Change my coverage

What changes can I make during open enrollment?

Changes are effective January 1 of the following year.

You can:

• Enroll in a Flexible Spending Arrangement (FSA) or Dependent Care Assistance Program (DCAP) (These benefits are available to employees of state agencies and higher-education institutions only).
• Enroll in or opt out of the state's premium payment plan.
• Use Benefits 24/7 (or Workday) to:
  • Change your medical and/or dental plans.
  • Add or remove dependents.
  • Waive medical coverage if you are enrolled in other employer-based group medical insurance, a TRICARE plan, or Medicare (coverage through the Health Benefit Exchange is not group coverage).
  • Change your response to the tobacco use premium surcharge.
  • Reattest to the spouse or state-registered domestic partner coverage premium surcharge.
  • Reduce coverage level, increase coverage level, or decline employee-paid long-term disability insurance.

What changes can I make at any time?

You can make some changes during the year without a special open enrollment.

• Remove dependents from coverage due to loss of eligibility. Your payroll or benefits office must receive your request through Benefits 24/7 or the PEBB Employee Enrollment/Change form within 60 days of the last day of the month the dependent loses eligibility for health plan coverage. You may also need to provide proof of the event before the dependent can be removed.
• Apply for, cancel, or change coverage amounts, or update beneficiary information for supplemental life and accidental death and dismemberment (AD&D) insurance.
• Apply for, cancel, or change Auto or home insurance coverage.
• Reduce coverage level, increase coverage level, decline coverage, or enroll in employee-paid long-term disability insurance.
• Manage your contribution to your health savings account (HSA) and name your HSA beneficiary.
• Change your or a dependent's tobacco use premium surcharge attestation.

How do I make changes?

Submit your changes in Benefits 24/7 or submit the appropriate PEBB Employee Enrollment/Change form and any supporting documentation to your payroll or benefits office during open enrollment or when a when a special open enrollment event occurs.

How do I change my address?

Contact your payroll or benefits office.

When do changes take effect?

• During open enrollment: Changes are effective January 1 of the following year.
• For a special open enrollment: Generally, the first day of the month after we receive your form.