Waive my medical coverage

You can waive your enrollment in PEBB medical coverage if you are enrolled in other employer-based group medical insurance, a TRICARE plan, or Medicare. You may not waive enrollment in PEBB medical coverage if you are enrolled in PEBB retiree insurance coverage.

Important!

If you waive enrollment in medical coverage, you must still enroll in dental. Specific situations also allow for you to waive your enrollment in PEBB dental. Also, you will be automatically enrolled in basic life, basic accidental death and dismemberment (AD&D), employer-paid long-term disability (LTD), and employee-paid (LTD) insurance (unless you decline it). If you do nothing, you will be automatically enrolled. Learn more about how to enroll for newly eligible employees.  

How do I waive coverage?

Use Benefits 24/7 or submit the PEBB Employee Enrollment/Change form to your payroll or benefits office:

By when?

  • Newly eligible: No later than 31 days after the date you become eligible for PEBB benefits.
  • Annual open enrollment: No later than the last day of annual open enrollment.
  • Special open enrollment: No later than 60 days after the life event. What's a special open enrollment?

What happens if I waive?

  • You cannot enroll your eligible dependents in PEBB medical coverage, but you can enroll them in PEBB dental coverage.
  • The premium surcharges will not apply to you.
  • You can participate in the SmartHealth wellness program, but you cannot qualify for the wellness incentive.
  • If your employer offers these benefits, you will be automatically enrolled in dental, basic life insurance, basic accidental death and dismemberment (AD&D) insurance, employer-paid long-term disability (LTD) insurance, and employee-paid LTD (unless you decline it). 
  • You can enroll in supplemental life insurance, supplemental AD&D insurance, a Flexible Spending Arrangement (FSA) and Dependent Care Assistance Program (DCAP).

Can I waive PEBB and enroll in SEBB?

You may waive your 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. If you waive enrollment in PEBB medical when you are enrolled in another employer-based group medical insurance, a TRICARE plan, or Medicare, and you are not enrolled in SEBB medical, you may waive enrollment in PEBB dental only if you enroll in both SEBB dental and SEBB vision as an eligible dependent in the SEBB program.

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 if you are enrolled in both SEBB dental and vision as an eligible dependent in the SEBB Program. 

What if I am a retiree who is rehired and enrolled in PEBB retiree insurance coverage?

You cannot waive your enrollment in PEBB employee medical to stay enrolled in PEBB retiree insurance coverage, even if you are enrolled in Medicare. Your PEBB retiree insurance coverage will automatically be deferred if you become eligible for PEBB benefits as an employee. 

How do I enroll after waiving coverage?

If you waived enrollment, you can enroll during open enrollment or if you have a life event that creates a special open enrollment.

Your payroll or benefits office must receive your enrollment request in Benefits 24/7 or your PEBB Employee Enrollment/Change form before the end of the annual open enrollment or no later than 60 days after a special open enrollment event.