Benefits

Waive health insurance coverage

You can waive your Public Employees Benefits Board (PEBB) medical coverage if you’re enrolled in other comprehensive group medical coverage.

If you waive coverage for yourself, you cannot enroll your spouse, children, or other dependents in PEBB medical coverage. You can’t waive dental coverage, which you keep even if you waive medical coverage.

There are two different processes for waiving coverage:

  • Waive coverage as a new employee (during initial eligibility)
  • Waive coverage after your initial eligibility period

Waive coverage as a new employee

If you are a new employee (or newly eligible for coverage), you may waive your medical coverage within the first 31 days of your initial eligibility. To do so:

  1. Download the 2017 Medical/Dental Enrollment/Change form
  2. In section 1 (page 3), check the box to waive medical coverage
  3. Be sure Benefits receives your form and documents within your 31-day enrollment period

Your medical coverage will be waived effective the first day coverage begins. If payroll deductions for medical insurance have begun, those deductions will usually be automatically refunded to you within two payroll cycles.

If you are newly eligible for your own coverage but are already covered as a dependent under another UW or Washington State employee’s coverage, please contact the Benefits for assistance with your enrollment options.

Waive coverage after your initial eligibility period

You can waive your PEBB coverage during annual open enrollment or at other times during the year if you experience a qualified life event, such as marriage.

During open enrollment

If you’d like to waive your existing coverage because you’ve enrolled in another employer-based health plan (such as your spouse’s), then you may waive your coverage during the next open enrollment period, which occurs each year during the month of November. Changes made during open enrollment take effect on January 1 of the following year.

Instructions as to how you can make changes, either by using the PEBB website or by submitting the required paper forms, will be made available during each open enrollment period.

Due to a life event

Certain life events allow you to waive your existing medical coverage. When one of these events occurs, you’re allowed a “special open enrollment” period during which you can make changes. Events that qualify include:

  • Marriage or domestic partner registration
  • Birth or adoption
  • Change in employment status (for example, your spouse gets a job and you enroll on your spouse’s plan)
  • Move outside the U.S. or into the U.S. by a dependent
  • Court order that requires a child to be covered
  • Medicaid, Medicare, CHIP, or TRICARE coverage changes

To waive coverage, you must be enrolled in another employer-based health plan, TRICARE, or Medicare. If you’re unsure whether or not an event qualifies for a special open enrollment period, contact Benefits. Events that qualify are defined by the state in the Washington Administrative Code 182-12-128.

To waive your existing PEBB coverage:

  1. Complete the 2017 Medical/Dental Enrollment/Change form.
  2. Provide proof of the event.
  3. Within 60 days of the event, submit all necessary documents to the Benefits office.

Your medical coverage will be waived effective the first of the month following the date the form is received by Benefits.