Changing Medical/Dental Enrollment
for Faculty, Staff & Librarians
Special Open Enrollment—Subscriber and/or Dependents Move Outside the Service Area
Applies only when your existing health plan becomes unavailable to the subscriber and/or your currently enrolled dependents due to:
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moving to a county outside the service plan area, OR
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your existing plan is not offered in your new location.
| Options |
Required Actions |
| If you are the subscriber and you are already enrolled: |
- You may change your medical and/or dental plan to include all currently enrolled dependents.
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Within 60 days of the move date, submit the following form to the Benefits Office:
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| Special Note |
- If you move and the your current health plan is not available in the new location but you do not select a new health plan, the Public Employees Benefits Board (PEBB) may enroll all current plan participants in Uniform Medical Plan Classic or Uniform Dental Plan.
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| Coverage Begins |
- Plan change begins on the first day of the month following the move date unless the move occurs on the first day of the month, then coverage and/or plan change begins on that day.
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| Options |
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| Resources |
Flexible Spending Account
Special Open Enrollment
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Disclaimer: The Qualifying Life Event(s) shown above highlights benefit options arising from a change in family status. It does not substitute for official plan documents. If there is a conflict between the information on this site and an official plan document, the official plan document will govern. Plan availability and eligibility may change depending on your employment status and/or actions of the Washington State Health Care Authority.
