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Not participating in a Washington State-sponsored retirement plan

These actions apply if you are not participating in, or retiring, under a Washington State-sponsored retirement plan.

If you are enrolling in or deferring PEBB retiree insurance coverage:

Timeframe

Action to take if you are enrolling in coverage: Action to take if you are deferring coverage:

6 months prior to retirement

Contact your employer to determine if you meet the  eligibility requirements to enroll in PEBB retiree insurance coverage as defined in WAC 182-12-171.

Contact your employer to determine if you meet the eligibility requirements to enroll in PEBB retiree insurance coverage as defined in WAC 182-12-171.

3 months prior to your 65th birthday or terminating employment at age 65 or older

Contact the Social Security Administration (SSA) to enroll in Medicare Part A and Part B if you or any dependents you wish to cover are eligible for Medicare, due to either age or disability. Make sure you understand the Initial Enrollment Period (IEP) and Special Enrollment Period (SEP) for Medicare and how these timelines affect the start date of Medicare.

 
3 months prior to retirement Request a Retiree Enrollment Guide. Request a Retiree Enrollment Guide.
30-60 days prior ​to retirement

Send the PEBB Program:

  • Retiree Election Form (form A) and any other required forms.
  • A copy of your Medicare ID card showing enrollment in Medicare Part A and Part B (if eligible). Write your full name and the last four digits of your Social Security number on the copy of your card. If you wish to enroll dependents who are enrolled in Medicare, include a copy of their Medicare ID card.
  • Payment for your first month’s health coverage premium (if not using pension deduction).

The PEBB Program must receive the form no later than 60 days after employer-paid coverage, COBRA coverage or continuation coverage ends. If enrolling in a Medicare plan, the PEBB Program should receive the forms prior to the month the retiree insurance coverage begins. You may want to keep a copy of your forms for your files.

  • Send your Retiree Election Form (form A) to the PEBB Program. The form must be received by the PEBB Program  no later than 60 days after your employer-paid coverage, COBRA coverage or continuation coverage ends.  You may want to keep a copy of your form for your files.
  • You must be enrolled in other qualified insurance to reenroll in the future.

Contact

The PEBB Program

Department of Retirement Systems (DRS)
Online
360-664-7000
Toll-free: 1-800-547-6657