Open enrollment (PEBB)

Find information to help you make your benefits decisions for 2023. Open enrollment (OE) is November 1 through 30, 2022.  Enrollments, changes, and premiums are effective January 1, 2023. 

Ready to make changes? Use PEBB My Account or find forms for employees, retirees, and PEBB Continuation Coverage subscribers. 

Pierce County, Washington State University, and University of Washington employees use Workday.

Retirees: Submit Form A-OE. Need help filling out Form A-OE? Use the tutorial.

About benefits and plan changes

Explore what's changed, find information about changes specific to you, and learn what changes you can make and how to make them.

Where do I find changes that affect me?

Plan and benefits changes differ depending on your benefits group. Learn about all the changes for your group.

What changes can I make?

Open enrollment is your chance to:

  • Change medical and dental plans.
  • Add or remove a dependent from your health plan coverage. If you enroll a dependent, you must provide proof of your dependent's eligibility with your enrollment form before your dependent can be enrolled on your account. Check the list of acceptable documents.
  • Reattest to the spouse or state-registered domestic partner coverage premium surcharge. Note: This does not apply to subscribers enrolled in Medicare Part A and Part B.
  • Enroll in a Medical FSA, Limited Purpose FSA, or DCAP through Navia Benefit Solutions, and choose your election amounts (available only to state agency and higher-education employees). You must enroll again in these benefits every year you want to participate.
  • Waive enrollment (employees only) in medical coverage if you have or are enrolling in other employer-based group medical coverage, a TRICARE plan, or Medicare. You cannot waive PEBB employee medical for PEBB retiree medical. You can only waive PEBB dental coverage if you enroll in SEBB medical, dental, and vision coverage, and in specific situations.
  • Enroll in employee medical coverage if you previously waived medical for other employer-based group medical, a TRICARE plan, or Medicare.
  • Defer your retiree insurance coverage due to other qualifying coverage. You must maintain continuous coverage in other qualified coverage to reenroll in the future. A gap of 31 days is allowed between coverages.
  • Enroll in 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.

Note: Pierce County, Washington State University, and University of Washington employees must use Workday.

Not making plan changes for 2023?

If you do not want to make any changes and your health plans are still available in your county for 2023, you do not need to take any action.

However, if you cover a spouse or state-registered domestic partner in 2023, you may need to reattest to the spouse or state-registered domestic partner coverage premium surcharge. You will receive a letter if you need to reattest.

If you have an FSA or DCAP, you will need to enroll again each year you want these benefits.

How do I make changes?

You can make changes to your benefits during open enrollment. Find forms for employees, retirees, and PEBB Continuation Coverage subscribers. Retirees: Submit Form A-OE. Need help filling out Form A-OE? Use the tutorial.

Note: Pierce County, Washington State University, and University of Washington employees use Workday.

  • If a form is required, PEBB My Account will direct you to the appropriate form.
    • For employees: Your payroll or benefits office must receive your forms by November 30.
    • For retirees and PEBB Continuation Coverage subscribers: The PEBB Program must receive your forms by November 30.

Changes made though PEBB My Account or Workday must be completed by midnight on November 30, 2022.

Benefits changes

Important changes to your benefits are below.

FSA funds may carry over to 2023

If you are enrolled in an FSA for 2022, unused funds up to $570 may carry over to 2023. FSA expenses must be incurred by December 31, 2022. You must submit all claims to Navia Benefit Solutions for reimbursement by March 31, 2023. Any unclaimed amount over $570 will be forfeited to the Health Care Authority. Unless you enroll in an FSA for 2023, any unused funds less than $120 will be forfeited.

Enrollment in PEBB and SEBB

You can no longer enroll in health plans under both the PEBB Program and School Employees Benefits Board (SEBB) Program as an employee or as a dependent. You may waive your enrollment in PEBB medical to enroll in SEBB medical only if you are also enrolled in SEBB dental and vision. In doing so, you waive your enrollment in PEBB dental. You can only waive PEBB dental coverage if you enroll in SEBB medical, dental, and vision coverage, and in specific situations.

