(1) If an employee reverts for reasons other
than a layoff and is not eligible for the employer contribution toward public
employees benefits board (PEBB) benefits under this chapter, they may continue
PEBB insurance coverage by self-paying the premium and applicable premium
surcharge set by the health care authority (HCA) for up to 18 months under the
same terms as an employee who is granted leave without pay under WAC
182-12-133(1):
(a) The employee's election must be received
by the PEBB program no later than 60 days from the date the employee's PEBB
health plan coverage ended or from the postmark date on the election notice
sent by the PEBB program, whichever is later;
(b) The employee's first premium payment and
applicable premium surcharges are due to the HCA no later than 45 days after
the election period ends as described in (a) of this subsection, except as
described in WAC
182-08-180
(1)(a). Premiums and applicable premium
surcharges associated with continuing PEBB medical must be made to the HCA as
well as premiums associated with continuing PEBB dental and PEBB vision.
Premiums associated with continuing life insurance and accidental death and
dismemberment insurance coverage must be made to the contracted
vendor;
(c) Following the
employee's first premium payment, the employee must pay the premium amounts
associated with PEBB insurance coverage and applicable premium surcharges as
premiums become due; and
(d) If the
employee's monthly premium or applicable premium surcharges remain unpaid for
60 days from the original due date, the employee's PEBB insurance coverage will
be terminated retroactive to the last day of the month for which the monthly
premium and applicable premium surcharges were paid as described in WAC
182-08-180
(1)(c).
(2) If an employee is reverted due to a
layoff, the employee may be eligible for the employer contribution toward PEBB
benefits under the criteria of WAC
182-12-129. If determined not to
be eligible under WAC
182-12-129, the employee may
continue PEBB insurance coverage by self-paying the premium and applicable
premium surcharges set by the HCA under WAC
182-12-133.
Notes
Wash. Admin. Code §
182-12-141
Amended by
WSR
16-20-080, Filed 10/4/2016, effective
1/1/2017
Amended by
WSR
17-19-077, Filed 9/15/2017, effective
1/1/2018
Amended by
WSR
18-20-117, Filed 10/3/2018, effective
1/1/2019
Amended by
WSR
19-17-073, Filed 8/20/2019, effective
1/1/2020
Amended by
WSR
20-16-062, Filed 7/28/2020, effective
1/1/2021
Amended by
WSR
24-18-076, Filed 8/29/2024, effective
1/1/2025
Statutory Authority:
RCW
41.05.160 and 2011 c 8. 11-22-036 (Order
11-02), §182-12-141, filed 10/26/11, effective 1/1/12. Statutory
Authority:
RCW
41.05.160. 10-20-147 (Order 10-02),
§182-12-141, filed 10/6/10, effective 1/1/11; 09-23-102 (Order 09-02),
§182-12-141, filed 11/17/09, effective 1/1/10; 07-20-129 (Order 07-01),
§182-12-141, filed 10/3/07, effective 11/3/07. Statutory Authority:
RCW
41.05.160 and
41.05.165. 04-18-039,
§182-12-141, filed 8/26/04, effective
1/1/05.
