Text Size:   A+ A- A   •   Text Only
Find     
Public Employees' Benefit Board

Medical Opt Out or Decline
Medical Opt-Out
 
Opting out is a choice of medical plan.
 
Employees may opt out of either medical coverage only if they have other employer-sponsored group medical coverage or both medical and dental coverage if they have other employer-sponsored group coverage for each as defined by PEBB.
 
Employees cannot opt out of dental coverage alone.
 
Other group coverage does not include Medicare, Medicaid, Veterans Administration Health Benefits, or Student Health Insurance.
 
All members who opt out will receive a monthly opt-out amount determined by the Board and prorated for part-time employees according to hours worked compared with full-time.
 
Members who opt out of medical coverage, only, must enroll in and pay premium for PEBB dental coverage.
 
All employees who opt out must pay premium for the employee basic life coverage otherwise paid by the employer.
 
The costs of dental and basic life premiums are deducted from the monthly opt out amount pretax.
 
The balance is added to monthly pay as taxable income.
 
Employees who opt out may enroll in optional benefit plans, for which they pay the premiums.
 

Medical Opt-out Calculations
 
For medical-only opt out: From $233, subtract the monthly premium amount for your choice of at least employee-only dental coverage and $1 for the monthly premium amount for employee basic life. The result is an estimate of the amount that will be added to your taxable pay.

For combined medical and dental opt out: From $193.50, subtract $1 for the monthly premium amount for employee basic life. The result is an estimate of the amount that will be added to your taxable pay.
Decline Benefits
 
Employees may decline core benefits. If they decline core benefits, they choose not to participate in the PEBB program. They will not receive a portion of the monthly benefit amount and they cannot enroll in any of the optional benefit plans.