Washington state Qualified Health Plan auto-reenrollment mapping hierarchy for Plan Year 2025.
Hierarchy one: priority enrollment
First, the Health Benefit Exchange will determine an enrollee’s mapped Qualified Health Plan (QHP) based on the following criteria:
If there is more than one Cascade or Cascade Select plan available at the enrollee's same metal level, the Exchange will then map to the Cascade or Cascade Select plan with the lowest annualized premium.
If there is one Cascade or Cascade Select plan available at the enrollee's same metal level, map to that plan.
Hierarchy two
If there are no Cascade or Cascade Select plans available at the enrollee's same metal level, map the non-standard QHP with the lowest annualized premium.
If there are no QHPs in the same metal level, the Health Benefit Exchange will map the enrollee to the Cascade or Cascade Select plan with the lowest annualized premium either one metal lower or one metal level higher than the enrollee's same metal level.