Employer group monthly premiums

Monthly rates paid by employer groups for the full benefits package or the medical only package.

Premiums are effective January 1, 2017 through December 31, 2017. Premiums reflect how much PEBB will charge the employer. The employer determines what portion of the rates the employee pays.

Counties, municipalities, political subdivisions, and tribal government

Full benefits package premiums

Calendar year 2017

The following table reflects the monthly rates to be paid by employers for the full benefits package (medical/vision, dental life, LTD) during calendar year 2017. Rates differ depending on the medical plan the employee chooses. The rates are the same regardless of the number of children enrolled. The employer determines what portion of these rates the employee will pay. If an employee waives medical coverage, the employer must still pay $145.08 each month for dental, basic life, and basic long-term disability coverage.

Note: In most cases, you must live in a medical plan’s service area to join the plan. See plan service areas by county.
Plan name Subscriber Subscriber and spouse* Subscriber and child(ren) Full family
Group Health Classic $838.88 $1,532.68 $1,359.23 $2,053.03
Group Health Value $761.17 $1,377.26 $1,223.24 $1,839.33
Group Health CDHP $725.64 $1,299.70 $1,170.77 $1,686.50
Group Health SoundChoice $738.16 $1,331.24 $1,182.97 $1,776.05
Kaiser Permanente Classic $823.46 $1,501.84 $1,332.25 $2,010.63
Kaiser CDHP $727.19 $1,302.30 $1,173.11 $1,689.89
Uniform Medical Plan Classic $786.01 $1,426.94 $1,266.71 $1,907.64
Uniform Medical Plan CDHP $725.27 $1,298.96 $1,170.12 $1,685.48
UMP Plus $757.85 $1,370.62 $1,217.43 $1,830.20
Medical Waived $145.08 $145.08 $145.08 $145.08
The following premium surcharges** will be applied to some employees:
Tobacco Use Surcharge $25.00 $25.00 $25.00 $25.00
Spouse Waiver (AV) Surcharge $0.00 $50.00 $0.00 $50.00

*or state-registered domestic partner

These rates include the employer group rate surcharge authorized by RCW 41.05.050(2) (as amended by SB6475 (2016)), which for 2017 are $20 for Single Subscriber, $40 for Subscriber and Spouse, $35 for Subscriber and Child(ren), and $55 for Full Family coverage. The remaining difference in these rates reflects the offset from the employer group rate surcharge to the non‐political subdivision rates.

Medical only benefits package premiums

Calendar year 2017

The following table reflects the monthly rates to be paid by employers for the medical only package (medical/vision) during calendar year 2017. The employer determines what portion of these rates the employee pays. The rates are the same regardless of the number of children enrolled. If an employee waives medical coverage, the employer pays nothing for that employee.

Plan name Subscriber Subscriber and spouse* Subscriber and child(ren) Full family
Group Health Classic $753.77 $1,447.57 $1,274.12 $1,967.92
Group Health Value $676.06 $1,292.15 $1,138.13 $1,754.22
Group Health CDHP $640.53 $1,214.59 $1,085.66 $1,601.39
Group Health SoundChoice $653.05 $1,246.13 $1,097.86 $1,690.94
Kaiser Permanente Classic $738.35 $1,416.73 $1,247.14 $1,925.52
Kaiser CDHP $642.08 $1,217.19 $1,088.00 $1,604.78
Uniform Medical Plan Classic $700.90 $1,341.83 $1,181.60 $1,822.53
Uniform Medical Plan CDHP $640.16 $1,213.85 $1,085.01 $1,600.37
UMP Plus $672.74 $1,285.51 $1,132.32 $1,745.09
The following premium surcharges** will be applied to some employees:
Tobacco Use Surcharge $25.00 $25.00 $25.00 $25.00
Spouse Waiver (AV) Surcharge $0.00 $50.00 $0.00 $50.00

*or state-registered domestic partner

These rates include the employer group rate surcharge authorized by RCW 41.05.050(2) (as amended by SB6475 (2016)), which for 2017 are $20 for Single Subscriber, $40 for Subscriber and Spouse, $35 for Subscriber and Child(ren), and $55 for Full Family coverage. The remaining difference in these rates reflects the offset from the employer group rate surcharge to the non‐political subdivision rates.

