Paul Sanchez
The Public Employees Benefits Board (PEBB) program is administered by the Washington State Health Care Authority (HCA) and offers insurance to eligible UW employees. Faculty eligibility depends on the nature of their appointment. PEBB insurance coverage includes medical, dental, and vision, as well as discounted auto and homeowners' insurance. Payments for PEBB insurance are typically due on the 15th of the month for that month's coverage. If a monthly payment is made on or before the 15th day of the current month, PEBB coverage will continue for that month.
| Characteristics | Values |
|---|---|
| Who is eligible for PEBB insurance? | Faculty with a 9-12 month appointment where the appointment is 50% or more paid through UW. Faculty with a quarter-to-quarter appointment with a UW paid appointment of at least 50%. Faculty with a one-quarter appointment with a UW paid appointment of at least 50% and who were eligible under faculty rules at UW or another Washington state higher education institution in the last 12 months. Academic staff, professional staff, classified staff, and librarians with eligible job classes of at least 80 hours per month (480 hours) UW salaried per month and appointments expected to continue for more than six months. |
| When are payments due for PEBB insurance? | The first payment is due no later than 45 days after the election period ends. Ongoing payments are due on the 15th of the month for that month's coverage. |
| Where should payments be sent? | Mail to: Health Care Authority, PO Box 42691, Olympia, WA 98504-2691. Or bring to: Health Care Authority, 626 8th Avenue SE, Olympia, WA 98501, 8 a.m. to 4:30 p.m. Monday through Friday. |
| What happens if a payment is delinquent? | If premiums remain unpaid for 30 days, the account may be terminated depending on the amount owed. |
| What is included in PEBB benefits? | Medical, dental, and vision coverage, discounted auto and homeowners' insurance, life insurance, accidental death and dismemberment insurance, long-term disability insurance, flexible spending arrangement options, and the Dependent Care Assistance Program. |
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What You'll Learn
Payment methods and invoicing
For those enrolled in PEBB insurance, you must submit your first payment and any applicable premium surcharges within the specified timelines. Your first payment is due no later than 45 days after your election period ends, which is typically 60 days from the date PEBB health plan coverage ended or the postmark date on the PEBB Continuation Coverage Election Notice. You will need to mail or hand-deliver your first premium payment, making checks payable to the Health Care Authority.
After your initial payment, ongoing monthly payments are due on the 15th of each month for that month's coverage. It is important to note that if your premiums remain unpaid for 30 days, your payment will be considered delinquent, and your account may be terminated depending on the amount owed.
If you have questions about paying your premiums or want to confirm the amount due, you can contact the PEBB Program at 1-800-200-1004. Depending on your payment method, you may or may not receive an invoice for your premium amount. However, it is your responsibility to ensure that payments are made on time, regardless of whether you receive an invoice or not.
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Payment deadlines and delinquency
Initial Payment Deadlines:
The first payment for PEBB Continuation Coverage must be submitted within specific timelines. You have up to 45 days after your election period ends to make this initial payment. It's important to note that your election period ends up to 60 days after your employer group ends their participation or from the postmark date on the PEBB Continuation Coverage Election Notice, whichever is later. You will not be enrolled in coverage until your first payment is received.
Ongoing Monthly Payments:
After your initial payment, ongoing monthly payments for PEBB insurance are typically due on the 15th day of each month. To ensure continuous coverage, it is your responsibility to make these payments on time. If you make a monthly payment on or before the 15th day of the current month, your PEBB coverage will be maintained for that month.
Delinquency and Account Termination:
If you fail to make your premium payments by the due date, your account may enter a delinquent status. Specifically, if your premiums remain unpaid for 30 days, your payment will be considered delinquent. Depending on the amount owed, your account may be terminated, resulting in a loss of coverage. It is important to prioritize making timely payments to avoid any disruptions in your insurance protection.
