Wash. Admin. Code § 182-505-0215

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Current through Register Vol. 24-21, November 1, 2024

Section 182-505-0215 - Children's Washington apple health with premiums

(1) A child is eligible for Washington apple health with premiums if the child:

(a) Meets the requirements in WAC 182-505-0210(1);

(b) Has countable income below the standard in WAC 182-505-0100(6)(b); and

(c) Pays the required premium under WAC 182-505-0225, unless the child is exempt under WAC 182-505-0225(2)(c).

(2) A child is not eligible for Washington apple health with premiums if the child:

(a) Is eligible for no-cost Washington apple health; or

(b) Has creditable health insurance coverage as defined in WAC 182-500-0020.

(3) A child with creditable health insurance coverage may be eligible for Washington apple health with premiums if the child:

(a) Is eligible for either:

(i) Public employees benefits board (PEBB) health insurance coverage based on a family member's employment with a Washington state agency, or a Washington state university, community college, or technical college; or

(ii) School employees benefits board (SEBB) health insurance coverage based on a family member's employment with a Washington school district, charter school, or educational service district; and

(b) Meets the requirements in subsection (1) of this section.

Wash. Admin. Code § 182-505-0215

Amended by WSR 14-16-052, Filed 7/29/2014, effective 8/29/2014

Amended by WSR 17-12-018, Filed 5/30/2017, effective 6/30/2017

Amended by WSR 19-21-103, Filed 10/16/2019, effective 1/1/2020

Amended by WSR 21-01-207, Filed 12/23/2020, effective 1/23/2021

12-13-056, recodified as WAC 182-505-0215, filed 6/15/12, effective 7/1/12. Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.402, 74.09.470, and 2008 session law. 09-07-086, § 388-542-0010, filed 3/17/09, effective 4/17/09. Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.530, 74.09.700, and 2007 c 5. 08-05-018, § 388-542-0010, filed 2/12/08, effective 3/14/08. Statutory Authority: RCW 74.08.090, 74.09.050, and Title XXI of the Social Security Act. 06-15-134, § 388-542-0010, filed 7/19/06, effective 8/19/06. Statutory Authority: RCW 74.08.090, 74.09.510, 74.09.522, 74.09.450, and 2004 c 276. 04-16-064, § 388-542-0010, filed 7/30/04, effective 8/30/04.