PEBB Program rates

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.

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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.

State agency and higher education institution rates

State agencies, four-year higher education institutions, community and technical colleges and commodity commissions

2025 

2024

2023

2022

2021

2020

Employer's Payment for Health Care Benefits

This section is applicable to employees of state agencies and higher education institutions.

Rates to calculate the Employer's Payment for Health Care Benefits

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
1/1/2025 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

Participating employer group rates

Educational service districts and K-12 school districts

WA School Information Processing Cooperative (WSIPC)

2025

2024

Board members

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.

Educational service and school districts with board members enrolled in PEBB benefits prior to 2024

2023

2022

2021

2020

Counties, municipalities, other political subdivisions and Tribal governments

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

2025

2024

2023

2022

2021

2020

2025

2024

2023

2022

2021

2020
Other PEBB employer groups

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

2025

2024

2023

2022

2021

2020

2025

2024

2023

2022

2021

2020

Related tools and information

Breakdown of tiered rates

2025

2024

2023

2022

2021

Tax issues related to nontax qualified dependent insurance

You can now find this information on the ACA and tax-related reporting webpage.