WAC 182-12-175   May a local government entity or tribal government entity applying for participation in PEBB insurance coverage include their retirees in the transfer unit?  Local government or tribal government entities applying for participation in PEBB insurance coverage under WAC 182-12-111(2), may request inclusion of retired employees who are covered under their retiree health plan at the time of application. The PEBB program will use the following criteria for approval of these requests for inclusion of retirees.

     (1) The local government or tribal government retiree health plan must have existed at least three years before the date of application for participation in PEBB health plans.

     (2) Eligibility for coverage under the local government's or tribal government's retiree health plan must have required immediate enrollment in retiree health plan coverage upon termination of employee coverage.

     (3) The retiree must have maintained continuous enrollment in their local government or tribal government retiree health plan.

     (4) To protect the integrity of the risk pool, if total local government or tribal government retiree enrollment exceeds ten percent of the total PEBB retiree population, the PEBB program may:

     (a) Stop approving inclusion of retirees with local government or tribal government unit transfers; or

     (b) May adopt a new rating methodology reflective of the cost of covering local government or tribal government retirees.

     (5) Retirees and dependents included in the transfer unit are subject to the enrollment and eligibility rules outlined in chapters182-08, 182-12 and 182-16 WAC.

     (6) Employees eligible for retirement subsequent to the local government or tribal government transferring to PEBB health plan coverage must meet retiree eligibility as outlined in chapter 182-12 WAC.



[Statutory Authority: RCW 41.05.160. 09-23-102 (Order 09-02), § 182-12-175, filed 11/17/09, effective 1/1/10; 08-20-128 (Order 08-03), § 182-12-175, filed 10/1/08, effective 1/1/09; 07-20-129 (Order 07-01), § 182-12-175, filed 10/3/07, effective 11/3/07. Statutory Authority: RCW 41.05.160, 41.05.350, and 41.05.165. 05-16-046 (Order 05-01), § 182-12-175, filed 7/27/05, effective 8/27/05.]