The Health Care Authority (HCA), through the Public Employee Benefits Board (PEBB), provides medical benefits for retired employees of the state, and participating local governments. Generally, when a covered employee retires they are able to maintain coverage under PEBB. If a participating local government terminates its contract with HCA to provide health care benefits to employees under PEBB, the retired employee of that local government becomes ineligible for retiree coverage.
Retired and separated employees choosing to continue coverage are responsible for paying the full cost of their insurance premiums until they are eligible for Medicare, at which time they qualify for a state subsidy up to 50 percent of their monthly premium, up to a maximum of $183 per month.
Retired or disabled employees of a county, municipality, or other political subdivision that has ended its agreement with HCA for health care may continue participation in insurance plans under PEBB.
Additionally, retired or disabled employees whose benefits were terminated before January 1, 2023, as a result of their employer ending its contract with the HCA may reenroll in PEBB coverage. To be eligible to reenroll the retiree must notify HCA by December 31, 2023, and coverage will begin on the first day of the month following the date of notice.
A retiree or disabled employee continuing or reenrolling in coverage under the provisions of this bill would be ineligible for the up to $183 state subsidy.
PRO: Snohomish county health district ended participation and as a result its employees lost access to coverage that they thought would always be available. Retiree health care provided through PEBB is less expensive than coverage provided elsewhere. Employees earned access to this benefit and this will allow them to continue coverage.
OTHER: Retirees lost access because there is no longer an employer to charge for the cost of retiree access to the state subsidy. This allows retirees to continue coverage.