Payment Methods and Invoices:
The payment methods for PEBB insurance may vary, and you may or may not receive an invoice for your premium amount. Regardless, it is your responsibility to ensure that payments are made on time, even without receiving an invoice. Payments are generally considered paid on the date they are mailed, hand-delivered, or submitted electronically. However, if a check is returned due to insufficient funds or any other reason, it is not considered paid.
To summarize, maintaining timely payments for PEBB insurance is crucial to avoid delinquency and potential account termination. By adhering to the payment deadlines and staying vigilant about your payment obligations, you can ensure uninterrupted coverage and access to the benefits provided by your PEBB insurance plan.
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Eligibility for PEBB insurance
The Public Employees Benefits Board (PEBB) program offers insurance to eligible UW employees. The program is administered by the Washington State Health Care Authority (HCA), which purchases and coordinates health insurance benefits for all state employees, including those at UW.
To be eligible for PEBB insurance, UW employees must meet specific criteria. Here are the detailed guidelines for different employee groups:
- Academic Staff, Professional Staff, and Librarians: To be eligible for PEBB insurance, academic staff, professional staff, and librarians must be appointed to an eligible job class. The appointment should average at least 80 hours per month (480 hours) in UW salary, and it is expected to continue for more than six months. Employees become eligible for insurance beginning their first full month of employment when their job description meets the eligibility criteria.
- Faculty with 9 to 12-Month Appointments: Faculty members with 9 to 12-month appointments are eligible for PEBB insurance at the beginning of their appointment if the appointment is 50% or more paid through UW.
- Faculty with Quarter-to-Quarter Appointments: For faculty with quarter-to-quarter appointments, eligibility for PEBB insurance depends on the percentage of UW salary. If they are in a UW-paid appointment of at least 50% or more, they are eligible on the first day of the month following the start of their appointment.
- Faculty with One-Quarter Appointments: Faculty members with one-quarter appointments who receive at least 50% or more of their pay from UW are eligible for PEBB benefits. Additionally, they must have been eligible under faculty rules at UW or another Washington state higher education institution in the last 12 months. Eligibility takes effect on the first day of the month in which the academic quarter begins.
- Faculty with Prior Quarters Appointments: Faculty who had appointments of one or more quarters in each of the preceding two academic years (starting with the summer quarter) and received, on average, 50% or more of their pay from UW are eligible for PEBB benefits. Eligibility starts on the first day of the month following the start of the academic quarter.
It is important to note that if an employee is paid directly by a non-UW entity, their benefits eligibility may be impacted. To maintain eligibility, employees must notify UW about their prior employment at UW or other Washington state higher education institutions. Failure to do so could result in losing eligibility.
Enrollment and Payment
Once enrolled in PEBB insurance, employees can also enrol their spouse or partner, including a lawful spouse or state-registered domestic partner, in the same plan. Additionally, employees can enrol their dependent children until they turn 26, including biological children, stepchildren, legally adopted children, and more.
Regarding payments, you must submit your first payment and any applicable premium surcharges within 45 days after your election period ends. The election period ends 60 days after your employer group ends their participation. Ongoing monthly payments are due on the 15th of the month for that month's coverage. If premiums remain unpaid for 30 days, your account may be terminated.
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PEBB insurance benefits
The Public Employees Benefits Board (PEBB) program, administered by the Washington State Health Care Authority (HCA), offers insurance to eligible UW employees. PEBB purchases and coordinates health insurance benefits for all state employees, including those at UW.
Eligibility
Eligibility rules for faculty are complex and depend on the nature of their appointment. Faculty with a 9-12 month appointment are eligible for PEBB insurance at the beginning of their appointment if the appointment is paid 50% or more through UW. Faculty with a quarter-to-quarter appointment who are in a UW-paid appointment of at least 50% are eligible for PEBB insurance on the first day of the month following the start of their appointment. Additionally, faculty with a one-quarter appointment who meet the 50% UW payment threshold and were eligible under faculty rules at UW or another Washington state higher education institution in the last 12 months are eligible for PEBB benefits on the first day of the academic quarter.
Academic staff, professional staff, classified staff, and librarians are eligible for PEBB insurance if they are appointed to an eligible job class averaging at least 80 hours per month (480 hours) UW salaried per month and the appointment is expected to continue for more than six months.
