Note: Open enrollment (OE) begins November 1, 2018. All 2019 forms will be available on November 1, 2018.
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The October edition of the PEBB Program's For Your Benefit newsletter is your source for updates about your health benefits and open enrollment information. The newsletter includes information about the changes to benefits, what changes you can make during the PEBB Program's annual open enrollment and how to make them, monthly premiums, and more. Read the full issue for:
- State agency and higher-education subscribers
- K-12 and employer group subscribers
- PEBB Continuation Coverage subscribers
During open enrollment you can learn more about your health plan and other insurance options by attending one of the PEBB Program’s benefits fairs. At a fair, you can pick up information and speak with representatives from the health plans, the PEBB Program, Department of Retirement Systems, and other vendors that administer PEBB benefits. Some of the fairs include a presentation about the UMP Plus plan, and the Medical Flexible Spending Arrangement (FSA) and Dependent Care Assistance Program (DCAP).
Navia Benefit Solutions (the Medical Flexible Spending Arrangement and Dependent Care Assistance Program vendor) and the two UMP Plus networks (UMP Plus—Puget Sound High Value Network and UMP Plus—UW Medicine Accountable Care Network) will host webinars to present information and answer questions about their services and benefits.
- Compare public employee medical plans
- Compare retiree medical plans
- Compare continuation coverage medical plans
- Dental benefits comparison 2019 (printable)
- Medical benefits comparison tool (online)
- Medical benefits cost comparison 2019 (printable)
- Medicare plan benefits comparison 2019 (printable)
Summaries of Benefits and Coverage are required under the federal Affordable Care Act to help members understand plan benefits and medical terms. SBCs are not available for Medicare plans. View the SBCs for:
You will be charged the following surcharges in addition to your monthly medical plan premium, if they apply to you.
Medicare retiree subscribers: If you are enrolled in Medicare Part A and Part B, this information does not apply to you. You do not need to attest.
- $25 monthly tobacco use premium surcharge. A monthly $25 premium surcharge per account if you or a dependent (age 13 and older) enrolled on your PEBB medical uses a tobacco product. If more than one person on your account uses a tobacco product, you will still be charges a total of $25.
- $50 monthly spouse or state-registered domestic partner coverage premium surcharge. A monthly $50 premium surcharge if you have a spouse or state-registered domestic partner enrolled on your PEBB medical for 2019, and they have elected not to enroll in their employer-based group medical insurance that is comparable to Uniform Medical Plan (UMP) Classic. If you are not covering a spouse or state-registered domestic partner under your PEBB medical for 2019, this premium surcharge does not apply to you.
Not making plan changes for 2019? If you cover a spouse or state-registered domestic partner in 2019, you may need to reattest to the spouse or state-registered domestic partner coverage premium surcharge. The PEBB Program mails notification letters in late October to those who have to reattest.
If required, you must reattest by November 30, 2018. If you are required to reattest but do not, or if your attestation results in incurring the premium surcharge, you will be charged the monthly $50 spouse or state-registered domestic partner coverage premium surcharge in addition to your monthly premiums starting January 1, 2019. The monthly $50 premium surcharge will remain in effect for the rest of the 2019 plan year unless you have a qualifying event that allows you to change your attestation.
Not making plan changes for 2019? If you do not want to make any health plan changes and they are still available in your county for 2019, you do not need to take any action. However, if you cover a spouse or state-registered domestic partner in 2019, you may need to reattest to the spouse or state-registered domestic partner coverage premium surcharge.
The PEBB Program's annual open enrollment (November 1-30) is your chance to:
- Change medical and dental plans.
- Add or remove a dependent from your PEBB health plan coverage.
Note: If you enroll a dependent, you must provide proof of your dependent's eligibility with your enrollment form, or the dependent will not be enrolled. Check the list of acceptable documents to submit on the Dependent verification webpage.
Exception: This does not apply to retiree subscribers enrolled in Medicare Part A and Part B, unless enrolling a state-registered domestic partner.
- Reattest to the spouse/state-registered domestic partner coverage premium surcharge.
Note: UW employees must use Workday.
- Enroll or re-enroll in the Medical Flexible Spending Arrangement or the Dependent Care Assistance Program through Navia Benefit Solutions, and choose your election amount(s) (available only to state agency and higher-education employees).
Note: UW employees must use Workday.
- Waive enrollment in PEBB medical coverage if you have or are enrolling in other employer-based group medical, a TRICARE plan, or Medicare.
Note: You can waive coverage during the PEBB Program's annual open enrollment or due to a special open enrollment event. You cannot waive PEBB employee medical for PEBB retiree medical.
- Enroll in employee medical coverage if you previously waived PEBB medical for other employer-based group medical, a TRICARE plan, or Medicare.
- Defer your PEBB retiree insurance coverage due to other qualifying coverage. You must maintain continuous coverage in other qualified coverage to re-enroll in the future.
- Enroll in PEBB retiree insurance coverage if you previously deferred your enrollment. When you enroll after deferral, you must provide proof of continuous enrollment in other qualified coverage from the date of deferral (including start and end dates).
Ready to make changes?
Note: All 2019 forms will be available November 1, 2018.
Log in to My Account during the PEBB Program's annual open enrollment (November 1-30) to:
- Change your medical or dental plan.
Note: Forms may be required to change plans or add dependents.
- Waive PEBB medical coverage if you are an employee. You cannot waive for PEBB retiree medical coverage.
- Reattest to the spouse or state-registered domestic partner coverage premium surcharge.
Changes made though My Account must be completed by midnight on November 30, 2018. The PEBB Program must receive your completed forms by November 30.
Exception: UW employee must use Workday to make changes by midnight on November 30, 2018.
Retirees and continuation coverage subscribers: You cannot use My Account to add or remove a dependent, enroll in or terminate enrollment in a Medicare Advantage plan, enroll in Premera Blue Cross Medicare Supplement Plan F, or defer or terminate your coverage. My Account will direct you to the appropriate form(s) when you try to make these changes.
Language assistance services, including interpreters and translation of printed materials, are available free of charge.
Employees: Contact your employer’s personnel, payroll, or benefits office directly.
Retirees and continuation coverage subscribers only: Contact the PEBB Program at 1-800-200-1004. (TRS: 711).