(1) Any subscriber aggrieved by a decision made by the school employees benefits board (SEBB) wellness incentive program contracted vendor regarding the completion of the wellness incentive program requirements, or request for a reasonable alternative to a wellness incentive program requirement, may appeal that decision to the ((school employees benefits board (SEBB) wellness incentive program contracted vendor))SEBB program.

(2) Any subscriber who disagrees with a decision in response to an appeal filed with the SEBB ((wellness incentive)) program ((contracted vendor)) may appeal the decision by submitting a request for a brief adjudicative proceeding to the SEBB appeals unit.

(a) The request for a brief adjudicative proceeding from a current or former school employee must be received by the SEBB appeals unit no later than 30 days after the date of the denial notice. The contents of the request for a brief adjudicative proceeding are to be provided as described in WAC 182-32-2070.

(b) The request for a brief adjudicative proceeding from a continuation coverage enrollee or school board member must be received by the SEBB appeals unit no later than 60 days after the date of the denial notice. The contents of the request for a brief adjudicative proceeding are to be provided as described in WAC 182-32-2070.

(3) The SEBB appeals unit must notify the appellant in writing when the request for a brief adjudicative proceeding has been received.

(4) The brief adjudicative proceeding will be conducted by a presiding officer designated by the director.

(5) If a subscriber fails to timely request a brief adjudicative proceeding, the decision of the SEBB wellness incentive program contracted vendor becomes the authority's final order without further action.

(1) A written request for administrative review of the school employees benefits board (SEBB) organization's or employer group's decision and a request for brief adjudicative proceeding should contain the following:

(((1)))(a) The name and mailing address of the party requesting an administrative review or the brief adjudicative proceeding;

(((2)))(b) The name and mailing address of the appealing party's representative, if any;

(((3)))(c) Documentation, or reference to documentation, of decisions previously rendered through the appeal process, if any;

(((4)))(d) A statement identifying the specific portion of the decision being appealed and clarifying what is believed to be unlawful or in error;

(((5)))(e) A statement of facts in support of the appealing party's position;

(((6)))(f) Any information or documentation that the appealing party would like considered;

(((7)))(g) The type of relief sought; ((and

(8)))(h) The signature of the appealing party or the appealing party's representative; and

(2) Failing to provide documentation, or reference to documentation, of decisions previously rendered through the appeal process as described in subsection (1)(c) of this section, may result in rejection of the item being appealed.

Unless a continuance has been granted, ((within ten days after the school employees benefits board (SEBB) appeals unit receives a request for a brief adjudicative proceeding,)) the presiding officer ((must))will render a written initial order that addresses the issue or issues raised by the appellant in their appeal within 10 days after the presiding officer receives the contents of the request for a brief adjudicative proceeding. The presiding officer must serve a copy of the initial order on all parties and the initial order must contain information on how the appellant may request review of the initial order.