EMPLOYEES: Is your spouse or domestic partner covered by your PEBB medical benefits?

Note: If you are not covering a spouse or state-registered domestic partner (SRDP) under your PEBB medical coverage for 2023, the information below does not apply.

In late October, the PEBB Program mailed letters to employees who are required to attest to the spouse or SRDP coverage premium surcharge for 2023 during annual open enrollment (November 1 through 30). However, the letter was incorrectly mailed to subscribers’ spouses or SRDPs. These letters should have been mailed to subscribers. The PEBB Program expects to remail letters to affected subscribers around November 4.

You can also check whether you need to attest in PEBB My Account.

If you will cover a spouse or SRDP on your medical plan in 2023, you may be required to attest if:

  • You currently pay the $50 monthly spouse or SRDP coverage premium surcharge, or
  • Your spouse or SRDP is enrolled under your PEBB coverage instead of their employer-based group medical, but you did not have to pay the surcharge in 2022 because either:
    • The Spousal Plan Calculator indicated your spouse or SRDP’s coverage was not comparable to the UMP Classic medical plan, or
    • The medical premium for your spouse or SDRP’s employer-based medical coverage was $114.01 or more.

To confirm if you need to attest, log into PEBB My Account.

How to attest

If you are required to attest, log into PEBB My Account and select Attestations or use the 2023 PEBB Premium Surcharge Attestation Change FormAnswer ‘Yes’ or ‘No’ to questions 2 through 6.

If your spouse or SRDP has other employer-based group medical coverage available, you may need to gather information about their available medical plans to complete the 2023 Spousal Plan Calculator.

You must attest by November 30, 2022. If you do not, or if your attestation results in incurring the premium surcharge, you will be charged the $50 premium surcharge in addition to your monthly medical premiums beginning January 1, 2023. The surcharge will remain in effect for the rest of 2023 unless you have a qualifying event that allows you to change the attestation.

Learn more about the surcharge on the PEBB Program’s Spousal coverage surcharge webpage.