Welcome to PEBB
The information here will help you:
- Choose which plans are right for you and your family.
- Know how and when to enroll.
This is only a brief summary. For details, see our Employee Enrollment Guide (see amendment to this guide).
See the medical and dental premiums for PEBB medical coverage.
You pay premiums for medical coverage, supplemental life insurance, and optional long-term disability insurance (if you choose to enroll), and premium surcharges if they apply to you. Your employer will pay premiums for your dental, basic life, and basic long-term disability benefits.
Benefits and how to enroll
Follow the steps below to decide about your benefit options.
Give all enrollment forms and documents to your personnel, payroll, or benefits office unless directed otherwise. You must submit your forms no later than 31 days after you become eligible for benefits (generally, eligibility begins on your first day of employment), or you will lose certain benefit rights.
For supplemental life insurance (Step 5) and the SmartHealth wellness incentive (Step 7), please see the specific instructions and deadlines below.
Step 1: Choose a medical plan
Choose one plan.
(If you have other comprehensive group medical coverage, you can waive PEBB medical coverage in section 1 of the Employee Enrollment/Change form
Start filling out an Employee Enrollment/Change form
(List family members you want to enroll* in sections 1-3.)Note:
If you don't select a plan or don't submit your forms on time, you'll be enrolled in UMP Classic as a single subscriber.
* To add family members, you must provide verification
and may need certification
to show they're eligible. Submit these documents with your enrollment form(s).
Step 2: Choose a dental plan
Choose one plan.
(You can't waive PEBB dental coverage.)
Step 3: Determine if premium surcharges apply to you
Step 4: Consider a flexible spending arrangement (FSA) and Dependent Care Assistance Program (DCAP) - (optional)
Step 5: Consider supplemental life insurance (optional)
If you don’t need evidence of insurability, submit the form to your personnel, payroll, or benefits office no later than 60 days after you become eligible for benefits.
If you do need evidence of insurability:
Submit the form to your personnel, payroll, or benefits office to fill out their portion.
Once your employer completes its portion, fill out your portion and submit the form to ReliaStar Life Insurance Company to the address on the form.
Step 6: Consider long-term disability (LTD) coverage (optional)
Step 7: Consider the SmartHealth wellness incentive (optional)
Submit the form to your personnel, payroll, or benefits office no later than 60 days after your medical benefits become effective.
Step 8: Consider PEBB auto and home insurance (optional)
Visit auto and home insurance
for information on how to request a quote.
(You can apply for this coverage at any time
Step 9: Submit your forms
Submit your completed Employee Enrollment/Change form and any other documents to your personnel, payroll, or benefits office no later than 31 days after you become eligible for benefits, or you will lose certain benefit rights.
When does my coverage start?
If you're newly eligible:
Medical, dental, basic life, and basic LTD insurance coverage begins on the first day of the month after you become eligible for PEBB benefits (generally the first day of employment). If you become eligible on the first working day of the month, benefits begin on that day.
If you're a faculty member hired on a quarter/semester to quarter/semester basis:
Medical, dental, basic life, and basic LTD insurance begins on the first of the month after the beginning of the second consecutive quarter/semester of halftime or more employment. If the first day of the second consecutive quarter/semester is the first working day of the month, benefits begin on that day.
How do I get my plan ID card(s)?
After you enroll, your plan(s) will send you an identification (ID) card to show providers when you receive care.
If you have questions about your ID card, contact your plan directly. (Uniform Dental Plan does not mail ID cards, but you may download one from the plan’s website.)
What if I want to change my coverage later?
You can change plans or enroll your eligible dependents: