The board annually determines the design of the PEBB wellness
incentive program.
(1) All
subscribers, except PEBB subscribers who are enrolled in both medicare Parts A
and B, and in the medicare risk pool as described in
RCW
41.05.080(3), are eligible
to participate in the PEBB well-ness incentive program.
(2) Effective January 1, 2020, to receive the
PEBB wellness incentive of a reduction to the subscriber's medical plan
deductible or a deposit to the subscriber's health savings account for the
following plan year, eligible subscribers must complete PEBB wellness incentive
program requirements during the current plan year by the following deadline:
(a) For subscribers continuing enrollment in
PEBB medical and subscribers enrolling in PEBB medical with an effective date
in January through September, the deadline is November 30th; or
(b) For subscribers enrolling in PEBB medical
with an effective date in October through December, the deadline is December
31st.
(3) Subscribers
who do not complete the requirements according to subsection (2) of this
section, except as noted, within the time frame described are not eligible to
receive a PEBB wellness incentive the following plan year.
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Note:
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All eligible subscribers can earn a wellness
incentive. Subscribers who cannot complete the wellness incentive program
requirements may be able to earn the same incentive by different means. The
contracted vendor will work with enrollees (and their physician, if they wish)
to define an individual wellness program that provides the opportunity to
qualify for the same incentive in light of the enrollee's health status.
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(4)
A PEBB wellness incentive will be provided only if:
(a) For the wellness incentive described in
subsection (2) of this section the subscriber is still eligible to participate
in the PEBB wellness incentive program and is enrolled in a PEBB medical plan
in the year the incentive applies;
(b) The funding rate provided by the
legislature is designed to provide a PEBB wellness incentive program or a PEBB
wellness incentive, or both; or
(c)
Specific appropriations are provided for wellness incentives.
Notes
Wash. Admin.
Code §
182-12-300
Adopted by
WSR
14-08-040, filed 3/26/14, effective
4/26/2014
Amended by
WSR
15-22-099, Filed 11/4/2015, effective
1/1/2016
Amended by
WSR
17-19-077, Filed 9/15/2017, effective
1/1/2018
Amended by
WSR
18-20-117, Filed 10/3/2018, effective
1/1/2019
Amended by
WSR
19-17-073, Filed 8/20/2019, effective
1/1/2020
Amended by
WSR
20-16-062, Filed 7/28/2020, effective
1/1/2021
Amended by
WSR
21-13-105, Filed 6/18/2021, effective
1/1/2022
Amended by
WSR
22-13-158, Filed 6/21/2022, effective
1/1/2023
