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Waive medical coverage if you are enrolled in other employer-based group medical insurance, a TRICARE plan, or Medicare (coverage through the Health Benefit Exchange is not group coverage). Eligibility 5. Before you make a change, it is important to: You must submit the appropriate forms to your payroll or benefits office during the PEBB Program's annual open enrollment or when a special open enrollment event occurs. When you submit an online plan change, please wait two business days to make any additional online plan changes. We need to verify you first to ensure we have your PEBB member data. We call these special open enrollment events. You must provide proof of the event that created the special open enrollment (for example, a marriage or birth certificate) along with the Enrollment/Change form to your payroll or benefits office no later than 60 days after the event. PEBB contracts with ASIFlex to administer the FSA program under PEBB administrative rules and in keeping with IRS code. Eligibility and enrollment. Certain events let you make account changes (like changing a health plan or enrolling a dependent) outside of annual open enrollment. The Kaiser Permanente WA SoundChoice plan is available to residents in King, Kitsap, Pierce, Thurston, Snohomish, and … PEBB Statewide Plan members. PEBB does not designate premium contributions, contact your agency benefit office if you have additional questions about your premium contribution. To sign up, go to PEBB My Account at hca.wa.gov/my-account. Complete the information below to get assistance with My Account. Connect with us Contact HCA. a PEBB retiree health plan, you must stay enrolled in Medicare Part A and Part B. Valid court order showing legal custody, guardianship, or temporary guardianship, signed by a judge or officer of the court and a signed PEBB Extended Dependent Certification. Instead of paying out-of-pocket and waiting for a reimbursement, whenever you use the card, you pay for your purchase using the funds in your benefit! Kaiser Permanente WA Classic, Kaiser Permanente WA Value, and the Kaiser Permanente WA Consumer Directed Health Plan (CDHP) with a Health Savings Account (HSA) are available to residents in all counties we serve. Learn more about your customer service options. Frequently Asked Questions These FAQs apply to Washington State Public Employees Benefits Board (PEBB) program benefits-eligible employees who work at state agencies, higher education institutions and community and technical colleges. Get your PEBB Program eligibility and enrollment questions answered. Log into My Account to view your coverage and premium surcharge information, get your statement of insurance, and make open enrollment changes. 257 0 obj <>stream Deadline to enroll The PEBB Program must receive your Retiree Election/Change form for Open Enrollment and Retiree Medicare Advantage Enrollment form (form C) by November 30, 2020. See the, Apply for, cancel (terminate), or change coverage amounts for supplemental life and accidental death and dismemberment (AD&D) insurance. Read about changes to PEBB medical and dental plans, contribution amounts for the health savings account (HSA), Medical Flexible Spending Arrangement (FSA), Dependent Care Assistance Program (DCAP), and PEB Board policy resolutions. PEBB contracts with ASIFlex to administer Commuter Accounts to ensure they align with federal tax code. @Z����B ����mg9V���"T�5@� ʸ8# Employee hire letter from their employer that contains information about benefits eligibility; employment contract; termination letter; letter of resignation; statement of insurance; certificate of coverage. All eligible dependents must enroll in the same health plan. • Subscribe/unsubscribe to PEBB’s email service (page 3). Some information described in this guide is based on federal or state laws. Behavioral health services by plan. Using PEBB My Account, you can: View your medical and dental coverage information. << < > << Last 4 digits of subscriber SSN: Verify My Information. Wellness Central; my journey, my health. Help with register. Pebb Enterprises Accounts Payable, Contact Information, and Licenses On this page you can find Pebb Enterprises Accounts Payable information to get paid and other important information. Type the code from the image: Submit. Please seek tax advice from a qualified tax advisor. Online changes: PEBB My Account portal. See PEBB's Summary Plan Description for details about eligibility and enrollment in the FSA program. What's changing with your PEBB health coverage in 2021. Please seek tax advice from a qualified tax advisor. Health coaches, online