Educational Service Districts monthly premiums
Monthly rates paid by schools for the full benefits package during the first eight months of the calendar year.
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PEBB Program premiums may change twice during a plan year. The Health Care Authority sends an email notice to employers in the spring before the new premiums become effective and again in the fall before the new premiums become effective January 1 of the following year.
The premiums reflect the total that the PEBB Program will charge the employer. The employee’s premium (if any) is determined by the employer.
Full benefits package premiums
January 1, 2023 through June 30, 2023
The rates below reflect the total the PEBB Program will charge the employer. The employer determines what portion of the rates employees pay for their monthly premium. Premium surcharges may apply; see note below.
If an employee waives PEBB medical, the employer must still pay $1,130 each month to the PEBB Program, and the employee must enroll in PEBB basic life, basic AD&D, and employer-paid LTD insurance. Eligible employees will also be automatically enrolled in employee-paid LTD insurance, unless they decline this coverage. Employees may waive PEBB dental insurance only if they are enrolled in School Employees Benefits Board (SEBB) medical, dental, and vision insurance. Rates that include children do not vary based on the number of children enrolled.
Note: In most cases, employees must live in a medical plan’s service area to join the plan. See plan service areas by county to see plan service areas.
|
Plan |
Subscriber |
Subscriber and |
Subscriber |
Subscriber, |
|---|---|---|---|---|
|
Kaiser Permanente NW1 Classic |
$1,302 |
$1,484 |
$1,431 |
$1,613 |
|
Kaiser Permanente NW1 Consumer-Directed Health Plan |
$1,155 |
$1,190 |
$1,174 |
$1,209 |
|
Kaiser Permanente WA Classic |
$1,297 |
$1,474 |
$1,422 |
$1,599 |
|
Kaiser Permanente WA CDHP (with a health savings account) |
$1,155 |
$994 |
$978 |
$1,012 |
|
Kaiser Permanente WA Value |
$1,224 |
$1,328 |
$1,295 |
$1,399 |
|
Kaiser Permanente WA SoundChoice |
$1,176 |
$1,232 |
$1,211 |
$1,267 |
|
Uniform Medical Plan (UMP) Classic |
$1,265 |
$1,410 |
$1,366 |
$1,511 |
|
UMP Select |
$1,189 |
$1,258 |
$1,233 |
$1,302 |
|
UMP CDHP (with a health savings account) |
$1,159 |
$1,198 |
$1,181 |
$1,220 |
|
UMP Plus–Puget Sound High Value Network |
$1,227 |
$1,334 |
$1,300 |
$1,407 |
|
UMP Plus–UW Medicine Accountable Care Network |
$1,227 |
$1,334 |
$1,300 |
$1,407 |
|
PEBB medical waived |
$1,130 |
$1,130 |
$1,130 |
$1,130 |
1 Kaiser Foundation Health Plan of the Northwest offers plans in Clark and Cowlitz counties in Washington and select counties in Oregon.
2 State-registered domestic partner
Monthly billing
The PEBB Program bills employers on a monthly basis. You will get an invoice around the 25th 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 25 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.
|
Surcharge |
Subscriber only |
Subscriber and spouse/SRDP1 |
Subscriber and children |
Subscriber, spouse/SRDP, and children |
|---|---|---|---|---|
|
Tobacco use surcharge |
$25.00 |
$25.00 | $25.00 | $25.00 |
|
Spouse/SRDP waiver (AV) surcharge |
$0.00 | $50.00 | $0.00 | $50.00 |
1 State-registered domestic partner