WSR 25-17-013

POLICY STATEMENT

HEALTH CARE AUTHORITY

(Public Employees Benefits Board)

[Filed August 8, 2025, 3:06 p.m.]

The following is a list of administrative policies published by the public employees benefits board (PEBB) program. These policies are effective January 1, 2026. You can download the complete policy statements on the PEBB program rules and policies web page at hca.wa.gov/pebb-rules.

The following policies were amended to support the PEBB program:

Policy 11-1: Providing a notice to an employee and a state agency. This policy clarifies the requirements of a state agency-to-employee and employee-to-state agency notice, as stated in WAC 182-12-113(2), and RCW 41.05.009(2) and 41.05.065 (4)(c)(iii), (iv), and (v).

Policy 11-3: Correcting employing agency and contracted vendor enrollment errors. This policy clarifies the requirements placed on an employing agency or contracted vendor when they correct their own enrollment errors as described in WAC 182-08-187.

Policy 21-1: Exemption from the retiree deferral form requirement. This policy exempts certain retirees and survivors from the deferral form requirement.

Policy 26-1: Administering PEBB retiree medical plan enrollment in coordination with another medicare plan. This policy administers PEBB program retiree medical plan enrollment in coordination with another medicare plan.

Policy 45-2: Special open enrollment (SOE). This policy applies whenever a subscriber requests an enrollment change or election change outside of the PEBB annual open enrollment period.

Policy 60-1: Required appeals related documents when the PEBB program conducts a brief adjudicative proceeding. This policy clarifies what particular documents are required from an employing agency or contracted vendor when the PEBB program is conducting a brief adjudicative proceeding at the request of one of its employees or subscribers.

Policy 91-3: Washington wellness worksite designation program incentive requirements. This policy provides a set of requirements for state agencies to use when offering wellness incentives under the Washington wellness worksite designation program.

To receive a hard copy of the policy statements, contact Leanne Clark at P.O. Box 42684, Olympia, WA 98504-2684, or email HCAPEBSEBBoardPolicyFeedback@hca.wa.gov.