WAC 182-08-197
When must newly eligible employees select
PEBB benefits and complete enrollment forms? (1) Employees
who are newly eligible for PEBB benefits must complete the
appropriate forms indicating enrollment and their health plan
choice, or their decision to waive medical under WAC 182-12-128. Employees must return the forms to their
employing agency no later than thirty-one days after they
become eligible for PEBB benefits under WAC 182-12-114. Newly
eligible employees who do not return an enrollment form to
their employing agency indicating their medical and dental
choice within thirty-one days will be enrolled in a health
plan as follows:
(a) Medical enrollment will be Uniform Medical Plan
Classic;
(b) Dental enrollment (if the employer group participates
in PEBB dental) will be Uniform Dental Plan; and
(c) Dependents will not be enrolled.
(2) Employees who are newly eligible may enroll in
optional insurance coverage (except for employees of employer
groups that do not participate in life insurance or long-term
disability insurance).
(a) To enroll in the amounts of optional life insurance
available without health underwriting, employees must return a
completed life insurance enrollment form to their employing
agency no later than sixty days after becoming eligible for
PEBB benefits.
(b) To enroll in optional long-term disability insurance
without health underwriting, employees must return a completed
long-term disability enrollment form to their employing agency
no later than thirty-one days after becoming eligible for PEBB
benefits.
(c) Employees may apply for optional life and optional
long-term disability insurance at any time by providing
evidence of insurability and receiving approval from the
contracted vendor.
(3) If an employing agency does not notify a newly
eligible employee of his or her eligibility for PEBB benefits,
as required in WAC 182-12-113, until after the thirty-one-day
period described in subsection (1) of this section has
expired, then the following must occur:
(a) The employing agency must notify the employee of his
or her eligibility for PEBB benefits and his or her
requirement to complete and return enrollment forms.
(b) The employee must complete and return the appropriate
forms as follows:
(i) An enrollment form indicating enrollment and health
plan choice (if applicable indicating a decision to waive
medical) no later than thirty-one days from the date of the
employing agency's notice to the employee;
(ii) To enroll in optional coverage, a life insurance
enrollment form no later than sixty days from the date of the
employing agency's notice to the employee and a long-term
disability insurance enrollment form no later than thirty-one
days from the date of the employing agency's notice to the
employee.
(c) Employees who do not return the appropriate forms to
their employing agency indicating their medical and dental
choice will be enrolled in a health plan according to
subsection (1)(a), (b), and (c) of this section.
(d) Employees who do not return the appropriate forms to
their employing agency indicating optional coverage elections,
are not eligible to enroll in optional coverage, except as
described in subsection (2)(c) of this section.
(4) Employees who are eligible to participate in the
state's salary reduction plan (see WAC 182-12-116) will
automatically enroll in the premium payment plan upon
enrollment in medical so employee medical premiums are taken
on a pretax basis. To opt out of the premium payment plan,
new employees must complete the appropriate form and return it
to their state agency no later than thirty-one days after they
become eligible for PEBB benefits.
(5) Employees who are eligible to participate in the
state's salary reduction plan may enroll in the state's
medical flexible spending arrangement (FSA) or dependent care
assistance program (DCAP) or both. To enroll in these
optional PEBB benefits, employees must return the appropriate
enrollment forms to their state agency or PEBB designee no
later than thirty-one days after becoming eligible for PEBB
benefits.
(6) The employer contribution toward insurance coverage
ends according to WAC 182-12-131. Employees who become newly
eligible for the employer contribution enroll as described in
subsections (1) and (2) of this section, with the following
exceptions in which insurance coverage elections stay the
same:
(a) When an employee transfers from one employing agency
to another employing agency without a break in state service. This includes movement of employees between any entities
described in WAC 182-12-111 and participating in PEBB
benefits.
(b) When employees have a break in state service that
does not interrupt their employer contribution toward PEBB
insurance coverage.
(c) When employees continue insurance coverage by
self-paying the full premium under WAC 182-12-133(1) or
182-12-142 and become newly eligible for the employer
contribution before the end of the maximum number of months
allowed for continuing PEBB health plan enrollment under those
rules. Employees who are eligible to continue optional life
or optional long-term disability under continuation coverage
but discontinue that insurance coverage are subject to the
insurance underwriting requirements if they apply for the
insurance when they return to work or become eligible again
for the employer contribution.
(7) When an employee's employment ends, participation in
the state's salary reduction plan ends. If the employee is
hired into a new position that is eligible for PEBB benefits
in the same year, the employee may not resume participation in
DCAP or medical FSA until the beginning of the next plan year,
unless the time between employments is less than thirty days
and the employee notifies the new state agency and the DCAP or
FSA administrator of his or her employment transfer within the
current plan year.
[Statutory Authority: RCW 41.05.160 and 2011 c 8. 11-22-036
(Order 11-02), § 182-08-197, filed 10/26/11, effective 1/1/12.
Statutory Authority: RCW 41.05.160. 10-20-147 (Order
10-02), § 182-08-197, filed 10/6/10, effective 1/1/11;
09-23-102 (Order 09-02), § 182-08-197, filed 11/17/09,
effective 1/1/10; 08-20-128 (Order 08-03), § 182-08-197, filed
10/1/08, effective 1/1/09; 07-20-129 (Order 07-01), §
182-08-197, filed 10/3/07, effective 11/3/07; 06-11-156 (Order
06-02), § 182-08-197, filed 5/24/06, effective 6/24/06. Statutory Authority: RCW 41.05.160, 41.05.350, and 41.05.165.
05-16-046 (Order 05-01), § 182-08-197, filed 7/27/05,
effective 8/27/05.]