" "

Due to COVID-19, HCA’s lobby is closed. Learn more about your customer service options.

Meetings and materials

Get the Public Employees Benefits (PEB) Board meeting schedule, along with agendas, briefing books, and minutes.

2021 meeting schedule

The meetings start at noon, unless noted otherwise.

  • January 27, 2021 (Board retreat) 9 a.m. to 4 p.m.
  • March 17, 2021
  • April 14, 2021
  • May 12, 2021
  • June 9, 2021
  • June 30, 2021
  • July 14, 2021
  • July 21, 2021, 1 p.m.

Meeting materials

2021

Date

 

Meeting materials

July 21

Agenda (07-21-21)

Briefing Book (07-21-21)

July 14

Agenda (07-14-2021)

Briefing Book (07-14-2021)

June 30

Agenda (06-30-2021)

Briefing Book (06-30-2021)

June 9

Agenda (06-09-2021)

Briefing Book (06-09-2021)

May 12

Agenda (05-12-2021)

Briefing Book (05-12-2021)

April 14

Agenda (04-14-2021)

Briefing Book (04-14-2021)

March 17

Agenda (03-17-2021)

Briefing Book (03-17-2021)

January 27

Agenda (01-27-2021)

Briefing Book (01-27-2021)

Meeting Minutes (01-27-2021)

Approved resolutions

Meeting date

 

Title

Description

Number

7/21/21 UMP non-Medicare Premium The PEB Board endorses the Uniform Medical Plan (UMP) employee and non-Medicare retiree premiums. 2021-28
7/21/21 KPWA non-Medicare Premium The PEB Board endorses the Kaiser Foundation Health Plan of Washington employee and non-Medicare retiree premiums. 2021-27
7/21/21 KPNW non-Medicare Premium The PEB Board endorses the Kaiser Foundation Health Plan of the Northwest employee and non-Medicare retiree premiums. 2021-26
7/14/21 PEBB Continuation Coverage Eligibility for Employees' Dependents If an employee’s dependent was auto disenrolled from PEBB dental because the employee was auto disenrolled from PEBB benefits to remain in SEBB benefits, the dependent may elect to enroll in PEBB dental. These benefits will be provided for a maximum of 36 months on a self-pay basis. 2021-25
7/14/21 UMP Chiropractic, Acupuncture, and Massage Benefits

Effective January 1, 2022, the Uniform Medical Plan (UMP) benefit design, for all Medicare and non-Medicare plans, of the Chiropractic, Acupuncture, and Massage (CAM) benefits included in prior Board policy decisions and resolutions is rescinded and replaced with the following CAM benefit design:

Treatment limitations will be as follows:

  • Chiropractic visits are limited to 24 per plan year;
  • Acupuncture visits are limited to 24 per plan year;
  • Massage visits are limited to 24 per plan year;

Cost sharing for all UMP plans will be as follows:

  • In network services will have a copay and neither the services nor the copay will apply toward the deductibles (except for UMP Consumer Directed Health Plan (CDHP) as described below), but the copay will apply toward the annual out of pocket maximums;

Out of network services will not have copays and will have:

  • a 40% member coinsurance of the allowed amount for all UMP plans except UMP Plus, which will be a 50% member coinsurance, applies after the deductible is met and the coinsurance applies to the annual out of pocket maximum;
  • no charges above the allowed amount apply toward UMP plan deductibles or the annual out of pocket maximum; and
  • coverage only for Chiropractic and Acupuncture services,

UMP CDHP members need to meet their deductible before the plan will pay any portion of the allowed amount for any claim, for both in network and out of network services; and

Medicare claims will be processed in accordance with coordination of benefits rules.

This benefit design applies only if approved by both the PEB Board and SEB Board.

