Surcharges
Find out if the tobacco use premium surcharge and the spouse or state-registered domestic partner coverage premium surcharge apply to you.
About the surcharges
The Legislature requires two premium surcharges that may be added to your medical plan premium each month:
- Tobacco use premium surcharge
A monthly $25 surcharge per account if you or a family member (age 13 and older) enrolled on your PEBB medical uses a tobacco product. -
Spouse or state-registered domestic partner coverage premium surcharge
A monthly $50 surcharge if you have a spouse or state-registered domestic partner enrolled on your PEBB medical, and they have elected not to enroll in their employer-based group medical insurance that is comparable to Uniform Medical Plan (UMP) Classic.
These surcharges apply to PEBB benefits-eligible subscribers who:
- Are enrolled in a PEBB medical plan.
and
- Do not have Medicare Part A and Part B as their primary coverage.
When you enroll in or add a dependent to your PEBB medical, you must attest (respond) on your enrollment form to whether the tobacco use and spousal coverage premium surcharges apply.
Contact
Your personnel, payroll, or benefits office