As a UW retiree eligible for Public Employee Benefits Board (PEBB) insurance, you can change your medical and dental plan insurance enrollment during the annual open enrollment period. The State's healthcare open enrollment period typically runs through the entire month of November with specific dates announced by the Health Care Authority in mid-summer.
Medical and dental plan benefits and premiums can change yearly. Open enrollment is a good time to evaluate your health insurance plans and decide whether to make a change. If your current plan is being discontinued, you must identify and enroll in your preferred alternate plan. If this is the case and you do not select a new medical plan by November 30, you and your dependent(s) will be automatically enrolled in a similar plan starting January 1.
If you are satisfied with your current plan and it will be offered next year, you do not need to do anything and your plan election will remain the same. However, if any of the following circumstances apply to you, then you must change your plan enrollment.
Important Note: Per WAC 182-12-262, you are required to notify the Health Care Authority (HCA) of changes in dependent eligibility within 60 days of the date in which your dependent is no longer eligible. The HCA's phone number is 1-800-200-1004.
At its July 2013 meeting, the PEBB voted to approve changes to state employees' and retirees' monthly premiums and cost-sharing in 2014. Cost-sharing refers to the member's annual deductible, annual out-of-pocket limit, coinsurance, or copay. All changes take effect January 1, 2014.
The PEBB provides the following materials to help you make choices:
PEBB is preparing to launch a free, evidenced-based program for diabetes prevention and control. The program—supported by the Centers for Disease Control—is called “Not Me” and will be launched effective July 1, 2014. To see a preview of the program and take a Risk Assessment Quiz, go to www.notme.com.
For your information, the biennial budget approved by Legislature will require some members to pay premium surcharges beginning July 1, 2014. The Health Care Authority will be providing further details on how these charges will be implemented for retirees However this is what we know at this time:
Review your current enrollment in one of two ways:
To add or reinstate a dependent who is not currently enrolled on your insurance plan, you must submit a completed Employee Enrollment/Change form by November 30 at midnight. Valid dependent verification documentation must be included with the form for the requested change to be processed.
While you cannot add a dependent online, you may use PEBB Online Inquiry and Enrollment to make online open enrollment medical/dental plan changes. E-Coverage is inquiry-only until the first day of open enrollment.
Retiree Insurance Topics
To verify your medical/dental insurance coverage and/or make plan changes during open enrollment, go to E-Coverage.
Making Changes Outside of Open Enrollment
Did you know that some changes can be made to your insurance plans at any time? Likewise certain IRS Qualified Life Events can trigger Special Open Enrollment opportunities that allow you to make changes outside of fall open enrollment. Learn more.