Cancel your coverage

Find out how to cancel your COBRA or Continuation Coverage (LWOP).

Cancel COBRA/Continuation Coverage

If you would like to cancel coverage before the end of the maximum coverage period:

Submit a signed written request to:
Health Care Authority
PEBB Program
PO Box 42684
Olympia, WA 98504-2684

Or fax to:
360-725-0771

Coverage will end on the last day of the month in which the PEBB Program receives your written notice. If your written notice is received on the first day of the month, coverage will end on the last day of the previous month, unless you are enrolled in a Medicare Advantage Plan. Medicare Advantage Plans require that we receive the PEBB Medicare Advantage Plan Disenrollment Form (form D), prior to the end of the month you want to cancel coverage.

Cancel optional life and AD&D insurance

To cancel your optional life and/or AD&D insurance through MetLife:

Complete MetLife’s cancellation of optional life insurance form for employees and send it to:
MetLife Recordkeeping Center
PO Box 14406
Lexington, KY 40512-4406

Cancel long-term disability insurance

To cancel your long term disability insurance before the end of the maximum coverage period:

Submit a signed written request to:
Health Care Authority
PEBB Program
PO Box 42684
Olympia, WA 98504-2684

Or fax to:
360-725-0711

Coverage will end on the last day of the month in which the PEBB Program receives your written notice. If your written notice is received on the first day of the month, coverage will end on the last day of the previous month.

Contact

The PEBB Program

MetLife
Phone: 1-866-548-7139
Benefits specialists available Monday through Friday, 5 a.m. to 8 p.m. Pacific Time (except for the major holidays).