Cancel your coverage

Find out how to defer or cancel your PEBB retiree insurance coverage or term life insurance.

Defer my insurance coverage

You may choose to defer your enrollment at the time you become eligible for PEBB retiree insurance or after you enroll.

  • If you are a new retiree electing to defer PEBB retiree insurance coverage, the PEBB Program must receive your Retiree election/change form electing to defer with a qualified deferral reason no later than 60 days after your employer-paid coverage, COBRA or continuation coverage ends.  Enrollment will be deferred the first of the month following the date your employer-paid, COBRA or Continuation coverage ends.
  • If you are a retiree enrolled in PEBB retiree insurance coverage, the PEBB Program must receive your Retiree election/change form electing to defer with a qualified deferral reason before you defer (postpone) coverage. 
  • If you or an enrolled dependent are enrolled in a Medicare Advantage plan, you must also send the PEBB Program a completed Medicare Advantage Plan Disenrollment form (Form D).  PEBB must receive this form prior to the end of the month you want the coverage to end.

Enrollment will be deferred effective the first of the month following the date the PEBB Program receives your form. If the form is received on the first day of the month, coverage will end on the last day of the previous month.

Note: If you defer your PEBB retiree insurance coverage, you must maintain continuous enrollment in other qualified medical coverage to reenroll in PEBB retiree insurance coverage later on. For additional information, see deferring coverage.

Cancel my insurance coverage

To cancel your PEBB retiree insurance coverage submit your request in writing to one of the following ways:

  • Mail
    Health Care Authority
    PEBB Program
    P.O. Box 42684
    Olympia, WA 98504-2684
  • Fax
    360-725-0771
  • Secure online message to www.fuzeqna.com/pebb/consumer/question.asp.
    You must set up a secure login to use this feature. This helps protect your privacy and sensitive health information.

Your requested 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. See exceptions below:

  • If you are requesting to cancel dental coverage, you must have been enrolled for at least two years and the cancellation will include any covered family members.
  • If you are cancelling medical coverage and you or a covered family member are enrolled in a Medicare Advantage plan, you must also send a completed PEBB Medicare Advantage Plan Disenrollment Form (form D) to the Health Care Authority. PEBB retiree insurance coverage will end on the last day of the month when the Medicare Advantage Plan Disenrollment Form (form D) is received.

Note: If you cancel your PEBB retiree insurance coverage, you cannot enroll again later unless you regain eligibility for PEBB insurance coverage, for example, by returning to employment in a PEBB, Washington State school district, educational service district, or charter school benefits-eligible position. If you cancel coverage, any enrolled dependents’ coverage will be terminated as well.

Cancel my term life insurance

To cancel your retiree term life insurance, you must complete MetLife’s Cancellation of Life Insurance - Retiree form  and send it to:

MetLife Recordkeeping Center
P.O. Box 14406
Lexington, KY 40512-4406

Note: If you cancel your retiree term life insurance, you may not reenroll in life insurance unless you regain eligibility for life insurance at a later date for example by returning to employment in a PEBB benefits-eligible position.