Employee Benefits

Uniform Medical Plan Classic

Uniform Medical Plan is a preferred provider network. That means that you can choose your own provider and you don’t need to get a referral from UMP to see a specialist. You will receive the highest level of benefit and pay the lowest amount out of your pocket if you see network providers.

Please see the website listed below for preferred providers in your area:

• UMP Provider Search

Uniform Medical Plan Select

Uniform Medical Plan Select (UMP Select) is a self-insured Preferred Provider Organization (PPO) health plan. UMP is offered through the Washington State Health Care Authority’s Public Employees Benefits Board (PEBB) Program. UMP is administered by Regence BlueShield and Washington State Rx Services (WSRxS). All prescription drugs, services, or other benefit changes may require approval by the PEB Board. Approval takes place when benefits are procured for the next calendar year.

Please see the website listed below for preferred providers in your area:

• UMP Provider Search

Uniform Medical Plan CDHP

This Uniform high deductible plan has a low monthly premium and a high deductible.

You cannot have both a Limited Purpose FSA and a Medical FSA, nor can you have a Medical FSA and be enrolled in a consumer-directed health plan (CDHP) with a health savings account (HSA).

• If you enroll in both a Medical FSA and a consumer-directed health plan (CDHP)with a health savings account (HSA) in the same year, you will be automatically disenrolled from the Medical FSA.

If you have a CDHP with an HSA you can enroll in a Limited Purpose FSA for eligible dental and vision expenses.

Please note that you need to submit a Limited Use VEBA if you are an exempt employee and enrolled in this plan.

Please see the website listed below for preferred providers in your area:

• UMP Provider Search

Kaiser WA Classic

The Classic plan for PEBB employees offers the lowest co-payments.

• Kaiser WA Classic Provider Search

Kaiser WA Value

If you’re concerned about monthly costs, the Value plan for PEBB employees has the lowest premium you can get. Get all of the same valuable services as the Classic plan, while keeping more in your paychecks. Group Health Value has a deductible and the co-pays are a little higher.

• Kaiser WA Value Provider Search

Kaiser WA CDHP

This Group Health high deductible plan has low monthly premiums and a high deductible.

You cannot have both a Limited Purpose FSA and a Medical FSA, nor can you have a Medical FSA and be enrolled in a consumer-directed health plan (CDHP) with a health savings account (HSA).

• If you enroll in both a Medical FSA and a consumer-directed health plan (CDHP)with a health savings account (HSA) in the same year, you will be automatically disenrolled from the Medical FSA.

If you have a CDHP with an HSA you can enroll in a Limited Purpose FSA for eligible dental and vision expenses.

Please note that you need to submit a Limited Use VEBA form if you are an exempt employee and enrolled in this plan.

Please use the following links for:

• What’s Changing in 2023 with Public Employee benefit
• Medical/Dental Enrollment Form
• Dependent Verification
• Navia FSA-DCAP Enrollment Form
• Authorization for Payroll Deduction to Health Savings Account
• Beneficiary Designation Form for Health Savings Account
• Tobacco & Spousal Surcharge Help Sheet
• Tobacco & Spousal Premium Surcharge Change Form

Prescriptions

• Kaiser WA Online Pharmacy
• Kaiser WA Prescription Claim Form

Uniform Dental Plan (Group #3000)

The Uniform Dental Plan is a preferred provider plan administered by Washington Dental Plan that allows you the freedom to choose any dentist. However, it provides a higher level of reimbursement if your dentist is a WDS participating provider. The UDP offers services in every county of Washington State. Outside of Washington, services are reimbursed at a higher level than for services provided by non-PPO dentists in Washington. You can verify your dentist’s participation by calling Uniform Dental Plan at 1-800-537-3406.

Note: UDP does not issue ID cards.

• Uniform Plan
• Find a provider – be sure to select UDP (Group#3000)

Willamette Dental Plan

Willamette Dental Plan (a new dental plan that offers the same provider network as Regence BlueShield Columbia Dental Plan), requires that you receive care from Willamette Dental dentists or specialists. Their dental offices are located in Bellevue, Bellingham, Everett, Federal Way, Kennewick, Kent, Lakewood, Longview, Lynnwood, Olympia, Pullman, Puyallup, Renton, Richland, Seattle, Silverdale, Spokane, Tacoma, Tumwater, Vancouver, Wenatchee, Yakima, and Portland metro area (Oregon). You can contact the provider at 1-855-433-6825.