If an employee does not meet the immediate eligibility criteria, they can gain eligibility in one of two ways. First, they are eligible on the first full month of employment when their job description includes a planned work schedule that meets the eligibility criteria. Second, if enrolled in PEBB insurance, they can enroll their spouse or partner in the same plan, including a lawful spouse or state-registered domestic partner.
Payment
Regarding payment, you must submit your first payment and any applicable premium surcharges within 45 days after your election period ends. The election period ends up to 60 days after your employer group ends their participation or from the date of the postmark on the PEBB Continuation Coverage Election Notice, whichever is later. You will not be enrolled in coverage until payment is received.
Ongoing payments are due on the 15th of the month for that month's coverage. If you make a monthly payment on or before the 15th day of the current month, your PEBB coverage will continue for that month. If premiums remain unpaid for 30 days, your account may be terminated.
You will pay the entire cost of PEBB Continuation Coverage, and if applicable, you will be charged the tobacco use premium surcharge and spouse or state-registered domestic partner coverage premium surcharge in addition to your monthly premiums.
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Contacting the PEBB Program
The Public Employees Benefits Board (PEBB) program is administered by the Washington State Health Care Authority (HCA). It purchases and coordinates health insurance benefits for state employees, including those at UW.
If you have any questions about paying your premiums, you can contact the PEBB Program at 1-800-200-1004. This includes queries about your first payment and any applicable premium surcharges. To confirm the amount due, you can call the same number and select the option to speak with Accounting.
The mailing address for the Health Care Authority is:
> Health Care Authority
> PO Box 42691
> Olympia, WA 98504-2691
You can also visit their office in person at:
> Health Care Authority
> 626 8th Avenue SE
> Olympia, WA 98501
> 8 a.m. to 4:30 p.m. Monday through Friday
Eligibility
Faculty eligibility rules for PEBB insurance can be complex and depend on the nature of your appointment. Generally, academic staff, professional staff, classified staff, and librarians are eligible for PEBB insurance if they are appointed to a job class that averages at least 80 hours per month (480 hours) of UW salary and is expected to continue for more than six months.
Faculty with a 9- to 12-month appointment are eligible for PEBB insurance at the beginning of their appointment if the appointment is 50% or more paid through UW. Faculty with a quarter-to-quarter appointment who are in a UW-paid appointment of at least 50% are eligible for PEBB insurance on the first day of the month following the start of their appointment.
Faculty with a one-quarter appointment who are in a UW-paid appointment of at least 50% and who, at any time during the last 12 months, were eligible under faculty rules at UW or another Washington state higher education institution, are eligible for PEBB benefits on the first day of the academic quarter.
Additionally, if you had an appointment of one or more quarters during each of the preceding two academic years and, on average, received 50% or more of your pay from UW, you are eligible for PEBB benefits on the first day of the month following the start of the academic quarter.
Please note that if you are paid directly from a non-UW entity, your benefits eligibility may be affected. You are required to notify UW of any prior employment at UW or other Washington state higher education institutions to establish your eligibility. Failure to do so may result in a loss of eligibility.
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Frequently asked questions
You can mail your first premium payment to the Health Care Authority or bring it to the Health Care Authority. Make checks payable to the Health Care Authority. After your first payment, ongoing payments are due on the 15th of each month for that month's coverage.
Your PEBB benefits include medical, dental, and vision coverage, as well as discounted auto and homeowners' insurance. You may also have life, accidental death and dismemberment, and long-term disability insurance.
Eligible UW employees are offered insurance through the Public Employees Benefits Board (PEBB) program. Academic staff, professional, and classified staff and librarians are eligible for PEBB insurance if they are appointed to an eligible job class that is at least an average of 80 hours per month (480 hours) UW salaried per month and the appointment is expected to continue for more than six months. Faculty with a 9- to 12-month appointment are eligible for PEBB insurance at the beginning of their appointment if the appointment is 50% or more paid through UW.
