An enrollee can continue health plan coverage by self-paying the full premium set by the health care authority (HCA) in accordance with Consolidated Omnibus Budget Reconciliation Act (COBRA) regulations in the following circumstances:
(1) An employee or an employee's dependent who loses eligibility for the employer contribution toward public employees benefits board (PEBB) insurance coverage and who qualifies for continuation coverage under COBRA may continue medical, dental, or both.
(2) An employee or an employee's dependent who loses eligibility for continuation coverage in WAC 182-12-133
, or 182-12-148
but who has not used the maximum number of months allowed under COBRA may continue medical, dental, or both for the remaining difference in months.
(3) A retired or disabled employee who loses eligibility for PEBB retiree insurance because an employer group, with the exception of school districts and educational service districts, ceases participation in PEBB insurance coverage may continue medical, dental, or both.
(4) A retired or disabled employee, or a dependent of a retired or disabled employee, who is no longer eligible to continue coverage under WAC 182-12-171
may continue medical, dental, or both.
[Statutory Authority: RCW 41.05.160. 12-20-022 (Order 2012-01), § 182-12-146, filed 9/25/12, effective 11/1/12; 09-23-102 (Order 09-02), § 182-12-146, filed 11/17/09, effective 1/1/10; 07-20-129 (Order 07-01), § 182-12-146, filed 10/3/07, effective 11/3/07. Statutory Authority: RCW 41.05.160 and 41.05.165. 04-18-039, § 182-12-146, filed 8/26/04, effective 1/1/05.]