Employer group monthly premiums

Counties, municipalities, political subdivisions, and tribal government

Full benefits package premiums

January 1 through December 31, 2024

Premiums are effective January 1 through December 31, 2024. The rates reflect how much PEBB will charge the employer. The employer determines what portion of the rates employees pay.

The following table reflects the monthly rates to be paid by employers for the full benefits package (medical/vision, dental, life, AD&D, LTD) during calendar year 2024. Rates differ depending on the medical plan the employee chooses. The rates that include children do not vary based on the number of children enrolled. If an employee waives PEBB medical coverage, the employer must still pay $157.10 each month to the PEBB Program, and the employee must enroll in PEBB basic life, basic AD&D, and employer-paid LTD insurance. Eligible employees will also be automatically enrolled in employee-paid LTD insurance, unless they decline this coverage. Employees may waive PEBB dental insurance only if they are enrolled in School Employees Benefits Board (SEBB) medical, dental, and vision insurance.

Plan	Subscriber	Subscriber and spouse/SRDP	Subscriber and children	Subscriber, spouse/SRDP, and children
Kaiser Permanente NW Classic	$1,202.32	$2,247.54	$1,986.24	$3,031.46
Kaiser Permanente NW CDHP	$1,070.86	$1,983.26	$1,769.74	$2,623.81
Kaiser Permanente WA Classic	$1,096.70	$2,036.30	$1,801.40	$2,741.00
Kaiser Permanente WA CDHP	$902.12	$1,645.77	$1,474.44	$2,159.77
Kaiser Permanente WA SoundChoice	$940.55	$1,724.01	$1,528.14	$2,311.59
Kaiser Permanente WA Value	$1,082.51	$2,007.91	$1,776.56	$2,701.97
Uniform Medical Plan (UMP) Classic	$994.82	$1,832.54	$1,623.11	$2,460.83
UMP Select	929.75	$1,702.41	$1,509.24	$2,281.90
UMP CDHP	$910.93	$1,663.40	$1,489.87	$2,184.01
UMP Plus–Puget Sound High Value Network	$979.64	$1,802.18	$1,596.55	$2,419.09
UMP Plus–UW Medicine Accountable Care Network	$979.64	$1,802.18	$1,596.55	$2,419.09
Medical waived	$157.10	$157.10	$157.10	$157.10

Note: In most cases, you must live in a medical plan’s service area to join the plan. See plan service areas by county.

These rates include the employer group rate surcharge authorized by RCW 41.05.050(2) (as amended by SB6475 [2016]), which is $12 for single subscriber, $24 for subscriber and spouse/state-registered domestic partner (SRDP), $21 for subscriber and children, and $33 for subscriber, spouse/SRDP, and children. The remaining difference in these rates reflects the offset from the employer group rate surcharge to the nonpolitical subdivision rates.

Medical-only benefits package premiums

Employer group rate surcharge

Beginning January 1, 2017, all participating counties, municipalities, political subdivisions and tribal governments will incur an employer group rate surcharge that will be applied to the monthly rate for each employee enrolling in a medical plan. The monthly employer group rate surcharge is based on the plan tier in which the employee enrolls.

January 1 through December 31, 2024

The following table reflects the monthly rates to be paid by employers for the medical-only package (medical/vision) during calendar year 2024. The employer determines what portion of these rates employees pay. The rates are the same regardless of the number of children enrolled. If an employee waives medical coverage, the employer pays nothing for that employee.

Plan	Subscriber	Subscriber and spouse/SRDP	Subscriber and children	Subscriber, spouse/SRDP, and children
Kaiser Permanente NW Classic	$1,115.23	$2,160.45	$1,899.15	$2,944.37
Kaiser Permanente NW CDHP	$983.77	$1,896.17	$1,682.65	$2536.72
Kaiser Permanente WA Classic	$1,009.61	$1,949.21	$1,714.31	$2,653.91
Kaiser Permanente WA CDHP	$815.03	$1,558.68	$1,387.35	$2,072.68
Kaiser Permanente WA SoundChoice	$853.46	$1,636.92	$1,441.05	$2,224.50
Kaiser Permanente WA Value	995.42	$1,920.82	$1,689.47	$2,614.88
Uniform Medical Plan (UMP) Classic	$907.73	$1,745.45	$1,536.02	$2,373.74
UMP Select	$842.66	$1,615.32	$1,422.15	$2,194.81
UMP CDHP	$823.84	$1,576.31	$1,402.78	$2,096.92
UMP Plus–Puget Sound High Value Network	$892.55	$1,715.09	$1,509.46	$2,332.00
UMP Plus–UW Medicine Accountable Care Network	$892.55	$1,715.09	$1,509.46	$2,332.00

These rates include the employer group rate surcharge authorized by RCW 41.05.050(2) (as amended by SB6475 [2016]), which for is $12 for single subscriber, $24 for subscriber and spouse/SRDP, $21 for subscriber and children, and $33 for subscriber, spouse/SRDP, and children. The remaining difference in these rates reflects the offset from the employer group rate surcharge to the nonpolitical subdivision rates.

