Print this pageUnderwritten by ReliaStar Life Insurance Company
Eligibility
Eligibility is the same as specified for medical and dental plans, except retiree term life insurance is only available to those who:
- Retired from continuous service, and are eligible for and participating in a pension from Washington State or one of its higher-education institutions or are an eligible employer group, K-12 school district, or educational service district retiree who participated in life insurance through the Public Employees Benefits Board (PEBB) program as an active employee; and
- Are not on a waiver of premium due to disability.
Dependents of retirees are not eligible for retiree term life insurance.
Amount of Insurance
The amount of insurance paid to your beneficiary is based on your age at the time of death, according to the following schedule:
| Age at Death | Amount of Insurance |
| Under 65 | $3,000 |
| 65 through 69 | 2,100 |
| 70 and over | 1,800 |
Monthly Rate
The cost is $2.19 per month, regardless of your age. Monthly rate adjustments involving return of unearned payments or collection of unmade payments shall be limited to a maximum period of 12 months immediately preceding the date that the Health Care Authority (HCA) receives evidence that such adjustments should be made.
Enrollment
You will need to complete the 
Retiree Medical and Dental Coverage form (770.8 KB) before you retire. There are no plans for future open enrollment periods for this life insurance coverage.
Effective Date
If you enroll when eligible (before you retire), insurance becomes effective on your retirement date.
No Exclusions
This plan covers death from any cause.
Disability
If you become disabled after the effective date of this insurance, monthly payments must be continued if you wish to keep your insurance in force.
Beneficiary
You may name any beneficiary you wish when you complete the enrollment form. If you should die with no named living beneficiary, payment will be made to your survivors in this order: (1) spouse, (2) children, (3) parents, or (4) estate.
If you are married and wish to name someone other than your spouse as beneficiary, or if you have special estate planning needs, you should seek legal/tax advice before completing your beneficiary designation.
Claim Filing
If you die, your beneficiary should submit a certified death certificate as soon as possible to ReliaStar Life Insurance Company, P.O. Box 20-Route 7325, Minneapolis, MN 55440-0020.
Insurance Certificate
This is a brief summary of the Retiree Term Life Insurance Plan. If you would like a copy of the complete insurance certificate (89.3 KB), contact PEBB.
