Cancel my coverage

Cancel my health plan coverage

To cancel all or part of your PEBB retiree health plan coverage submit your request in writing in 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.  

Cancel my retiree term life insurance

To cancel your retiree term life insurance, you must complete MetLife’s Cancellation of Life Insurance - Retiree form and send it to:

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

When will coverage end?

PEBB retiree insurance coverage is for an entire month and must end as follows:

• When you or a dependent loses eligibility for PEBB retiree insurance coverage, coverage ends on the last day of the month in which eligibility ends.
• Coverage for you and your enrolled dependents ends on the last day of the month for which the monthly premium and applicable premium surcharges were paid. If you or a dependent are enrolled in a Medicare Advantage plan, cancellation will occur at the end of the month after the month your termination notice was sent.
• Coverage for you or an enrolled dependent ends if you don't respond to a request from the PEBB Program for information regarding Medicare Part A and Part B enrollment or an action required due to enrollment in Medicare Part D.

Exceptions 

• If you are cancelling medical coverage and you or a covered dependent are enrolled in a Medicare Advantage plan, use Benefits 24/7 or submit the PEBB Medicare Advantage Plan Disenrollment Form (form D) to the PEBB Program. PEBB retiree health plan coverage will end on the last day of the month when your Benefits 24/7 request or the Medicare Advantage Plan Disenrollment Form (form D) is received.