Denied coverage? You may still be eligible.
Senate bill 5490 was signed into law during the 2023 Legislative session and became effective March 30, 2023. It states that retired or disabled employees who were previously denied PEBB retiree coverage solely for failure to timely notify HCA of their intent to defer may enroll in medical and dental plans if they meet certain eligibility criteria as set forth in the bill.
On this page
Am I eligible?
You may reapply for coverage if you meet all of the following.
- You are receiving a retirement allowance under the Teachers’ Retirement System (TRS), School Employees’ Retirement System (SERS), Public Safety Employees’ Retirement System (PSERS), or the Public Employees’ Retirement System (PERS).
- You have been denied health care coverage solely for failure to timely notify HCA of your plan to defer coverage.
- You have appealed the denial of benefits to HCA on or before December 31, 2022.
- You are Medicare eligible.
Things you must do and their deadlines
- What do I need to do?
Submit the following materials to the PEBB Program:
- Retiree Election Form (form A).
- Any other required forms or documents, based on your situation.
- Your first premium payment.
- By when?
Forms and documentation: No later than November 30, 2023 (the last day of annual open enrollment).
First premium payment: No later than 45 days after your coverage begins. See Paying for benefits for details.
- Where do I submit my materials?
Forms and documentation
Submit your forms using one of the following methods.
Submit your forms through HCA Support. Attach them to a secure message. Be sure to sign them (typed signatures are not allowed).
Note: To keep your personal information secure, you will need to register for a SecureAccess Washington (SAW) account (if you don't already have one) to submit your materials using this method.
Mail forms without payment
Washington State Health Care Authority
PO Box 42684
Olympia, WA 98504-2684
Mail forms with first payment and premium surcharges
If you're sending payment with your forms, enclose your check or money order payable to Health Care Authority and mail to:
Washington State Health Care Authority
PO Box 42691
Olympia, WA 98504-2691
- When does coverage begin?
Coverage is effective the first day of the month following the date you signed the Retiree Election Form (form A). If the signature date is the first day of the month, coverage will be effective the first day of the following month.
What are my medical plan options?
You may enroll only in the following Medicare Advantage or Medicare Supplement medical plans:
- Kaiser Permanente NW Senior Advantage
- Kaiser Permanente WA Medicare Advantage
- Premera Blue Cross Medicare Supplement Plan G
- UnitedHealthcare PEBB Balance or PEBB Complete
You and your dependents cannot enroll in dental only coverage.
- Can I enroll in other PEBB benefits because of this bill?
No. If you meet the eligibility criteria under the bill, you may enroll yourself and your dependents only in medical and dental coverage.
Note: You cannot enroll in dental only.
- Can I enroll my dependents?
Yes. See Are my dependents eligible?
Can my dependents and I enroll in different plans?
Generally you and your dependents must enroll in the same medical plan. However there are exceptions when you have a dependent on your account who is not eligible for Medicare. These are listed in the table below.
If the person enrolled in Medicare enrolls in: The non-Medicare members on your account: Kaiser Permanente NW Will be enrolled in Kaiser Permanente NW Classic Kaiser Permanente WA Medicare Plan Will choose to enroll in Kaiser Permanente WA Classic, SoundChoice, or Value Premera Blue Cross Medicare Supplement Plan G
UnitedHealthcare PEBB Balance
UnitedHealthcare PEBB Complete
Will be enrolled in UMP Classic
- If I am enrolled in SEBB coverage, can I also enroll in PEBB retiree coverage?
Yes. Dual enrollment between PEBB retiree coverage and SEBB coverage is allowed.
If you are enrolled in SEBB coverage and also enroll in PEBB retiree coverage, you will pay monthly premiums under both programs.
- After I enroll in PEBB retiree coverage, may I defer later?
Yes. For more information, see How do I defer?
- How much does PEBB retiree coverage cost?
See the Retiree Monthly Premiums.
- How do I compare my plan options?
Compare PEBB Medicare plans with the Medicare Benefits Comparison or the online benefits comparison tool. Compare PEBB dental plans with the Dental Benefits Comparison.
Phone: 1-800-200-1004, Monday through Friday, 8 a.m. to 4:30 p.m.
Online: Send a secure message or submit your forms using HCA Support.