15-01-173

WSR 15-01-173

POLICY STATEMENT

HEALTH CARE AUTHORITY

[Filed December 23, 2014, 2:10 p.m.]

Notice of Administrative Policy Statement

The public employees benefits board (PEBB) program has issued the following administrative policy. This policy is retroactively effective on December 1, 2014. You can download the complete policy statement at www.hca.wa.gov/pebb/Pages/policy.aspx.

Policy #31-3: Attestation requirements for the spouse or registered domestic partner coverage premium surcharge. This policy clarifies attestation requirements for the spouse or registered domestic partner coverage premium surcharge.

To receive a hard copy of the policy statement, contact Rob Parkman at 626 8th Avenue S.E., Olympia, WA 98501-2684, phone [phone].

Kevin M. Sullivan

Rules Coordinator