Pharmacy Benefit Manager Self-Funded Group Health Plan Opt-In
Effective January 1, 2026, private self-funded group health plans operating under the federal Employee Retirement Income Security Act (ERISA) may participate in E2SSB 5213.
Each self-funded group health plan that elects to participate in this law must complete and submit opt-in form to the Office of the Insurance Commissioner (OIC) at least 15 days before the plan can participate. Opt-in is for one full year unless the self-funded plan selects to automatically renew. The plan can participate for any calendar or plan year and must notify the OIC at least 15 days before the end of the year to opt-out.
This dataset identifies self-funded group health plans that have elected to participate in this law and have completed the opt-in form.
Complete Metadata
| @type | dcat:Dataset |
|---|---|
| accessLevel | public |
| contactPoint |
{
"fn": "Simon Casson",
"@type": "vcard:Contact",
"hasEmail": "mailto:no-reply@data.wa.gov"
}
|
| description | Effective January 1, 2026, private self-funded group health plans operating under the federal Employee Retirement Income Security Act (ERISA) may participate in E2SSB 5213. Each self-funded group health plan that elects to participate in this law must complete and submit opt-in form to the Office of the Insurance Commissioner (OIC) at least 15 days before the plan can participate. Opt-in is for one full year unless the self-funded plan selects to automatically renew. The plan can participate for any calendar or plan year and must notify the OIC at least 15 days before the end of the year to opt-out. This dataset identifies self-funded group health plans that have elected to participate in this law and have completed the opt-in form. |
| distribution |
[
{
"@type": "dcat:Distribution",
"mediaType": "application/json",
"describedBy": "https://data.wa.gov/api/views/rm2n-vba3/columns.json",
"downloadURL": "https://data.wa.gov/api/views/rm2n-vba3/rows.json?accessType=DOWNLOAD",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"mediaType": "application/rdf+xml",
"describedBy": "https://data.wa.gov/api/views/rm2n-vba3/columns.rdf",
"downloadURL": "https://data.wa.gov/api/views/rm2n-vba3/rows.rdf?accessType=DOWNLOAD",
"describedByType": "application/rdf+xml"
},
{
"@type": "dcat:Distribution",
"mediaType": "application/xml",
"describedBy": "https://data.wa.gov/api/views/rm2n-vba3/columns.xml",
"downloadURL": "https://data.wa.gov/api/views/rm2n-vba3/rows.xml?accessType=DOWNLOAD",
"describedByType": "application/xml"
},
{
"@type": "dcat:Distribution",
"mediaType": "text/csv",
"downloadURL": "https://data.wa.gov/api/views/rm2n-vba3/rows.csv?accessType=DOWNLOAD"
}
]
|
| identifier | https://data.wa.gov/api/views/rm2n-vba3 |
| issued | 2025-11-04 |
| keyword |
[
"health insurance",
"insurance",
"insurance commissioner",
"pharmacy benefit manager",
"self-funded group health plan opt-in"
]
|
| landingPage | https://data.wa.gov/d/rm2n-vba3 |
| modified | 2025-11-04 |
| publisher |
{
"name": "data.wa.gov",
"@type": "org:Organization"
}
|
| theme |
[
"health"
]
|
| title | Pharmacy Benefit Manager Self-Funded Group Health Plan Opt-In |
