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182-40-0700  <<  182-40-0800 >>   182-40-0900

(Effective January 1, 2027)

PDFWAC 182-40-0800

Annual compliance measurement.

(1) The authority conducts an annual measurement as described in WAC 182-40-0300 and 182-40-0400 following the end of a plan year to ensure compliance with this chapter. Failure to comply with the reimbursement requirements in this chapter will result in a written notice of noncompliance as identified in WAC 182-40-1400.
(2) The authority may request additional information or documentation from the contractor.
(a) If the authority sends a written request for additional information or documentation, the contractor has 28 calendar days upon receipt of the request to:
(i) Provide the requested information or documentation; or
(ii) Request additional time to complete the request.
(b) The authority grants additional time on a case-by-case basis, but the request must be received before the expiration of the original 28 calendar days to avoid a fine.
(3) When the authority determines that a contractor has failed to meet the requirements in this section, the authority will provide the contractor with a written notice of noncompliance and may assess a fine for each failure according to WAC 182-40-1400.
(4) The authority deposits any amounts collected from the contractor due to overpayments into the public employees' and retirees' insurance accounts or school employees' insurance account established under chapter 41.05 RCW, as applicable.
(5) The authority uses amounts deposited to offset health care costs for the public employees' benefits board and school employees' benefits board program health plan offerings in future plan years.
[Statutory Authority: RCW 41.05.021, 41.05.160, and 41.05.028. WSR 25-24-066, s 182-40-0800, filed 12/1/25, effective 1/1/27.]