In the event of a federal government shutdown, individuals enrolled in Apple Health (Medicaid), Public Employees Benefits Board, and School Employees Benefits Board coverage—and those accessing behavioral health services—will not experience a disruption in care. In addition, health care providers will continue to be paid for the services they provide.
If a shutdown occurs, we will share more information at that time.
You must submit your forms (and any supporting documentation) to your payroll or benefits office no later than 31 days of becoming eligible for PEBB benefits. If the forms are not received within this enrollment timeline, we will enroll you as a single subscriber.
Note: Pierce County, Washington State University, and University of Washington employees must enroll through Workday.
Submit one of the following forms, depending on your situation:
To your payroll or benefits office no later than 31 days after you become eligible for benefits.
If your employer offers this coverage, we enroll you when your PEBB benefits begin. Your employer pays for these benefits.Â
Name your beneficiaries so your benefit goes where you expect.Â
To enroll, you must use your MetLife MyBenefits account. Don't have an account? Learn how to create one.Â
For questions about enrollment in life or AD&D insurance, call MetLife at 1-866-548-7139. Evidence of insurability is not required within the 31-day window for the guaranteed issued coverage amounts.
Through the MetLife MyBenefits account, no later than 31 days after you become eligible for PEBB benefits.Â
Note: You may choose to enroll in supplemental life insurance and accidental death and dismemberment (AD&D) insurance at any time during the calendar year. If you apply after your 31-day eligibility period or outside of a special open enrollment event, MetLife must approve your request and evidence of insurability may be required.
If your employer offers this coverage, we enroll you when your PEBB benefits begin. Your employer pays for these benefits.
All employees are automatically enrolled in an employee-paid LTDÂ plan that covers 60 percent of your insured income (up to $16,667) with a 90-day benefit waiting period.
Exception: Employee paid LTD insurance is not available to Port commissioners or seasonal employees who work a recurring, annual season that is less than nine months.Â
Yes. Submit the Long-Term Disability Enrollment/Change form to reduce to a lower-cost 50-percent coverage level or decline the coverage.
Submit the Long-Term Disability Enrollment/Change form at any time to your payroll or benefits office. Note: Pierce County, UW, and WSU employees use Workday to reduce or decline coverage.
If you later decide to enroll in or increase coverage, you will have to provide evidence of insurability and be approved by the insurer. Visit Long-term disability insurance for more information.
State agency and higher-education employees only may enroll in a Flexible Spending Arrangement (FSA) or Dependent Care Assistance Program (DCAP).
Submit the Midyear Enrollment Form to your payroll or benefits office no later than 31 days after you become eligible for PEBB benefits.Â
UW and WSU employees use Workday.
If your employer determines that you are eligible, yes, you are required to enroll. However, you may waive your enrollment in medical coverage if you are enrolled in other employer-based group medical, a TRICARE plan, or Medicare.
Exceptions:Â You may waive enrollment in PEBB medical to enroll in School Employees Benefits Board (SEBB) medical only if you are also enrolled in SEBB dental and vision. By doing so, you waive enrollment in PEBB dental. Visit Waive my coverage.
If you waive enrollment in PEBB medical when you are enrolled in other employer-based group medical, a TRICARE plan, or Medicare, and you are not enrolled in SEBB medical, you may waive enrollment in PEBB dental only if you are enrolled in both SEBB dental and SEBB vision as an eligible dependent in the SEBB Program.Â
Visit waive my coverage.Â
If you do not submit forms to enroll or waive enrollment, you will be enrolled as a single subscriber (no dependents) in the following benefits:
The following also apply:
If you enroll dependents on your PEBB coverage, you must provide proof of their eligibility within the required enrollment timelines or they will not be enrolled. Visit Verify and enroll dependents.
If you or any of your dependents are enrolled in Medicare, or may soon be, learn more about how Medicare and PEBB benefits work together while you're employed.
Medical, dental, basic life, basic AD&D insurance, employer-paid LTD, and employee-paid LTDÂ insurance coverage begins on the first day of the month following the date you become eligible for PEBB benefits (generally the first day of employment). If you become eligible on the first working day of the month, coverage begins on that day.
Medical, dental, basic life, basic AD&D insurance, employer-paid LTD, and employee-paid LTD insurance coverage begins on the first of the month following the beginning of the second consecutive quarter/semester of half-time or more employment (or anticipated half-time or more employment). If the first day of the second consecutive quarter/semester is the first working day of the month, coverage begins on that day.
After you enroll, your health plans will send you an identification (ID) card to show providers when you receive care. If you have questions about your ID card, contact your plan.
The Uniform Dental Plan does not mail ID cards, but you may download one from the Delta Dental website.
Your payroll or benefits office