PEBB - Tobacco Use Premium Surcharge

​Need to change or update?

Use the Premium Surcharge Change Form. You cannot change or update your surcharge attestation on My Account at this time.

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About the tobacco use premium surcharge

A monthly $25-per-account surcharge is 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 adult tobacco users are enrolled in your PEBB medical plan’s tobacco cessation program. (Tobacco users ages 17 and under are considered enrolled in a tobacco cessation program if they access information and resources in Smokefree Teen.)

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

 What’s considered a change to tobacco use?