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Open enrollment (PEBB)

Find information to help you make your benefits decisions for 2021. Open enrollment (OE) is November 1 though 30, 2020.

Important: Forms will not be available on the website until November 1.

2021 benefits and plan changes

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

The PEBB Program's annual 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 to submit on the Dependent verification webpage.
    • Exception: This does not apply to retiree subscribers enrolled in Medicare Part A and Part B or any PEBB Continuation Coverage subscriber, unless enrolling a state-registered domestic partner.
  • Reattest to the spouse or state-registered domestic partner coverage premium surcharge.
  • Enroll or re-enroll in the Medical FSA or DCAP through Navia Benefit Solutions, and choose your election amounts (available only to state agency and higher-education employees).
  • Waive enrollment (employees only) in medical coverage if you have or are enrolling in other employer-based group medical, a TRICARE plan, or Medicare. 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 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 re-enroll in the future.
  • 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: UW employees must use Workday.

Not making plan changes for 2021?

If you do not want to make any changes and your health plans are still available in your county for 2021, you do not need to take any action. However, if you cover a spouse or state-registered domestic partner in 2021, you may need to reattest to the spouse or state-registered domestic partner coverage premium surcharge.

You can make changes to your benefits during the PEBB Program's annual open enrollment, November 1 through 30.

  • Log in to PEBB My Account or Workday (UW employees only). 
  • 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, 2020.

*Forms will be available on November 1, 2020.

Premiums and benefit information

Note: You pay only the employee share of the monthly medical premium. Employees who work for an educational service district, city, tribal government, county, port, water district, hospital, etc., must contact their payroll or benefits office to get their monthly premiums.

There are no employee premiums for dental coverage, basic life, basic accidental death and dismemberment, and basic long-term disability insurance. These benefits are paid for by your employer. You may also buy supplemental LTD insurance for yourself, and supplemental life and supplemental AD&D insurance for yourself and your dependents. 

In most cases, you must live or work in a medical plan’s service area to join the plan. Exception: To enroll in a UMP Plus plan, you must live in one of the counties where it is offered. 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: 

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:

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.

    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. A $25 per-account monthly premium surcharge 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 only be charged a total of $25 in addition to your monthly medical premium.

    $50 spouse or state-registered domestic partner coverage premium surcharge. A $50 monthly premium surcharge if you have a spouse or state-registered domestic partner enrolled on your PEBB medical for 2021, and they have elected not to enroll in their employer-based group medical insurance that is comparable to PEBB’s Uniform Medical Plan (UMP) Classic. If you are not covering a spouse or state-registered domestic partner under your PEBB medical for 2021, this premium surcharge does not apply to you.

    Not making plan changes for 2021? 

    If you cover a spouse or state-registered domestic partner in 2021, 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.

    You can also find out if you are required to reattest using PEBB My Account (UW employees must use Workday). Starting November 1, log in to PEBB My Account, click “My attestations,” and follow the instructions.

    You may need to reattest

    If required, you must reattest by November 30, 2020. 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 state-registered domestic partner coverage premium surcharge in addition to your monthly medical premiums starting January 1, 2021. The $50 premium surcharge will remain in effect for the rest of the 2021 plan year unless you have a qualifying event that allows you to change your attestation.

    Newsletters, benefits fairs, and webinars

    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 the PEBB Program's annual open enrollment and how to make them, and more.

    The Public Employees Benefits Board (PEBB) Program recently mailed the October For Your Benefit newsletter. Since the newsletter was printed, there have been updates. See updates for employees,  retirees, and PEBB Continuation Coverage.  

    No in-person fairs in 2020

    In an effort to keep our members' health and safety a number one priority during the COVID-19 pandemic and follow the state guidelines for large gatherings, we will not offer in-person benefits fairs during open enrollment this year. The PEBB Program will also not offer in-person lobby services for the foreseeable future due to the COVID-19 pandemic. As a result, these services will not be available during open enrollment this year. 

    Virtual benefits fair

    We understand the importance of benefits fairs to our members, which is why we are offering a new way to learn about benefits from the comfort and safety of your home. The virtual benefits fair is available anytime, day or night during open enrollment. 

    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. Use your computer, tablet, or smartphone to explore at your own pace.

    On Wednesday, October 14, we had a Facebook Live. If you missed it, you can watch the recording on YouTube.

    Many of our carriers and vendors are hosting webinars. Check out the schedules.

    Employees only: Supplemental life insurance enrollment opportunity

    The PEBB Program is providing a one-time opportunity during open enrollment to get extra protection by applying for or increasing your supplemental life insurance coverage by answering just five health questions. Learn more on the life insurance webpage.

    Contact

    Employees
    Contact your payroll or benefits office.

    Retirees and PEBB Continuation Coverage subscribers
    Contact the PEBB Program at 1-800-200-1004. (TRS: 711)

    Language assistance services are available free of charge.