Elected and appointed officials, justices, and judges

Providing notice of the determination of eligibility

Employers must provide written notice of the determination of eligibility (or ineligibility) for the employer contribution toward PEBB benefits to employees upon hire and when an official experiences a change in eligibility (PEBB Policy 11-1). The notice should be provided within a reasonable time frame as part of the hiring process.

The eligibility worksheets serve as the approved method for determining eligibility for PEBB benefits and providing required notice.

• Use the A-4 worksheet for newly elected and full-time appointed officials, justices, and judges.

How is eligibility determined for officials, justices, and judges?

Eligibility for the employer contribution toward PEBB benefits is determined in accordance with Title 182 WAC and any additional policies, procedures, or written guidance issued by the PEBB Program.

• A legislator is eligible for the employer contribution on the date their term begins.
• All other elected and full-time appointed officials of the legislative and executive branches of state government are eligible on the date their terms begin or the date they take the oath of office, whichever occurs first.
• A justice of the supreme court and judges of the court of appeals and the superior courts become eligible on the date they take the oath of office.

Officials, justices, and judges who are determined to be eligible for PEBB benefits have 31-days after the date they become eligible to elect PEBB benefits by submitting enrollment forms and dependent verification documents (if applicable) to their benefits administrator (BA). However, they must have no less than ten calendar days after the date of receiving notice of their eligibility to elect benefits.

Learn about the requirements and processes for enrolling newly eligible employees.

Related rules and policies

• WAC 182-08-015 - Definitions
• WAC 182-08-197: When must a newly eligible employee, or an employee who regains eligibility for the employer contribution, elect PEBB benefits and complete required forms?
• WAC 182-08-200 - Defer enrollment in a PEBB retiree health plan
• WAC 182-12-113: What are the obligations of a state agency (employer) in the application of employee eligibility?
• WAC 182-12-114: How do employees establish eligibility for PEBB benefits?
• WAC 182-12-131 - How do eligible employees maintain the employer contribution toward PEBB benefits?
• WAC 182-12-180 - When is an elected state official, full time appointed state official of the legislative or executive branch of state government, or their survivor eligible to continue enrollment in PEBB retiree insurance coverage.