2021-24
7/14/21 UMP CDHP Preventive Care Beginning January 1, 2022, the UMP Consumer Directed Health Plan will allow coverage to treat certain chronic conditions, those presented at the July 14, 2021 PEB Board Meeting, before having to meet the plan deductible. 2021-23
6/30/21 Premera Medicare Premiums The PEB Board endorses the Premera Medicare Supplement plan premiums. 2021-22
6/30/21 UnitedHealthcare Premiums The PEB Board endorses the UnitedHealthcare Medicare Advantage plus Prescription Drug (MAPD) plan premiums. 2021-21
6/30/21 UMP Medicare Premiums The PEB Board endorses the Uniform Medical Plan (UMP) Medicare plan premiums. 2021-20
6/30/21 KPWA Medicare Premiums The PEB Board endorses the Kaiser Foundation Health Plan of Washington Medicare plan premiums. 2021-19
6/30/21 KPNW Medicare Premiums The PEB Board endorses the Kaiser Foundation Health Plan of the Northwest Medicare plan premiums. 2021-18
6/30/21 Medicare Premium The PEB Board endorses the calendar year 2022 monthly Medicare Explicit Subsidy of $183 or 50% of premium, whichever is less. 2021-17
6/30/21 UMP Accumulators Beginning January 1, 2022, when a subscriber enrolled in a PEBB Program Uniform Medical Plan (UMP) changes their enrollment to another PEBB Program UMP plan during the plan year (excluding open enrollment), the amounts accrued toward insurance accumulators (such as deductibles, out-of-pocket maximums, and benefit and visit limits) will transfer into their new UMP plan. 2021-16
4/14/21 Rescinding PEBB Policy Resolution #4 SmartHealth (as adopted on July 12, 2017) Effective January 1, 2022, PEBB Policy Resolution #4, as adopted on July 12, 2017 is rescinded. 2021-15
4/14/21 Authorizing a gap of 31 days or less between periods of enrollment in qualified coverages during the deferral period Effective January 1, 2022, an eligible retiree or survivor who deferred enrollment while enrolled in qualified coverage may later enroll themselves and their dependent in a PEBB health plan by submitting the required form and evidence of continuous enrollment in one or more qualifying coverages, except that a gap of 31 days or less is allowed between the date PEBB retiree insurance coverage is deferred and the start date of a qualified coverage, and between each period of enrollment in qualified coverages, during the deferral period. 2021-14
4/14/21 Employer-paid long-term disability insurance

The benefit design of the employer-paid (or basic) long-term disability benefit included in prior Board policy decisions and resolutions is rescinded and replaced with the following employer-paid LTD benefit design:

  • The following Benefit Waiting Period (the longer of):
    • 90 days;
    • The entire period of sick leave (excluding shared leave) for which the employee is eligible;
    • The Fractionated Period of Paid Time Off (PTO) for which the employee is eligible, if your employer has a PTO plan, as those terms are defined in the policy;
    • The entire period of other non-vacation salaried continuation leave for which the employee is eligible; or
    • The end of Washington Paid Family and Medical Leave for which the employee is receiving benefits
  • No Choice Sick Leave
  • Choice Pension
  • Maximum Monthly Benefit $240 (60% of $400)
2021-13
4/14/21 Amending Resolution PEBB 2020-04: Relating to default enrollments

Amending PEBB 2020-04 to read: 

the default election for an eligible employee who fails to timely elect coverage will now be as follows:

  • Enrollment in employee-only medical coverage;
  • Enrollment in employee-only dental coverage;
  • Enrollment in basic life insurance;
  • Enrollment in employer-paid long-term disability insurance; and
  • Enrollment in employee-paid long-term disability insurance at the 60% coverage level.
2021-12
4/14/21 Employee-paid long-term disability enrollment procedures
  • All employees who are eligible for the employer contribution towards PEBB benefits as of December 31, 2021 and not already enrolled in supplemental LTD insurance or did not make an election (reducing or declining coverage) during an enrollment period established by the Health Care Authority in 2021, will be auto-enrolled in employee-paid LTD insurance at the 60% coverage level with an effective date of January 1, 2022 without Evidence of Insurability (EOI).
  • An employee who becomes eligible for the employer contribution towards PEBB benefits on or after January 1, 2022 must make an election (reducing or declining coverage) during the benefit election period. If the employee fails to timely elect coverage, the employee will be defaulted into coverage according to Resolution PEBB 2021-12 without EOI. The effective date of coverage will be according to the policy established in May 1995.
  • After January 1, 2022, an employee at any time may elect to reduce employee-paid LTD to the 50% coverage plan without EOI or fully decline employee-paid LTD. The effective date of the change in coverage will be the first day of the month following the date the employer receives the required election.
  • An employee who seeks to increase coverage from the 50% coverage plan to the 60% coverage plan, or access previously declined employee-paid LTD, will be subject to evidence of insurability. The effective date of the change in coverage will be the day of the month the contracted vendor approves the required form.
  • Any employee who declines employee-paid LTD insurance will remain enrolled in employer-paid LTD insurance.
2021-11
4/14/21 Employee-paid long-term disability

the benefit design of the supplemental (or optional) long-term disability benefit included in prior Board policy decisions and resolutions is rescinded and replaced with the following employee-paid LTD benefit design:

Two separate employee-paid LTD insurance choices including: (a) coverage at 60% or (b) coverage at 50%. Both choices will have the following features:

  • The following Benefit Waiting Period (the longer of):
    • 90 days;
    • The entire period of sick leave (excluding shared leave) for which the employee is eligible;
    • The Fractionated Period of Paid Time Off (PTO) for which the employee is eligible, if your Employer has a PTO plan, as those terms are defined in the policy;
    • The entire period of other non-vacation salaried continuation leave for which the employee is eligible; or
    •  The end of Washington Paid Family and Medical Leave Law for which the employee is receiving benefits
  • No Choice Sick Leave
  • Choice Pension
  • A Maximum Monthly Benefit of $10,000 for the 60% coverage and $8,333 for the 50% coverage
2021-10
4/14/21

 

Enrollment requirements when an employee loses dependent coverage in SEBB benefits

If an employee who is eligible for the employer contribution towards PEBB benefits was enrolled as a dependent in SEBB benefits and is dropped by the SEBB subscriber, HCA will notify the employee of their removal from the SEBB subscriber’s account and that they have experienced a special enrollment event. The employee will be required to return from waive status and elect PEBB medical and PEBB dental. If the employee’s employing agency does not receive the school employee's required forms indicating their medical and dental elections within sixty days of the employee losing SEBB benefits, they will be defaulted into employee-only PEBB medical and PEBB dental.