Employer group rate surcharge

Beginning January 1, 2017, all participating counties, municipalities, political subdivisions and tribal governments will incur an employer group rate surcharge that will be applied to the monthly rate for each employee enrolling in a medical plan.

The monthly employer group rate surcharge is based on the plan tier in which the employee enrolls. For 2017, the monthly surcharge is $20 per subscriber; $40 per subscriber and spouse or state-registered domestic partner; $35 per subscriber and child(ren) and $55 per full family.

Other PEBB employer groups

Full benefits package premiums

Premiums are effective January 1, 2017 through December 31, 2017. Premiums reflect how much PEBB will charge the employer. The employer determines what portion of the rates the employee pays.

Calendar year 2017

The following table reflects the monthly rates to be paid by employers for the full benefits package (medical/vision, dental life, LTD) during calendar year 2017. Rates differ depending on the medical plan the employee chooses. The rates are the same regardless of the number of children enrolled. The employer determines what portion of these rates the employee will pay. If an employee waives medical coverage, the employer must still pay $145.08 each month for dental, basic life, and basic long-term disability coverage.

Note: In most cases, you must live in a medical plan’s service area to join the plan. See plan service areas by county.
Plan name Subscriber Subscriber and spouse Subscriber and child(ren) Full family
Group Health Classic $816.88 $1,488.68 $1,320.73 $1,992.53
Group Health Value $739.17 $1,333.26 $1,184.74 $1,778.83
Group Health CDHP $703.64 $1,255.70 $1,132.27 $1,626.00
Group Health SoundChoice $716.16 $1,287.24 $1,144.47 $1,715.55
Kaiser Permanente Classic $801.46 $1,457.84 $1,293.75 $1,950.13
Kaiser CDHP $705.19 $1,258.30 $1,134.61 $1,629.39
Uniform Medical Plan Classic $764.01 $1,382.94 $1,228.21 $1,847.14
Uniform Medical Plan CDHP $703.27 $1,254.96 $1,131.62 $1,624.98
UMP Plus $735.85 $1,326.62 $1,178.93 $1,769.70
Medical Waived $145.08 $145.08 $145.08 $145.08
The following premium surcharges** will be applied to some employees:
Tobacco Use Surcharge $25.00 $25.00 $25.00 $25.00
Spouse Waiver (AV) Surcharge $0.00 $50.00 $0.00 $50.00

*or state-registered domestic partner

Medical only benefits package premiums

Calendar year 2017

The following table reflects the monthly rates to be paid by employers for the medical only package (medical/vision) during calendar year 2017. The employer determines what portion of these rates the employee pays. The rates are the same regardless of the number of children enrolled. If an employee waives medical coverage, the employer pays nothing for that employee.

Plan name Subscriber Subscriber and spouse Subscriber and child(ren) Full Family
Group Health Classic $731.77 $1,403.57 $1,235.62 $1,907.42
Group Health Value $654.06 $1,248.15 $1,099.63 $1,693.72
Group Health CDHP $618.53 $1,170.59 $1,047.16 $1,540.89
Group Health SoundChoice $631.05 $1,202.13 $1,059.36 $1,630.44
Kaiser Permanente Classic $716.35 $1,372.73 $1,208.64 $1,865.02
Kaiser CDHP $620.08 $1,173.19 $1,049.50 $1,544.28
Uniform Medical Plan Classic $678.90 $1,297.83 $1,143.10 $1,762.03
Uniform Medical Plan CDHP $618.16 $1,169.85 $1,046.51 $1,539.87
UMP Plus $650.74 $1,241.51 $1,093.82 $1,684.59
The following premium surcharges** will be applied to some employees:
Tobacco Use Surcharge $25.00 $25.00 $25.00 $25.00
Spouse Waiver (AV) Surcharge $0.00 $50.00 $0.00 $50.00

*or state-registered domestic partner

Monthly billing

The PEBB Program bills employer groups monthly. You will get an invoice around the 26th of each month before the month of coverage. Payment in-full is due by the 20th of the month of coverage. For example, you will get an invoice around May 26 for June coverage. Payment in-full for June coverage is due by June 20.

Surcharges in addition to medical plan premiums

Employees may have to pay monthly surcharges in addition to the medical plan premium.

Contact

Phone: 1-800-700-1555