Cancel my coverage

Cancel PEBB Continuation Coverage

If you would like to cancel coverage before the end of the maximum coverage period submit your written request one of the following ways:

Online

Use Benefits 24/7.

Mail

Health Care Authority
PEBB Program
PO Box 42684
Olympia, WA 98504-2684

Fax

360-725-0771

Secure online message

Send us a secure message through HCA Support, a secure website that allows you to log into your own account to communicate with us. You will need to set up a SecureAccess Washington (SAW) account to use this option. Attach your written request to the secure message. We cannot cancel your coverage in response to a secure message alone.

When does coverage end?

Coverage will end on the last day of the month in which the PEBB Program receives your written notice or the last day of the month specified in the request.

If your written notice is received on the first day of the month, coverage will end on the last day of the previous month, unless you are enrolled in a Medicare Advantage Plan. Medicare Advantage Plans require that we receive the PEBB Medicare Plan Disenrollment Form (form D), prior to the end of the month you want to cancel (terminate) coverage.

Cancel supplemental life and AD&D insurance

To cancel your life and/or AD&D insurance through MetLife:

Complete MetLife’s cancellation of supplemental life insurance form for employees and send it to:

MetLife Recordkeeping Center
PO Box 14406
Lexington, KY 40512-4406

Cancel long-term disability insurance

To cancel your long-term disability insurance before the end of the maximum coverage period:

Submit a signed written request to:
Health Care Authority
PEBB Program
PO Box 42684
Olympia, WA 98504-2684

Or fax to:
360-725-0711

Coverage will end on the last day of the month in which the PEBB Program receives your written notice.

If your written notice is received on the first day of the month, coverage will end on the last day of the previous month.