policy #4-02: Certification of Dependents with Disabilities.
Policy #4-03: Certification and Re-Certification of Extended Dependent Children enrolled in PEBB Medical, Dental or Life Insurance Plan.
Policy #4-03: Request for Addition of Extended Dependent to PEBB Medical, Dental or Life Insurance Plans.
Policy #4-03: Alternative Identification Number.
Policy #4-04: Verification of Enrollment in the PEBB Benefits Services Program.
Policy #4-04: Request for Addition of Extended Dependent to PEBB Medical, Dental or Life Insurance Plans.
Policy #4-05: Working Monthly Dual Coverage Report.
Policy #4-05: Verification of Enrollment in the PEBB Benefits Services Program.
Policy #4-06: Working Monthly Dual Coverage Report.
Policy #4-07: Request for Change of PEBB Medical or Dental Plans.
Policy #4-10: Enrollment in the PEBB program following post-retirement employment.
Policy #410: Alternative Identification Number.
Policy #6-01: Retroactive Termination Policy.
Policy #7-02: Waiver of Medical Coverage (for employer groups paying a composite rate).
Policy #7-02: Employer Group with Past Due Accounts.
Policy #7-03: Waiver of Medical Coverage (for employer groups paying a composite rate).
Policy #7-03: Application requirements for employer groups.
Policy #7-04: Application requirements for employer groups.
Policy #7-04: Employer Group Participation Requirements.
Policy #7-05: Eligibility requirements for employer group participation in the PEBB Program.
Policy #7-05: Employer Group Participation Requirements.
Policy #7-06: Eligibility requirements for employer group participation in the PEBB Program.
Policy #8-01: Application requirements for School Districts and Educational Service Districts.
Policy #8-01: Administration of an accelerated life benefit.
Policy #8-02: Participation requirements for School Districts or Educational Service Districts.
Policy #8-02: Administration of Waiver of Life Insurance Premium Claim.
Policy #8-03: Policy and Procedures for processing a School District or Educational Service District Application.
Policy #8-03: Employee/Dependent Life Insurance Death Claim Administration.
Policy #8-04: Administration of Employee Life Insurance Enrollment.
Policy #8-05: Administration of Accidental Death and Dismemberment Claims.
Policy #8-06: Administration and Maintenance of the Request for Change of Beneficiary (7384n-1).
Policy #8-07: Administration of Long Term Disability (LTD) Claims.
Policy #8-08: Administration of Optional Long Term Disability Enrollment.
Policy #8-09: Nonsmoker Refund Requests.
Policy #9-01: Administration of an accelerated life benefit.
Policy #9-02: Administration of Waiver of Life Insurance Premium Claim.
Policy #9-03: Employee/Dependent Life Insurance Death Claim Administration.
Policy #9-04: Administration of Employee Life Insurance Enrollment.
Policy #9-05: Administration of Accidental Death and Dismemberment Claims.
Policy #9-06: Administration and Maintenance of the Request for Change of Beneficiary (7384n-1).
Policy #9-07: Administration of Long Term Disability (LTD) Claims.
Policy #9-08: Administration of Optional Long Term Disability Enrollment.
Policy #9-09: Nonsmoker Refund Requests.
Policy #7-04K-12: Application Requirements for School Districts and Educational Service Districts.
Policy #7-05K-12: Participation Requirements for School Districts and Educational Service Districts.
Policy #45-1: PEBB Child-up-to-Age-26 Automatic Eligibility Conversion and January 1, 2011 Special Open Enrollment.

Washington State Code Reviser's Office