Children enrolled in PEBB or SEBB coverage may be eligible for Apple Health for kids with premiums

Mon, 09/28/2020

As of January 2020, children who are eligible for or enrolled in Public Employees Benefits Board (PEBB) Program coverage or School Employees Benefits Board (SEBB) Program coverage may enroll in Apple Health for kids with premiums, also known as the Children’s Health Insurance Program (CHIP), if they meet eligibility requirements.

This change comes from State Plan Amendment (SPA) 20-0002 to meet legislative directive Engrossed Substitute Bill (ESSB) 6168 (2020), which requires the Health Care Authority (HCA) to develop a process to establish eligibility and maintain program coverage for eligible child dependents of eligible PEBB and SEBB subscribers.

Am I eligible?

CHIP is low-cost coverage for children whose household income is between 260 percent and 312 percent of the Federal Poverty Limit (FPL). Monthly premiums for CHIP are either $20/child (up to $40 family maximum) or $30/child (up to $60 family maximum) depending on your household income. You must be a resident of Washington to qualify. Children who meet these requirements are eligible for coverage regardless of citizenship or immigration status.

Visit the Apple Health for kids with premiums webpage to see if your child meets eligibility requirements.

How to apply

You can apply for Apple Health for kids with premiums:

How does this affect my PEBB or SEBB coverage?

If your child is eligible and enrolls in Apple Health for kids with premiums, your PEBB or SEBB coverage will open a 60-day Special Open Enrollment. During this time, you may choose to terminate your PEBB or SEBB coverage for your child, but doing so is optional. If you keep your PEBB or SEBB coverage you can enroll in CHIP as secondary coverage.

Contact your payroll or benefits office for more information on your health coverage. Retirees and continuation coverage subscribers should call 1-800-200-1004 (TRS: 711).

More information: