The Washington State Health Care Authority, hereafter called “HCA,” is the state agency in Washington tasked with providing health plans to state employees, school employees, qualified Dependents, and retirees. HCA, through the Public Employees Benefits Board (PEBB) and the School Employees Benefits Board (SEBB), sponsors multiple fully insured and self-funded health plans. The self-funded health plans are administered by one (1) third-party administrator for all medical benefits and one (1) pharmacy benefit administrator for outpatient prescription drug benefits (collectively, the “TPAs”). HCA’s self-funded plans utilize the TPAs’ standard processes for the majority of the plan design, but the plans are customized in some aspects.