About the tobacco use premium surcharge
A monthly $25-per-account surcharge will be required in addition to your premium if you or a family member enrolled on your PEBB medical coverage uses a tobacco product. You can waive this surcharge if you respond that all tobacco users are enrolled in your PEBB medical plan’s tobacco cessation program.
Note: As long as any family member covered under your PEBB medical plan uses tobacco, you will pay the tobacco use surcharge.
If you add a family member to your PEBB medical coverage, you must re-attest to the tobacco use surcharge within PEBB’s timelines (in addition to completing and submitting the appropriate enrollment form).
Frequently asked questions
If you did not fully respond to the surcharge between April 1 and May 15, 2014, or need to change your attestation:
||July 1 – August 29, 2014
Go to My Account to attest. (You will need to register as a new user if you haven’t registered since October 1, 2013.)
What will happen? If you respond that the tobacco use surcharge does not apply, we will refund any surcharge(s) paid in July and/or August.
||August 30, 2014 or later
You can attest using the Premium Surcharge Change Form, available on the Forms page starting August 30, 2014.
What will happen? If you respond that the tobacco use surcharge does not apply, this will affect only surcharges starting the first of the month after your employer (if an employee) or the PEBB Program (all others) receive the form. If you submit the form on the first day of the month, the changes begin that day.
You will not qualify for a refund of any surcharge(s) paid in July and/or August 2014.
What’s considered a change to tobacco use?