Section 182-26-340. How does the HIP determine the premium subsidy amount?

(1) The HIP will apply a sliding scale subsidy schedule based on the partnership participant's family gross income and family size to determine the percentage of the employee's premium obligation the state will pay.

(2) The percentage in subsection (1) of this section will be applied to the health benefit plan employee premium share, including the amount due for dependents' coverage, remaining after deducting the employer contribution and a philanthropic contribution if applicable from the total premium amount for that participant.

(3) If a participating small employer chooses a health benefit plan with a higher premium than the benchmark plan, the subsidy will not exceed the amount applicable to the benchmark plan.

(4) In no case will the subsidy percentage exceed ninety percent of the plan employee's premium share after all contributions.

(5) Once enrolled in the HIP, the subsidy percentage will not change until the next subsidy application and renewal period, even if the total premium share changes because of a qualifying change in family status.

[Statutory Authority: RCW 41.05.160 and chapter 70.47A RCW. WSR 10-22-039 (Order 10-04), § 182-26-340, filed 10/27/10, effective 11/27/10. Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-340, filed 10/31/08, effective 12/1/08.]

RCW 41.05.160 and chapter 70.47A RCW. WSR 10-22-039 (Order 10-04), § 182-26-340, filed 10/27/10, effective 11/27/10. Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-340, filed 10/31/08, effective 12/1/08.