How do I enroll after deferring?

The process to enroll in a PEBB retiree plan after deferring is much the same as enrolling as a new retiree (or survivor), except you must include proof that you had continuous qualified medical coverage during your deferral period.

Looking to defer? Visit How do I defer?

Before you begin: proof of continuous coverage

When you apply for enrollment after your deferral, you must provide proof that you were continuously enrolled in one or more qualifying medical coverages, including the start and end dates for each coverage. You will need proof of coverage for each qualified coverage while you are in a deferred status.

You can have a gap of 31 days or less:

  • Between the date you defer enrollment in your PEBB retiree insurance coverage and the start date of qualified coverage, and
  • Between each period of enrollment in qualified coverage.

If you or a dependent are eligible for Medicare, the eligible person must enroll and stay enrolled in Medicare Part A and Part B. 

When can I enroll?

There are two opportunities for you to enroll in a PEBB retiree health plan after you defer:

Find and submit your forms

The forms are labeled with letters in the upper right corner to help you identify them. You will often need to submit more than one form. 

To enroll in a PEBB retiree health plan after you defer, you may need one or more of these retiree forms: 

  • Form A – For enrolling when your other qualified medical coverage ends
  • Form B – For enrolling in Premera Blue Cross Medicare Supplement Plan G
  • Form C – For enrolling in a Medicare Advantage plan
  • Form A-OE – For enrolling during annual open enrollment. (This form is available during open enrollment, starting November 1.)
I need Form A to enroll in...

To enroll in any of the following medical plans:

  • Kaiser Permanente NW: Classic or Consumer-Directed Health Plan (CDHP)
  • Kaiser Permanente WA: Classic, CDHP, Original Medicare, SoundChoice, or Value
  • Uniform Medical Plan (UMP): Classic, Select, or CDHP
  • UMP Plus–Puget Sound High-Value Network (PSHVN) or UMP Plus–UW Medicine Accountable Care Network (ACN)

Submit these forms and documentation:

  • Retiree Election Form (form A)
  • Proof of continuous enrollment in one or more qualifying coverages
  • Any other required forms or documents listed on Form A, based on your situation

By when?

No later than 60 days after the date your other qualifying medical coverage ends.

When will coverage begin?

Coverage will begin the first day of the month after your other qualifying medical coverage ends.

I need both Forms A and C to enroll in...

To enroll in any of the following medical plans:

  • Kaiser Permanente NW Senior Advantage
  • Kaiser Permanente WA Medicare Advantage
  • UnitedHealthcare: PEBB Balance or PEBB Complete

Submit these forms and documentation:

By when?

If you choose a Medicare Advantage plan, we must receive your Form A and the PEBB Medicare Advantage Plan Election Form (form C):

No later than the last day of the month before the month your other qualifying medical coverage ends. 

Otherwise, you may not select a Medicare Advantage plan until the next annual open enrollment or a special open enrollment.

When will coverage begin?

Coverage will begin the first day of the month after your other qualifying medical coverage ends.

I need both Forms A and B to enroll in...

To enroll in the following medical plan:

  • For Premera Blue Cross Medicare Supplement Plan G

Submit these forms and documentation:

By when?

No later than 60 days after the date your other qualifying medical coverage ends.

When will coverage begin?

Coverage will begin the first day of the month after your other qualifying medical coverage ends.

I need Form A-OE to enroll...

During annual open enrollment.

  • Submit the Retiree Open Enrollment Election/Change Form (form A-OE) to the PEBB Program.
  • Submit proof of continuous enrollment in one or more qualifying coverages.
  • Submit any other required forms or documents listed on Form A-OE, based on your situation.

By when?

No later than the last day of open enrollment.

When will coverage begin?

January 1 of the next year.

Do I have to pay premiums?

Yes. Although you have 60 days to enroll, you must pay your first monthly premiums and applicable premium surcharges no later than 45 days after your 60-day enrollment window ends. Premiums are due back to when your other qualifying medical coverage ended.

We cannot enroll you in coverage until we receive your first payment.

Can I enroll after deferring coverage for Medicare and Medicaid?

Yes. If you deferred while enrolled in Medicare Part A and Part B and a Medicaid program that provides creditable coverage, you may enroll in a PEBB retiree health plan:

No later than the end of the calendar year in which your Medicaid coverage ends or during the PEBB Program's annual open enrollment.

Supporting information

What is qualified medical coverage?

Qualified medical coverage is enrollment in other insurance, for example, through your spouse or state-registered domestic partner, or military affiliation. This may include:

  • Enrollment as a dependent in a Washington State educational service district-sponsored, PEBB-sponsored, or SEBB-sponsored health plan
  • Employer-based group medical
  • Federal retiree medical plan such as a TRICARE plan or Federal Employees Health Benefits Program
  • Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)
  • Medicare Part A and Part B and a Medicaid program that provides creditable coverage
  • Enrollment in health benefit exchange coverage that is not Medicaid, for retirees not enrolled in Medicare Part A and Part B

Related laws and rules

For employees

WAC 182-12-200: May a retiring employee, a retiring school employee, or a retiree enrolled as a dependent in a health plan sponsored by public employees benefits board (PEBB), a Washington state educational service district, or school employees benefits board (SEBB) defer enrollment under PEBB retiree insurance coverage?

For retirees and survivors

WAC 182-12-205: May a retiree or a survivor defer enrollment or voluntarily terminate enrollment under public employees benefits board (PEBB) retiree insurance coverage?

Contact

The PEBB Program
Phone: 1-800-200-1004
TRS: 711
Hours: 8 a.m. to 4:30 p.m., Monday through Friday

HCA Support (secure, login portal with your personal account)
Send us a secure message through HCA Support, a secure website that allows you to log into your own account to communicate with us. You will need to set up a SecureAccess Washington (SAW) account to use this option.