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Employer group monthly premiums

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

Counties, municipalities, political subdivisions, and tribal government

Full benefits package premiums

Calendar year 2022

Premiums are effective January 1, 2022 through December 31, 2022. The rates reflect how much PEBB will charge the employer. The employer determines what portion of the rates employees pay.

The following table reflects the monthly rates to be paid by employers for the full benefits package (medical/vision, dental, life, AD&D, LTD) during calendar year 2022. Rates differ depending on the medical plan the employee chooses. The rates that include children do not vary based on the number of children enrolled. If an employee waives PEBB medical coverage, the employer must still pay $159.16 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. 

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

Subscriber

Subscriber and
spouse/SRDP

Subscriber
and children

Subscriber,
spouse/SRDP,
and children

Kaiser Permanente NW1 Classic

$934.39

$1,709.63

$1,515.82

$2,291.06

Kaiser Permanente NW1 Consumer-Directed Health Plan
(with a health savings account)

$810.04

$1,455.37

$1,308.62

$1,895.63

Kaiser Permanente WA Classic

$979.40

$1,799.64

$1,594.58

$2,414.82

Kaiser Permanente WA CDHP (with a health savings account)

$807.55

$1,451.15

$1,304.83

$1,890.10

Kaiser Permanente WA SoundChoice

$825.35

$1,491.53

$1,324.98

$1,991.17

Kaiser Permanente WA Value

$888.05

$1,616.95

$1,434.72

$2,163.62

Uniform Medical Plan (UMP) Classic

$884.84

$1,610.51

$1,429.09

$2,154.77

UMP Select 

$813.89

$1,468.61

$1,304.93

$1,959.66

UMP CDHP (with a health savings account)

$804.85

$1,448.45

$1,302.13

$1,887.40

UMP Plus Puget Sound High Value Network

$853.29

$1,547.42

$1,373.89

$2,068.02

UMP Plus UW Medicine Accountable Care Network

$853.29

$1,547.42

$1,373.89

$2,068.02

PEBB medical waived (employee enrolls or remains enrolled in PEBB dental, 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.

$159.16

$159.16

$159.16

$159.16

1 Kaiser Foundation Health Plan of the Northwest offers plans in Clark and Cowlitz counties in Washington and select counties in Oregon.

These rates include the employer group rate surcharge authorized by RCW 41.05.050(2) (as amended by SB6475 [2016]), which for 2022 is $12 for single subscriber, $24 for subscriber and spouse/state-registered domestic partner (SRDP), $21 for subscriber and children, and $33 for subscriber, spouse/SRDP, and children. The remaining difference in these rates reflects the offset from the employer group rate surcharge to the nonpolitical subdivision rates. 

Medical-only benefits package premiums

Calendar year 2022

The following table reflects the monthly rates to be paid by employers for the medical-only package (medical/vision) during calendar year 2022. The employer determines what portion of these rates employees pay. 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

Subscriber

Subscriber and
spouse/SRDP

Subscriber
and children

Subscriber,
spouse/SRDP,
and children

Kaiser Permanente NW1 Classic

$846.32

$1,621.56

$1,427.75

$2,202.99

Kaiser Permanente NW1 CDHP (with a health savings account)

$721.97

$1,367.30

$1,220.55

$1,807.56

Kaiser Permanente WA Classic

$891.33

$1,711.57

$1,506.51

$2,326.75

Kaiser Permanente WA CDHP (with a health savings account)

$719.48

$1,363.08

$1,216.76

$1,802.03

Kaiser Permanente WA SoundChoice

$737.28

$1,403.46

$1,236.91

$1,903.10

Kaiser Permanente WA Value

$799.98

$1,528.88

$1,346.65

$2,075.55

Uniform Medical Plan (UMP) Classic

$796.77

$1,522.44

$1,341.02

$2,066.70

UMP Select 

$725.82

$1,380.54

$1,216.86

$1,871.59

UMP CDHP (with a health savings account)

$716.78

$1,360.38

$1,214.06

$1,799.33

UMP Plus Puget Sound High Value Network

$765.22

$1,459.35

$1,285.82

$1,979.95

UMP Plus UW Medicine Accountable Care Network

$765.22

$1,459.35

$1,285.82

$1,979.95

1 Kaiser Foundation Health Plan of the Northwest offers plans in Clark and Cowlitz counties in Washington and select counties in Oregon.

