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PDFWAC 182-558-0050

PPP for a client with an employer-sponsored group health insurance plan.

(1) General rule. Under section 1906 of the Social Security Act, the agency pays a premium assistance subsidy:
(a) Up to an eligible person's employer-sponsored group health insurance plan premium obligation; and
(b) When the agency determines it is cost effective as defined in WAC 182-558-0020.
(2) Eligible persons. An eligible person is any client who:
(a) Has a comprehensive employer-sponsored group health insurance plan, which may be a Consolidated Omnibus Budget Reconciliation Act (COBRA) health insurance plan as described in 26 C.F.R. 54.4980; and
(b) Is receiving categorically needy, medically needy, or the alternative benefit plan scope of coverage.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 19-11-129, § 182-558-0050, filed 5/22/19, effective 6/22/19; WSR 17-03-014, § 182-558-0050, filed 1/5/17, effective 3/1/17.]
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