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 the medical and dental premiums for PEBB medical coverage.
You pay premiums for medical coverage, supplemental life insurance, optional long-term disability insurance, and premium surcharges if they apply to you. Your employer will pay premiums for your dental, basic life, and basic long-term disability benefits.
How to enroll
Follow the steps below to decide about your benefit options.
Your personnel, payroll, or benefits office unless directed otherwise must receive your form(s) 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: Find out if premium surcharges apply to you
*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 medical plan
- Go to employee monthly premiums to compare costs.
- 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.)
Select your medical plan on the Employee Enrollment/Change form
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.
Step 3: Choose a dental plan
Choose one plan.
(You cannot waive PEBB dental coverage.)
Step 4: Think about an FSA and DCAP (optional)
Follow the instructions to submit the form.
Step 5: Think about adding to your life insurance (optional)
- See how to submit the Life and AD&D Insurance Enrollment/Change Form below:
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: Think about adding to your LTD coverage (optional)
Step 7: Think about the SmartHealth wellness incentive (optional)
To qualify for the wellness incentive you must complete the program requirements by June 30, 2015 (if your medical effective date starts after March 31, 2015, you have different deadlines and requirements to qualify for the incentive). Go to SmartHealth Wellness Program to find how to get started.
Step 8: Think about auto and home insurance (optional)
Go to 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
Your personnel, payroll, or benefits office unless directed otherwise must receive 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.
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: