Individuals enrolled in Apple Health (Medicaid), Public Employees Benefits Board, and School Employees Benefits Board coverage - and those accessing behavioral health services - will not experience a disruption in care due to the federal government shutdown. In addition, health care providers will continue to be paid for the services they provide. We will continue to monitor the situation closely and share updates if anything changes.
See the updates on Benefits 24/7 stabilization efforts.
Find rate letters and information for the Public Employees Benefits Board (PEBB) Program from the last five years. To request this information beyond the past five years, contact Outreach and Training (O&T) through HCA Support.
Most PEBB Program rates are updated on an annual basis. O&T will notify benefits administrators via a GovDelivery email message when new rates become available. Subscribe to receive O&T notices to ensure that you receive these notices and other important updates related to the administration of PEBB benefits.
School district and ESD board member coverage options changed in 2024
As of January 1, 2024, school districts and educational service districts (ESDs) no longer contract with the Health Care Authority to provide Public Employees Benefits Board (PEBB) benefits for board members interested in participation. Board members have the option to individually enroll through the SEBB Program in SEBB medical, dental, and vision coverage. Interested board members should be directed to contact customer service at 1-800-200-1004. Learn more about this change.
This section is applicable to employees of state agencies and higher education institutions.
The rates in the table below are provided each year to assist employers with calculating the Employer's Payment for Health Care Benefits (previously known as Cockle rates). When an employee qualifies for time-loss compensation, the employer must provide the employee’s compensation information, which includes the Employer's Payment for Health Care Benefits, to L&I to determine the employee's total claim benefit.
As of January 1, 2020, the Employer's Payment for Health Care Benefits is determined by the tier the employee (subscriber) is enrolled in. Review the examples of how to calculate the payment amount using the current rates listed in the table below.
|
Date |
Employer paid benefits |
Subscriber tier |
Subscriber and spouse tier |
Subscriber and children tier |
Subscriber, spouse, and children tier |
|---|---|---|---|---|---|
| 1/1/2026 to 12/31/2026 | Medical | $820.00 | $1,640.00 | $1,435.00 | $2,255.00 |
| 1/1/2026 to 12/31/2026 | Dental | $52.45 | $104.90 | $104.90 | $157.35 |
| 1/1/2026 to 12/31/2026 | Vision | $8.30 | $16.60 | $14.53 | $22.83 |
| 1/1/2025 to 12/31/2025 | Medical | $759.00 | $1,518.00 | $1,328.25 | $2,087.25 |
| 1/1/2025 to 12/31/2025 | Dental | $52.23 | $104.46 | $104.46 | $156.69 |
| 1/1/2025 to 12/31/2025 | Vision | $8.30 | $16.60 | $14.53 | $22.83 |
| 1/1/2024 to 12/31/2024 | Medical | $702.00 | $1,404.00 | $1,228.50 | $1,930.50 |
| 1/1/2024 to 12/31/2024 | Dental | $48.92 | $97.84 | $97.84 | $146.76 |
| 1/1/2023 to 12/31/2023 | Medical | $665.00 | $1,320.00 | $1,163.75 | $1,818.75 |
| 1/1/2023 to 12/31/2023 | Dental | $48.56 | $97.12 | $97.12 | $145.68 |
| 1/1/2022 to 12/31/2022 | Medical | $604.00 | $1,198.00 | $1,057.00 | $1,651.00 |
| 1/1/2022 to 12/31/2022 | Dental | $48.64 | $97.28 | $97.28 | $145.92 |
| 1/1/2021 to 12/31/2021 | Medical | $581.00 | $1,152.00 | $1,016.75 | $1,587.75 |
| 1/1/2021 to 12/31/2021 | Dental | $48.00 | $96.00 | $96.00 | $144.00 |
| 1/1/2020 to 12/31/2020 | Medical | $571.00 | $1,132.00 | $999.25 | $1,560.25 |
| 1/1/2020 to 12/31/2020 | Dental | $47.01 | $94.02 | $94.02 | $141.03 |
Beginning January 1, 2024, school districts and educational service districts (ESDs) will no longer contract with the Health Care Authority to provide Public Employees Benefits Board (PEBB) benefits for board members interested in participation.
The rates below apply to PEBB participating employer groups, which includes counties, municipalities, other political subdivisions, and Tribal governments. These employer groups are subject to the "employer group rate surcharge".
| Composite rates | Tiered rates |
|---|---|
2026
2025
2024
2023
2022
2021
|
202620252024202320222021 |
The rates below apply to "other employer groups", which include and are limited to the WA State Health Benefit Exchange, Department of Services for the Blind, and organizations representing state civil service employees. These employer groups are not subject to the "employer group rate surcharge".
| Composite rates | Tiered rates |
|---|---|
2026
2025
2024
2023
2022
2021
|
202620252024202320222021 |
Tax issues related to nontax qualified dependent insurance
You can now find this information on the ACA and tax-related reporting webpage.