Medical plan premiums

Notice for employees of school districts and employer groups

Nonrepresented educational service district employees and employees who work for a city, county, port, water district, hospital, etc., need to contact their personnel, payroll, or benefits office to find their monthly premiums.

Medical plan premiums

Employee monthly premiums

Before you enroll

1. Make sure you live in the plan's service area.
2. Contact the plan or check the plan's provider directory to make sure your providers are in the plan's network.

Surcharges in addition to medical plan premiums

You will pay the following surcharges in addition to your medical plan premium if they apply to you.

• A monthly $25-per-account surcharge will apply if you or any dependent enrolled in PEBB medical coverage uses tobacco products.
• A monthly $50 surcharge will apply if you enroll your spouse or state-registered domestic partner in PEBB medical coverage and your spouse or domestic partner has chosen not to enroll in other employer-based group medical insurance that is comparable to Uniform Medical Plan (UMP) Classic.

For more details, visit Surcharges.

Premiums for other benefits

There are no employee premiums for dental, basic life and AD&D insurance, and basic long-term disability benefits.