If you have other medical coverage and choose to decline coverage under TEHW, complete the Opt-Out form, and provide a copy of your insurance ID card (front and back) and your WMATA ID. You have the option to decline medical coverage when you are initially hired. Subsequently, you may only choose to opt out during the annual open enrollment period each year. You must provide proof of other coverage during each subsequent open enrollment period; otherwise, you will be re-enrolled in the last plan you selected or the default medical and dental plan.

*Please note that individuals with CHIP, State Medicaid, and Medicare health insurance are not eligible for monetary compensation in accordance with the Terms of the Collective Bargaining Agreement and IRS code Section 125.

If you have a spouse, they have the option to opt-out of coverage under the Transit Health and Welfare Plan. To do so, please complete the Spousal Credit form and provide a copy of your marriage certificate along with your spouse’s insurance ID card. By opting out, you will receive a monthly credit towards your employee contribution for Transit health coverage. This credit can amount to up to $100 per month, but it will not exceed your monthly contribution towards the coverage.

For families consisting of the employee, spouse, and one or more children, it’s important to note that the spousal credit will not entirely eliminate the contribution for family coverage.

If two employees are married and covered under the Health and Welfare Plan, one of them must enroll in family coverage, and the other will be considered a dependent under that participant’s plan. However, a spouse or adult child (up to the age of 26) who is employed by Metro and enrolled as a dependent on another Metro employee’s plan is not eligible for opt-out or spousal credit.