Definition of layoff for purposes of benefit eligibility - means a change in employment status due to an employer's lack of funds or an employer's organizational change. ( WAC 182-12-109 ) Use the appropriate worksheet for employees who are being laid off or have a change in employment status due to lack of funds or an organizational change. Worksheets are available on the Perspay website under Eligibility Tools and Worksheets . Relevant RCW and WAC: RCW 41.05.065 (4)(j) WAC 182-12-131  More...

Materials may be ordered through the online order form. On the PersPay website, from the menu on the left, choose Forms and Publications, Order Materials. Forms are also available for download on the Forms page of the website. Books forms pamphlets kits guides form HCA 50-

The dependent verification process is available on the PersPay website under Quick Reference Guides - Dependents. Information is available for employees on the PEBB website .

Washington State law RCW 48.43.115 (3)(f), known as the Erin Act, requires that health plan's that provide maternity benefits must provide comparable coverage, at no additional charge, for an insured mother’s newborn for up to three weeks (21 days) even if there are separate hospital admissions. All PEBB plan's provide maternity benefits so these Erin Act benefits are automatically available for 21 days to the newborn children of females enrolled in PEBB medical insurance. Refer to  More...

FUZE is a secure e-mail program and knowledge base system that contains common questions and answers related to PEBB benefits. New users must register to use FUZE at: https://www.fuzeqna.com/perspay/membership/consumer/newuser.asp - Allows registered users to send the secure e-mail messages to ask a question or request assistance on PEBB accounts. - Is secure so you can include SSN and other employee health account information in your e-mail. Outreach Training team - FUZE is wo  More...

Eligible employees must enroll in dental, basic life and basic long-term disability insurance (if the employer participates in these benefits). In accordance with WAC 182-12-128 - An employee may waive enrollment in PEBB medical if he or she is enrolled in other employer-based group medical insurance, TRICARE or Medicare. To waive medical coverage the employee must provide a completed Employee Enrollment/Change form to their employing agency no later than 31 days from the date the employee becom  More...

Yes, the employee may apply for Spouse Supplemental life insurance at any time, however, carrier approval will be required. Refer to the Metlife Employee Benefit Plan Information can be found on the Employee and Retiree Benefits Website under Supplemental life and accidental death and dismemberment (AD D) insurance (self-pay) for PEBB employees To enroll the spouse, the employee may log into the Metlife's My Portal or submit the MetLife Employee Enrollment/Change form directly to MetLife.  More...

Retirees may defer enrollment in a PEBB retiree health plan if they are enrolled in other medical as described in WAC 182-12-205 (2)(a) through (d). To defer health plan enrollment, the retiree must submit the Retiree Coverage Election/Change form to the PEBB program no later than 60 days after employer-paid coverage or COBRA coverage ends. The PEBB program will defer the coverage the first of the month following receipt of the form. Note: Retirees enrolling in PEBB employer-sponsored coverage  More...

An employee may add child life and AD D insurance at any time. Statement of health is required for life insurance (not for AD D) if the employee is choosing to enroll after the initial 31 days of eligibility or 60 days of the special open enrollment event. For more information refer to the Life Insurance Administration Manual on the Perspay website.

Refer to Policy 45-2, Addendum 45-2A Special Open Enrollment (SOE) Matrix: Summary of Permitted Election Changes under qualifying event #11 for a court order or WAC 182-12-263 - National Medical Support Notice (NMSN). support, order,