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As you prepare for retirement, you may find the following
information useful. Your state sponsored benefits will end
effective on the last day of the month in which you
retire. If you meet the definition (as defined by WAC
182-12-172) of an eligible retiree, you have the option to
continue your medical, and/or dental insurance on a self-pay
basis as a state retiree.
If you have participated in the optional life insurance plan
while at Western Washington University, your life insurance (not
accidental death and dismemberment insurance) continues for 60
days beyond your benefits end date. During that 60 days, you
have the right to convert any amount of life insurance to an
individual permanent whole life policy at the conversion rates
for your age at that time. To apply for conversion, please
complete and mail this form to ReliaStar Life Insurance Company:
http://pebb.hca.wa.gov/forms/doc/50-540.pdf. In addition, there is
a basic retiree life insurance plan available to you. For more
information, please visit the Public Employees Benefit Board
website at:
http://pebb.hca.wa.gov/
For information that is extremely important to you in
continuing your health insurance during your retirement years,
please review the following documents carefully and complete the
necessary forms for enrollment into the retiree health insurance
plan. Send completed forms along with your first month’s health
care premium directly to the Health Care Authority. You must
enroll within 60 days of your retirement.
Understanding Your Medical and Dental Coverage:
Retiree Enrollment Guide
2008 PEBB-Sponsored Retiree Coverage Election Form:
Retiree Coverage Election Form
Washington State Health Care Authority Medicare Supplement
Enrollment Form:
Medicare Supplement Enrollment Form
Medicare Advantage Plan Election Form:
Medicare Advantage Election Form
PEBB Medicare Advantage Plan Disenrollment Form:
Medicare Advantage Disenrollment Form
If you have any questions regarding your retirement insurance
or conversion of your life insurance plan, please call the
Health Care Authority directly at (800) 200-1004. If you have
any additional questions regarding your retirement or insurance
or to request a "Preparing for Retirement" pamphlet
please contact Benefits at (360) 650-7713 or
benefits@wwu.edu |