2021-09

 

4/14/21

PEBB benefit automatic enrollments when SEBB benefits are auto-disenrolled

If an employee’s dependent, who is also a school employee who was auto-disenrolled from their SEBB dental and SEBB vision as a result of SEBB Board Resolution 2021- 04, the employee’s dependent will be automatically enrolled in the employee’s dental plan if they are not already enrolled.

2021-08

 

4/14/21 Resolving dual enrollment involving a member with multiple medical enrollments as a dependent

If an employee’s dependent is enrolled in both PEBB medical and SEBB medical as a dependent and has been enrolled in SEBB benefits longer than they have been enrolled in PEBB benefits, but no action is taken to resolve the dual enrollment, the dependent will remain in SEBB benefits and will be auto-disenrolled from the employee’s PEBB medical and/or dental plans if they are enrolled.

If an employee’s dependent is not enrolled in any medical but is enrolled only in PEBB dental and SEBB vision (with or without SEBB dental) as a dependent, the dependent will be kept in SEBB benefits and auto-disenrolled from PEBB dental.

Exception: If there is a National Medical Support Order or a court order in place, enrollment will be in accordance with the order.

2021-07
4/14/21 Resolving dual enrollment involving a PEBB dependent with multiple medical enrollments If an employee’s dependent is enrolled in any PEBB benefits and the dependent is also a SEBB eligible school employee who is enrolled in SEBB medical as a school employee, and no action is taken by either the employee or the dependent to resolve the dependent’s dual enrollment, the dependent will remain in SEBB benefits and will be auto-disenrolled from the employee’s PEBB medical and/or dental plans in which they are enrolled. 2021-06
4/14/21 Resolving dual enrollment involving dual subscriber eligibility If the employee is enrolled in PEBB medical as an employee and is also enrolled in SEBB medical as a school employee, and the employee has been enrolled in SEBB benefits longer than they’ve been enrolled in PEBB benefits, but no action is taken by the employee to resolve their dual enrollment, they will remain in their SEBB benefits and will be auto-disenrolled from their PEBB medical and PEBB dental plans. The employee’s enrollments in PEBB Life, AD&D, and LTD will remain. If an employee is not enrolled in any medical but is enrolled only in PEBB dental and SEBB vision (with or without SEBB dental), the employee will be kept in SEBB benefits and auto-disenrolled from PEBB dental. 2021-05
4/14/21 Resolving dual enrollment when an employee’s only medical enrollment is in SEBB If the employee is enrolled only in PEBB dental, and is also enrolled in SEBB medical, and no action is taken to resolve their dual enrollment, the employee will remain in their SEBB benefits and they will be auto-disenrolled from the PEBB dental plan in which they are enrolled. The employee’s enrollments in PEBB life, AD&D, and LTD will remain. 2021-04
4/14/21 PEBB benefit enrollment requirements when SEBB benefits are waived A school employee who waives SEBB medical, SEBB dental, and SEBB vision for PEBB medical must be enrolled in a PEBB dental plan. If necessary, they will be automatically enrolled in the associated subscriber’s PEBB dental plan. 2021-03
4/14/21 Employees may waive enrollment in medical Effective January 1, 2022, the “Waiver of Coverage” policy, as adopted in May 1995, is rescinded and is replaced with the following: An employee who is eligible for the employer contribution toward PEBB benefits may waive their enrollment in a medical plan if they are enrolled in other employer-based group medical. Exception: An employee may waive their enrollment in a PEBB medical plan to enroll in a SEBB medical plan only if they are enrolled in a SEBB dental plan and SEBB vision plan. In doing so, the employee also waives their enrollment in PEBB dental. 2021-02
4/14/21

Removing the retiree two-year dental enrollment requirement

The PEBB Program requirement that retiree dental must be maintained for at least two years if a PEBB Program retiree enrolls in a dental plan is rescinded as of January 1, 2022. 2021-01

Location and directions

Washington State Health Care Authority
Cherry Street Plaza
Sue Crystal Center, Conference Rooms 106A and 106B
626 8th Ave. SE
Olympia, WA 98501

Directions | Printable map

Need a special accommodation?

All meetings sponsored by the Health Care Authority meet Americans with Disabilities Act (ADA) requirements.

Phone: 360-725-0856 (TRS: 711)