At its meeting on March 30, 2025, the Public Employees' Benefits Program set rates for the FY2026 plan year beginning on 7/1/2025. Although the employee premium for the least-expensive High-Deductible Preferred Provider Plan (PPO) will not change, employee premiums for other plan options and dependent tiers will increase by up to 23%. The table below lists the new premiums.
Most plan benefits will remain the same. For the High-Deductible PPO, the deductible will increase from $1600/$3200 to $1650/$3300 (Employee-Only/Family) and the Health Savings Account (HSA) contribution will increase from $600 to $700 plus $200 per dependent up to three dependents.
| PEBP EMPLOYEE PREMIUMS (per month) |
| High-Deductible PPO with HSA |
FY25 |
FY26 |
Change |
| Employee Only |
$55 |
$55 |
0% |
| Employee + Spouse |
$272 |
$314 |
15% |
| Employee + Children |
$136 |
$152 |
12% |
| Employee + Family |
$352 |
$411 |
17% |
| |
|
|
|
| State Contribution Percent Employee |
92.3% |
93.5% |
|
| State Contribution Percent Dependents |
69.1% |
69.0% |
|
| |
|
| Zero-Deductible PPO with Copays |
FY25 |
FY26 |
|
| Employee Only |
$86 |
$92 |
6% |
| Employee + Spouse |
$331 |
$387 |
17% |
| Employee + Children |
$178 |
$202 |
14% |
| Employee + Family |
$424 |
$498 |
18% |
| |
|
|
|
| State Contribution Percent Employee |
88.6% |
89.6% |
|
| State Contribution Percent Dependents |
66.8% |
66.1% |
|
| |
|
| HMO/EPO Plans |
FY25 |
FY26 |
|
| Employee Only |
$181 |
$220 |
21% |
| Employee + Spouse |
$523 |
$643 |
23% |
| Employee + Children |
$310 |
$379 |
22% |
| Employee + Family |
$652 |
$802 |
23% |
| |
|
| State Contribution Percent Employee |
78.7% |
78.3% |
|
| State Contribution Percent Dependents |
59.2% |
57.5% |
|
| |
|
| Employer Contributions--all plans |
FY25 |
FY26 |
|
| Employee Only |
$660 |
$794 |
20% |
| Employee + Spouse |
$1,143 |
$1,370 |
20% |
| Employee + Children |
$841 |
$1,010 |
20% |
| Employee + Family |
$1,325 |
$1,585 |
20% |
| |
|
|
|
| State or Agency Subsidy Per Employee |
$759 |
$991 |
31% |
Note that although the employee subsidy per employee (paid by the employee's funding source) is increasing by 31% from $759 per $991 month, PEBP's contributions toward individual rates are increasing only by 20%. The difference will apparently be used to replenish depleted mandatory reserves funds, although PEBP staff did not present any information on the speed at which reserves will be built back up.