If you do not take action to resolve the dual enrollment, the PEBB and SEBB Programs will enroll or disenroll you and your enrolled dependents as described in WAC 182-12-123(6).

Premiums

Employees

You will pay a premium for medical coverage. There are no employee premiums for dental, basic life, basic accidental death and dismemberment (AD&D), and employer-paid long-term disability (LTD) insurance. These benefits are paid for by your employer. If you choose to keep your employee-paid LTD insurance, you will pay that premium. You may also buy supplemental life and supplemental AD&D insurance for yourself and your dependents.

Employees who work for an educational service district, city, county, port, tribal government, water district, hospital, etc., need to contact their payroll or benefits office to find their monthly premiums.

Retirees
Continuation coverage subscribers

Benefit information

Compare plans, find plans and providers near you, and learn about premium surcharges.

Compare plans
What medical plans are available to me?

In most cases, you must live or work in a medical plan's service area to join the plan. Exceptions: To enroll in a UMP Plus plan, you must live in one of the counties where it is offered. To enroll in a Kaiser Permanente plan, you must live or work in the service area at least 50 percent of the time; your residential address or employer's address must be in Kaiser Permanente's service area.

Be sure to call the plans you are interested in to ask about provider availability in your county. If you move out of your plan's service area, you may need to change plans. You must report your new address to your payroll or benefits office (employees) or the PEBB Program (retirees and PEBB Continuation Coverage subscribers) no later than 60 days after your move. View plans available to:

Summary of Benefits and Coverage (SBC)

Summaries of Benefits and Coverage (SBCs) 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:

Find providers

Check the plans' provider portals to check if your current providers are in the plans' networks. You can also call the plan's customer service to ask about a provider's network status.

Premium surcharges

You will be charged the following premium surcharges in addition to your monthly medical plan premium, if they apply to you or if you do not attest as required per PEBB Program rules.

Medicare retiree and PEBB Continuation Coverage (COBRA) subscribers: If you (the subscriber) are enrolled in Medicare Part A and Part B, the premium surcharges do not apply to you. You do not need to attest.

  • $25 tobacco use premium surcharge. You may not need to reattest to the tobacco use premium surcharge during open enrollment. You reattest to this surcharge only if you (or a dependent age 13 or older enrolled in medical coverage) has a change in tobacco use status..
  • $50 spouse or state-registered domestic partner coverage premium surcharge. You may need to reattest. If required, you must reattest to the spouse or SRDP coverage premium surcharge by November 30, 2022. If you are required to reattest but do not, or if your attestation results in incurring the premium surcharge, you will be charged the $50 spouse or SRDP coverage premium surcharge in addition to your monthly medical premium starting January 1, 2023. The $50 premium surcharge will remain in effect for the rest of 2023 unless you have a qualifying event that allows you to change your attestation.

Benefits fairs, newsletters, and webinars

Need more information to help you make a decision? We offer a number of ways to learn more.

Virtual benefits fairs

Visit and explore to learn more about all the benefits available. You will find links to videos, plan comparisons, webinars, and other information to help you choose the right benefits for you and your dependents. 

Webinars

Many of our medical plan carriers are hosting webinars. Check out the schedules.

For Your Benefit newsletter

The October edition of the PEBB Program's For Your Benefit newsletter is your source for open enrollment information, including changes to your health benefits. The newsletter includes monthly premiums, changes you can make during annual open enrollment and how to make them, and more. Read the edition for:

Contact

If you have questions about open enrollment or language assistance services (available free of charge): 

Employees
Contact your payroll or benefits office.

Retirees and PEBB Continuation Coverage subscribers
Call the PEBB Program at 1-800-200-1004 (TRS: 711) or send us a secure message