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Notices sent as Regence dispute with Providence, Swedish and PacMed could affect 55,000 members

Public Employees Benefits Board / Health Care Authority Board · April 10, 2025
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Summary

HCA staff warned that Regence sent legally required notices about potential network terminations involving Providence, Swedish and PacMed that could affect roughly 55,000 PEBB/SEBB members in the Puget Sound area; staff said services remain in-network through the contract end date and most disputes historically resolve before termination.

Agency staff told the board that Regence has issued legally required notices about an ongoing contract dispute with Providence, Swedish and PacMed that could result in an April 1 network disruption for some members in the Greater Puget Sound area. Staff emphasized that the contract remains in place through the end of the month and that members who receive the notices do not need to take immediate action.

"This year's 1st provider dispute that has resulted in the legally required notices sent by the carriers under OIC rules, involves Providence, Swedish, and PacMed," said Dave Price, Health Care Authority staff, briefing the board on the situation and explaining the typical timeline and member protections. He said roughly 55,000 members across PEBB/SEBB in the Greater Puget Sound area received notices.

Staff described the communications strategy: an HCA news announcement page, targeted letters and outreach to benefits administrators and stakeholder groups, and guidance that services received before the contract end date are considered in-network. Board members and public commenters noted the anxiety such notices create for members undergoing active care; staff repeated that continuity-of-care protections and targeted communications are part of agency planning.

The board did not take action; staff said they monitor ongoing negotiations and will update the public as agreements are reached or if a termination actually occurs.