Reminder on how employees can send appeals to the PEBB Program

Washington State Health Care Authority sent this bulletin at 02/05/2026 03:00 PM PST

February 5, 2026

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Reminder on how employees can send appeals to the PEBB Program

Dear Benefits Administrators,

Back in April of 2025, the PEBB Appeals Unit launched an all-new online appeals
portal. We want to reminder BAs that employees can use this secure online portal to request a brief adjudicative proceeding (a simplified legal hearing, also referred to as an appeal) of a PEBB Program decision and have it immediately go to the PEBB Appeals Unit.

Instructions for employees on how to access and use the appeals portal:

From the HCA Support home page, select “Public Inquiry” and log in to SAW. If you do not have a SAW account, you will need to create one.
Once logged in, select “Make A Request” and choose “Benefits Appeal Request.” You should see a screen asking you to choose the primary account holder.
Select the applicable option. Next, select your relationship to the appellant. Once you do this, the appeal form will populate additional selections that mirror the paper form.

We also want to remind BAs that they should not submit appeals on behalf of their employees and they should not submit an employee appeal to Outreach and Training (O&T) as a ticket through HCA Support.

Final reminder that when an employee from a PEBB employer group disagrees with a decision from the PEBB Program they must follow the appeal instructions found on the decision letter they received from the PEBB Program.

For more information, visit the PEBB benefits administrators appeals process
webpage.

Thank you for your attention to this matter. For further clarification or assistance, please reach out to our Outreach & Training team via HCA Support or call 1-800-700-1555.

About the Health Care Authority (HCA)

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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Nondiscrimination

The Washington State Health Care Authority (HCA) complies with all applicable federal and Washington state civil rights laws and is committed to providing equal access to our services. Visit HCA’s website to view complete nondiscrimination statements.

Reminder on how employees can send appeals to the PEBB Program

Reminder on how employees can send appeals to the PEBB Program

Instructions for employees on how to access and use the appeals portal:

Thank you for subscribing to receive notices from Outreach and Training.

About the Health Care Authority (HCA)

Disclosure notice

Nondiscrimination