The annual open enrollment period runs November 1-30 with an effective date of January 1, 2023 for all changes. All changes are made through Workday.

OE is the one time each year when you can:

  • Change your medical or dental plan
  • Add or remove dependents from coverage
  • Enroll or re-enroll in Flexible Spending Arrangement (FSA)/Dependent Care Assistance Program (DCAP) for the next year, and
  • Re-attest to the spousal surcharge questionnaire.

Visit Percipio for additional training and information!

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Quick links:

What’s changing in 2023?

Medical plans

  • All plans:
    • Limiting out-of-pocket insulin costs to $35/mo to comply with insulin affordability legislation
  • All plans (except Kaiser NW CDHP):
    • Allowing for accumulators ($ paid toward meeting deductible, out of pocket max) to transfer between SEBB and PEBB, given they stay with the same plan vendor
  • All CDHP Plans:
    • Increasing deductibles to $1,500 for individuals and $3,000 for family coverage to comply with IRS rules
  • Kaiser Permanente Northwest (KPNW):
    • Increasing the out-of-pocket max for KP NW Classic to $2,500 for individuals and $5,000 for family coverage
    • Introducing Advanced Care at Home, which will offer members a chance to recover at home rather than in a hospital when clinically appropriate
  • Kaiser Permanente Washington (KPWA):
    • Implementing First Fill program, which allows the first prescription to be filled at any in-network pharmacy. Subsequent refills must be done through mail order of a Kaiser Permanente retail pharmacy
    • Also introducing Advanced Care at Home, which allows members the option to recover at home vs. in a hospital when clinically appropriate
  • Uniform Medical Plan (UMP)
    • Provide coverage before meeting the deductible for a specific list of high-value drugs for the UMP CDHP
    • No longer count out-of-network dialysis services costs toward the medical out-of-pocket limit. Like other benefits, the plan will pay for dialysis services based on the allowed amount and network status of the provider
    • Provide myStrength, a self-paced, online behavioral health program
    • Add Costco as a network mail-order pharmacy option in addition to the current option, Postal Prescription Services

Dental Plans

  • DeltaCare
    • Increase pediatric coverage to 100% through age 19, less applicable copays
    • Remove optional treatment fees for elective materials, like composite fillings for rear teeth

Flexible Spending Arrangements (Medical & Limited FSA)

  • The maximum annual election is increasing to $2,850. The minimum election is remaining at $120

Health Savings Accounts (HSAs tied to CDHP plans)

  • The maximum annual contribution limit is increasing to $3,850 for individuals and $7,750 for family coverage. Those ages 55 and up can contribute an additional $1,000 annually

Medical Premium Rates

Plan NameEmployee Only

2022 / 2023
Employee & Spouse / Partner
2022 / 2023
Employee & Child(ren)

2022 / 2023
Employee, Spouse, & Child(ren)
2022/2023
Kaiser WA Classic$204 / $167$418 / $344$357 / $292$571 / $469
Kaiser WA Value$113 / $94$236 / $198$198 / $165$321 / $269
Kaiser WA SoundChoice$50 / $46$110 / $102$88 / $81$148 / $137
Kaiser WA CDHP$24 / $25$58 / $60$42 / $44$76 / $79
UMP Classic$110 / $135$230 / $280$193 / $236$313 / $381
UMP Plus$78 / $97$166 / $204$137 / $170$225 / $277
UMP Select$39 / $59$88 / $128$68 / $103$117 / $172
UMP CDHP$24 / $29$58 / $68$42 / $51$76 / $90
Kaiser NW Classic$159 / $172$328 / $354$278 / $301$447 / $483
Kaiser NW CDHP$26 / $25$62 / $60$46 / $44$82 / $79

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Presentations

Open Enrollment presentations are being hosted through Percipio. Click the presentation title below for more info, to register to attend, or to watch a recording after the live training.

For Retirees: HCA Retiree Presentation

See a schedule of presentations offered through the different plan vendors.

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Communications

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