If you will be covering a spouse or registered domestic partner on your PEBB medical coverage in 2016, you must re-attest to the Spousal Surcharge before November 30 if:
- You currently are paying the $50 a month surcharge; or
- Your spouse/registered domestic partner elected not to enroll on their employer-based plan in 2015, and you currently are not paying the spousal surcharge because of one of the following:
- Your spouse/partner’s coverage is not comparable to the Uniform plan. Or
- The premium for their plan was $89.31 or more a month.
- You are adding your spouse/registered domestic partner to your coverage in 2016.
You do not need to re-attest if your spouse/registered domestic partner:
- Is a PEBB employee
- Is not eligible for coverage through their employer
- Is not employed
- Did not have a plan offered through their employer in their county of resident
- Is enrolled in their employer’s plan
Attest by logging onto your HCA My Account, OR submitting a completed 2016 Premium Surcharge Change Form*. Use the 2016 Premium Surcharge Help Sheet to fill out the form.
Failure to attest during Open Enrollment will result in a $50 per month surcharge applied to your monthly premium. You will not be able to have this charge removed unless there is a Special Open Enrollment event (change in your spouse’s job, divorce, ec.)
For more information or to ask questions, please contact HRS at 509-335-4521 or email hrs@wsu.edu.