Note – Willamette Dental does not issue ID Cards

• Willamette Plan
• Find a provider

DeltaCare (Group #3100)

DeltaCare (Group #3100), administered by WDS, you select a primary care dentist from the DeltaCare network, and you must receive care from your selected dentist. Because WDS administers several dental plans, each with its own provider network, be sure to verify that your dentist is in the DeltaCare network. This is important, as you could be responsible for costs if you receive care from a provider who is not in the DeltaCare network. Providers are located in: Aberdeen, Arlington, Auburn, Bellevue, Bellingham, Bonney Lake, Bothell, Bremerton, Burien, Covington, Des Moines, Edmonds, Everett, Federal Way, Gig Harbor, Issaquah, Kennewick, Kent, Kirkland, Lacey, Lake Stevens, Lakewood, Lynnwood, Maple Valley, Marysville, Mercer Island, Mill Creek, Moses Lake, Mt Vernon, Mukilteo, Olympia, Poulsbo, Puyallup, Renton, Seattle, Shoreline, Silverdale, Snohomish, Spokane, Spokane Valley, Stanwood, Tacoma, Tukwila, Tumwater, University Place, Vancouver, Wenatchee, Yakima, Clackamas, Hillsboro, Portland. You can contact the provider at 1-800-650-1583.

Note – Delta Care does not issue ID Cards. They can be printed by registering on Delta Dental’s website.

• DeltaCare Plan
• Find a provider – be sure to select DeltaCare PEBB (Group 3100)

Basic Plan

This plan is included in the full PEBB package at no additional cost for the employees. The Basic Plan provides a benefit of 60 percent of the first $400 of pre-disability earnings, reduced by any deductible income. The maximum benefit payable is $240 per month. The minimum benefit is $50 per month. Benefits begin after 90 days of total disability or after the period of your accumulated sick leave, whichever period is longer, and continue during your disability up to the Maximum Benefit Period. The Maximum Benefit Period is determined by the type of disability and the age of the enrollee when he or she becomes disabled.

Optional Plan

This plan allows most employees eligible for the Basic Plan to apply for additional benefits.  If the coverage is applied for within 31 days of your eligibility date, you don’t need to provide evidence of insurability.  When combined with the Basic Plan benefits, the Optional Plan will pay 60 percent of the first $10,000 of your pre-disability earnings, reduced by any deductible income.  The minimum combined benefit is $100 per month.  Optional Plan benefits begin after the end of the Benefit Waiting Period and continue during disability up to the Maximum Benefit Period.

For more information regarding Long Term Disability, click on the links below:

• Long-term Disability Booklet
• Enrollment Form
• Evidence of Insurability Form (if more than 31 days after hire date)

The PEBB Program’s full employee benefits package includes basic life and basic AD&D insurance to eligible members through Metropolitan Life Insurance Company (MetLife). As an employee, your basic life insurance covers you and pays your designated beneficiaries in the event of your death. Basic AD&D insurance provides extra benefits for certain injuries or death resulting from a covered accident.

You will be automatically enrolled in these benefits, even if you waive medical coverage. You do not need to provide evidence of insurability (proof of good health).

These benefits provide:

• $35,000 for basic life insurance.
• $5,000 for basic AD&D insurance.

You can also enroll in supplemental life and supplemental AD&D insurance for yourself and your eligible dependents. To enroll your eligible dependents in supplemental life and AD&D insurance, you must elect employee supplemental life insurance for yourself.

For enrollment, premium payments, benefits or plan details go to MetLife MyBenefits

Call: 1-866-548-7139 – benefits specialists are available Monday – Friday, 5 a.m. to 8 p.m. (Pacific – except for the major holidays) for customer support on questions about your account, benefit options, claims, beneficiaries, and billing.  24/7 automated customer support to order forms, confirm coverage, and verify beneficiaries.

VEBA Benefits

• VEBA Claim Form
• VEBA Election of limited VEBA Plan Coverage Form for those with HSA accounts
• VEBA Bulletin – Group Participation Results (2020)