Washington Administrative Code › Title 182 - Health Care Authority › PUBLIC EMPLOYEES BENEFITS BOARD (PEBB) PROGRAM › Chapter 182-12 - Eligible and noneligible employees › Section 182-12-128 - When may an employee waive enrollment in public employees benefits board (PEBB) medical and when may they enroll in PEBB medical after having waived enrollment?

Current through Register Vol. 24-14, July 15, 2024
An employee may waive enrollment in public employees benefits
				  board (PEBB) medical if they are enrolled in other employer-based group
				  medical, a TRICARE plan, or medicare as described in subsection (1)(a) through
				  (c) of this section. They may not waive enrollment in PEBB medical if they are
				  enrolled in PEBB retiree insurance coverage. An employee who waives enrollment
				  in PEBB medical must enroll in PEBB dental, basic life insurance, basic
				  accidental death and dismemberment insurance, and employer-paid long-term
				  disability (LTD) insurance (unless the employing agency does not participate in
				  these PEBB insurance coverages). For an employing agency that participates in
				  LTD insurance, an employee will also be enrolled in employee-paid LTD insurance
				  automatically unless the employee declines their employee-paid LTD insurance as
				  described in WAC
				  182-08-197.
Exception:
An employee may waive their enrollment in PEBB
							 medical to enroll in school employees benefits board (SEBB) medical only if
							 they are enrolled in SEBB dental and SEBB vision. An employee who waives
							 enrollment in PEBB medical to enroll in SEBB medical also waives enrollment in
							 PEBB dental.
(1) To waive
				enrollment in PEBB medical, the employee must submit the required form to their
				employing agency at one of the following times:
(a)
When the employee becomes
				eligible:
An employee may waive PEBB medical when they become eligible
				for PEBB benefits. The employee must indicate their election to waive
				enrollment in PEBB medical on the required form and submit the form to their
				employing agency. The employing agency must receive the form no later than 31
				days after the date the employee becomes eligible for PEBB benefits (see WAC
				182-08-197). PEBB medical will be
				waived as of the date the employee becomes eligible for PEBB
				benefits.
(b)
During the
				annual open enrollment:
An employee may waive PEBB medical during the
				annual open enrollment. The required form must be received by the employee's
				employing agency before the end of the annual open enrollment. PEBB medical
				will be waived beginning January 1st of the following year.
(c)
During a special open
				enrollment:
An employee may waive PEBB medical during a special open
				enrollment only if they are enrolled in other employer-based group medical, a
				TRICARE plan, or medicare as described in subsection (4) of this section. A
				special open enrollment event must be an event other than an employee gaining
				initial eligibility or regaining eligibility for PEBB benefits.
The employee must submit the required form to their employing
				  agency. The employing agency must receive the form no later than 60 days after
				  the event that creates the special open enrollment. In addition to the required
				  form, the employee must provide evidence of the event that creates the special
				  open enrollment to the employing agency.
PEBB medical will be waived the last day of the month
				  following the later of the event date or the date the required form is
				  received. If that day is the first of the month, PEBB medical will be waived
				  the last day of the previous month. If the special open enrollment is due to
				  the birth, adoption, or assumption of legal obligation for total or partial
				  support in anticipation of adoption of a child, PEBB medical will be waived the
				  last day of the previous month.