Other PEBB employer groups

Full benefits package premiums (nonsurcharge tiered rates)

January 1 through December 31, 2024

Premiums are effective January 1 through December 31, 2024. Premiums reflect how much PEBB will charge the employer. The employer determines what portion of the rates employees pay.

The following table reflects the monthly rates to be paid by employers for the full benefits package (medical/vision, dental, life, AD&D, LTD) during calendar year 2024. Rates differ depending on the medical plan the employee chooses. The rates are the same regardless of the number of children enrolled. If an employee waives PEBB medical coverage, the employer must still pay $157.10 each month to the PEBB Program, and the employee must enroll in PEBB basic life, basic AD&D, and employer-paid LTD insurance. Eligible employees will also be automatically enrolled in employee-paid LTD insurance, unless they decline this coverage. Employees may waive PEBB dental insurance only if they are enrolled in School Employees Benefits Board (SEBB) medical, dental, and vision insurance.

Note: In most cases, you must live in a medical plan’s service area to join the plan. See plan service areas by county.

Plan	Subscriber	Subscriber and spouse/SRDP	Subscriber and children	Subscriber, spouse/SRDP, and children
Kaiser Permanente NW Classic	$1,190.32	$2,223.54	$1,965.24	$2,998.46
Kaiser Permanente NW CDHP	$1,058.86	$1,959.26	$1,748.74	$2,590.81
Kaiser Permanente WA Classic	$1,084.70	$2,012.30	$1,780.40	$2,708.00
Kaiser Permanente WA CDHP	$890.12	$1,621.77	$1,453.44	$2,126.77
Kaiser Permanente WA SoundChoice	$928.55	$1,700.01	$1,507.14	$2,278.59
Kaiser Permanente WA Value	$1,070.51	$1,983.91	$1,755.56	$2,668.97
Uniform Medical Plan (UMP) Classic	$982.82	$1,808.54	$1,602.11	$2,427.83
UMP Select	$917.75	$1,678.41	$1,488.24	$2,48.90
UMP CDHP	$898.93	$1,639.40	$1,468.87	$2,151.01
UMP Plus–Puget Sound High Value Network	$967.64	$1,778.18	$1,575.55	$2,386.09
UMP Plus–UW Medicine Accountable Care Network	$967.64	$1,778.18	$1,575.55	$2,386.09
Medical waived	$157.10	$157.10	$157.10	$157.10

Medical-only benefits package premiums (nonsurcharge tiered rates)

January 1 through December 31, 2024

The following table reflects the monthly rates to be paid by employers for the medical-only package (medical/vision) during calendar year 2024. The employer determines what portion of these rates employees pay. The rates are the same regardless of the number of children enrolled. If an employee waives medical coverage, the employer pays nothing for that employee.

Plan	Subscriber	Subscriber and spouse/SRDP	Subscriber and children	Subscriber, spouse/SRDP, and children
Kaiser Permanente NW Classic	$1,103.23	$2,136.45	$1,878.15	$2,911.37
Kaiser Permanente NW CDHP	$971.77	$1,872.17	$1,661.65	$2,503.72
Kaiser Permanente WA Classic	$977.61	$1,925.21	$1,693.31	$2,620.91
Kaiser Permanente WA CDHP	$803.03	$1,534.68	$1,366.35	$2,039.68
Kaiser Permanente WA SoundChoice	$841.46	$1,612.92	$1,420.05	$2,191.50
Kaiser Permanente WA Value	$983.42	$1,896.82	$1,668.47	$2,581.88
Uniform Medical Plan (UMP) Classic	$895.73	$1,721.45	$1,515.02	$2,340.74
UMP Select	$830.66	$1,591.32	$1,401.15	$2,161.81
UMP CDHP	$811.84	$1,552.31	$1,381.78	$2,063.92
UMP Plus–Puget Sound High Value Network	$880.55	$1,691.09	$1,488.46	$2,299.00
UMP Plus–UW Medicine Accountable Care Network	$880.55	$1,691.09	$1,488.46	$2,299.00

Monthly billing

The PEBB Program bills employer groups monthly. You will get an invoice around the 26 of each month before the month of coverage. Payment in-full is due by the 20of the month of coverage. For example, you will get an invoice around May 26 for June coverage. Payment in-full for June coverage is due by June 20.

Surcharges in addition to medical plan premiums

Employees may have to pay monthly surcharges in addition to the medical plan premium.

¹ State-registered domestic partner (SRDP)