Tobacco Use Certification

If an emloyee elects coverage under one of the state health care plans and uses a tobacco product, an employee will be charged a $40 monthly surcharge.

If the employee has a dependent spouse /child(ren) listed on the state health plan and that dependent uses a tobacco product, the surcharge will be $60 per month.

All employees must certify that no one covered under his or her health insurance plan uses tobacco products, and that no one has used the product during the past six months by completing a Certification Regarding Tobacco Use form.

If you have not certified or need to change your certification, go to the Public Employee Benefits Authority (PEBA) Insurance Benefits website which is and click on the "Tobacco Information" tab located on the left side of the screen. Print the Certification Regarding Tobacco Use form, complete the form and give it to the Beaufort County School District Human Resources Benefits Representative. The Benefits Administrator will need to sign and date the form and send it to PEBA Insurance Benefits. The certification will be effective the first of the month after PEBA Insurance Benefits receives the form.

You will be automatically charged the tobacco-user premium, unless you complete the Certification Regarding Tobacco Use form.   

State Health Plan and BlueChoice HealthPlan subscribers and their covered dependents can participate in the Free & Clear® Quit for Life® Program by calling 866-QUIT-4-LIFE (866-784-8454).

A subscriber and his covered dependents can apply for the non-tobacco-user premium after being tobacco free for six months, by completing the Certification Regarding Tobacco Use form.

Visit PEBA  Insurance Benefits Web site at for a link to a web page on the Certification Regarding Tobacco Use form.

There you will find additional information, including a list of Frequently Asked Questions and certification instructions.

For more information, please call PEBA Insurance Benefits Customer Service at 803-734-0678 or at 888-260-9430 (toll-free).