These rates include the employer group rate surcharge authorized by RCW 41.05.050(2) (as amended by SB6475 [2016]), which for 2022 is $12 for single subscriber, $24 for subscriber and spouse/SRDP, $21 for subscriber and children, and $33 for subscriber, spouse/SRDP, and children. The remaining difference in these rates reflects the offset from the employer group rate surcharge to the nonpolitical 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.

Other PEBB employer groups

Full benefits package premiums (nonsurcharge tiered rates)

Calendar year 2022

Premiums are effective January 1, 2022 through December 31, 2022. Premiums reflect how much PEBB will charge the employer. The employer determines what portion of the rates employees pay.

The following table reflects the monthly rates to be paid by employers for the full benefits package (medical/vision, dental, life, AD&D, LTD) during calendar year 2022. Rates differ depending on the medical plan the employee chooses. The rates are the same regardless of the number of children enrolled. If an employee waives PEBB medical coverage, the employer must still pay $159.16 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. 

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

Subscriber

Subscriber and
spouse/SRDP

Subscriber
and children

Subscriber,
spouse/SRDP,
and children

Kaiser Permanente NW1 Classic

$922.39

$1,685.63

$1,494.82

$2,258.06

Kaiser Permanente NW1 Consumer-Directed Health Plan
(with a health savings account)

$798.04

$1,431.37

$1,287.62

$1,862.63

Kaiser Permanente WA Classic

$967.40

$1,775.64

$1,573.58

$2,381.82

Kaiser Permanente WA CDHP (with a health savings account)

$795.55

$1,427.15

$1,283.83

$1,857.10

Kaiser Permanente WA SoundChoice

$813.35

$1,467.53

$1,303.98

$1,958.17

Kaiser Permanente WA Value

$876.05

$1,592.95

$1,413.72

$2,130.62

Uniform Medical Plan (UMP) Classic

$872.84

$1,586.51

$1,408.09

$2,121.77

UMP Select 

$801.89

$1,444.61

$1,283.93

$1,926.66

UMP CDHP (with a health savings account)

$792.85

$1,424.45

$1,281.13

$1,854.40

UMP Plus Puget Sound High Value Network

$841.29

$1,523.42

$1,352.89

$2,035.02

UMP Plus UW Medicine Accountable Care Network

$841.29

$1,523.42

$1,352.89

$2,035.02

PEBB medical waived (employee enrolls or remains enrolled in PEBB dental, 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.

$159.16

$159.16

$159.16

$159.16

1 Kaiser Foundation Health Plan of the Northwest offers plans in Clark and Cowlitz counties in Washington and select counties in Oregon.

Medical-only benefits package premiums (nonsurcharge tiered rates)

Calendar year 2022

The following table reflects the monthly rates to be paid by employers for the medical-only package (medical/vision) during calendar year 2022. The employer determines what portion of these rates employees pay. 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

Subscriber

Subscriber and
spouse/SRDP

Subscriber
and children

Subscriber,
spouse/SRDP,
and children

Kaiser Permanente NW1 Classic

$834.32

$1,597.56

$1,406.75

$2,169.99

Kaiser Permanente NW1 CDHP (with a health savings account)

$709.97

$1,343.30

$1,199.55

$1,774.56

Kaiser Permanente WA Classic

$879.33

$1,687.57

$1,485.51

$2,293.75

Kaiser Permanente WA CDHP (with a health savings account)

$707.48

$1,339.08

$1,195.76

$1,769.03

Kaiser Permanente WA SoundChoice

$725.28

$1,379.46

$1,215.91

$1,870.10

Kaiser Permanente WA Value

$787.98

$1,504.88

$1,325.65

$2,042.55

Uniform Medical Plan (UMP) Classic

$784.77

$1,498.44

$1,320.02

$2,033.70

UMP Select 

$713.82

$1,356.54

$1,195.86

$1,838.59

UMP CDHP (with a health savings account)

$704.78

$1,336.38

$1,193.06

$1,766.33

UMP Plus Puget Sound High Value Network

$753.22

$1,435.35

$1,264.82

$1,946.95

UMP Plus UW Medicine Accountable Care Network

$753.22

$1,435.35

$1,264.82

$1,946.95

1 Kaiser Foundation Health Plan of the Northwest offers plans in Clark and Cowlitz counties in Washington and select counties in Oregon.

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.

 

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 (SRDP)

Contact

Phone: 1-800-700-1555