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Medical Opt-Out
Otherwise-eligible employees may opt out of medical coverage if they have other employer-sponsored group medical coverage. Examples are coverage through your spouse's employer or through tribal affilation. 
 
Other group coverage does not include Medicare, TRICARE, Medicaid, Veterans Administration Health Benefits, or Student Health Insurance. For 2009, members who opt out will receive a monthly payment of $233 (prorated for part-time employees according to hours worked compared with full-time). The cost of their mandatory dental and basic life premiums will be deducted from that amount pretax. The balance will be added to their monthly pay as taxable income.

Decline Benefits
Otherwise-eligible employees may decline all benefits. If you decline all benefits, you choose not to participate in the PEBB program, and you receive no portion of the monthly benefit amount from the employer.