Find out if the tobacco use premium surcharge and the spouse or state-registered domestic partner coverage premium surcharge apply to you.
About the surcharges
The Legislature requires two premium surcharges that may be added to your medical plan premium each month:
- Tobacco use premium surcharge
A monthly $25 surcharge per account if you or a dependent (age 13 and older) enrolled on your PEBB medical uses a tobacco product.
Spouse or state-registered domestic partner coverage premium surcharge
A monthly $50 surcharge if you have a spouse or state-registered domestic partner enrolled on your PEBB medical, and they have elected not to enroll in their employer-based group medical insurance that is comparable to Uniform Medical Plan (UMP) Classic.
These surcharges apply to PEBB benefits-eligible subscribers who:
- Are enrolled in a PEBB medical plan.
- Do not have Medicare Part A and Part B as their primary coverage.
When you enroll in or add a dependent to your PEBB medical, you must attest (respond) on your enrollment form to whether the tobacco use and spousal coverage premium surcharges apply.
Your personnel, payroll, or benefits office