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Educational Service Districts monthly premiums

Monthly rates paid by schools for the full benefits package during the first eight months of the calendar year.

Starting January 1, 2020, all school districts and charter schools, and educational service districts with represented employees in Washington State will receive health care and other benefits through the School Employees Benefits Board (SEBB) Program. Learn more about the SEBB Program.

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

View premiums for July 1 through December 31, 2021 on page 3.

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.

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.


Subscriber only Subscriber and spouse1 Subscriber and children Subscriber, spouse,1 and children

Tobacco use surcharge


$25.00 $25.00 $25.00
Spouse waiver (AV) surcharge $0.00 $50.00 $0.00 $50.00

1 Or state-registered domestic partner.