and self-guided programs, webinars, and more! Navia Benefit Solutions pebb.naviabenefits.com 1-800-669-3539 SmartHealth Limeade smarthealth.hca.wa.gov 1-855-750-8866 The PEBB Program is saving the green Help reduce our reliance on paper mailings — and their toll on the environment — by signing up to receive PEBB mailings by email. PEBB/My Account login. Help with PEBB My Account login. PEBB Program SAW is the state’s secure single sign-on portal for external users.A SAW account will keep your sensitive information secure. However, members can use funds in their health savings account (HSA) to pay for many out-of-pocket costs (including deductibles), or allow HSA savings to grow for future medical expenses. What changes can I make during a special open enrollment? select My Account under My PEBB in the left navigation panel. Note: University of Washington employees must make changes through Workday. As a PEBB member, you have support to help you achieve your health goals. However, if adding a newborn, newly adopted child, or child for whom the employee has assumed a legal obligation for support in anticipation of adoption, the employee should submit the required forms to the PEBB Program as soon as possible. Employee has a change in employment status that affects their eligibility for their employer contribution toward their employer-based group health plan. Retirement is an exciting time, but it can also be a challenge. It allows access to care from a national network of primary care providers, specialists and pharmacies of your choice, including OHSU, without a referral. Also provide evidence the marriage/partnership is still valid (e.g., a utility bill or bank statement) dated within the past six months showing both names. You pay less for in-network services, more for out-of-network services. As a PEBB member, you have support to help you achieve your health goals. Employee or dependent has a change in residence that affects health plan availability. Waive enrollment in PEBB medical if you have or are enrolling in other employer-based group medical insurance, a TRICARE plan, or Medicare effective January 1. All changes are effective January 1, 2019. Oregon's Public Employees' Benefit Board contracts for and administers benefits for eligible state employees. Change your or a dependent's tobacco use premium surcharge attestation. PEBB Statewide Plan members. Health coaches, online and self-guided programs, webinars, and more! Parking Account (Maximum monthly contribution or reimbursement is $270.00) Monthly contribution (minimum $20) $ 1a. Reattest to the spouse or state-registered domestic partner coverage premium surcharge. How do I make changes during the PEBB Program annual open enrollment? Please confirm the email address you use to login, as well as the last 4 digits of the Subscriber SSN. Certificate of credible coverage; proof of enrollment or termination of coverage from TRICARE. Use the, Change your HSA beneficiary information. See the, Enroll in, cancel (terminate), or increase or decrease the waiting period for supplemental long-term disability coverage. Visa or passport with date of entry; proof of former and current residence (e.g. PO Box 42684 You can: See PEBB's Summary Plan Description for details about eligibility and enrollment in the FSA program. Otherwise, you can change your password here. WAC 182-08-198: When may a subscriber change health plans? See the, Apply for, cancel (terminate), or change auto or home insurance coverage. PEBB … The PEBB Parking account is not used to pay for monthly state lot parking.) October newsletter now available! University of Washington employees must make changes through Workday. Help with register. Skip Mega Menu My Accounts My Group Benefits. Visit HCA’s website at hca.wa.gov/pebb-retirees or call PEBB Customer Service at 1-800-200-1004 (TRS: 711). 2021 Open Enrollment: November 1 - 30. All PEBB employees can also go online to the PEBB Program’s website to review the timelines, required forms, and additional documentation needed to … If your account is locked due to typing the password incorrectly, you may wish to wait at least 10 minutes and you can try again. All valid documents for proof of this event must show the name of the parent who is the subscriber, subscriber’s spouse, or the subscriber’s state-registered domestic partner. Benefits Comparisons Pages 34–47. Use the PEBB Premium Surcharge Attestation Change form or log into PEBB My Account. This guide walks you through these situations: • How to create an account (pages 1-2). %%EOF There is something for everyone! Help with My Account. Kaiser Permanente WA offers coverage for both Medicare-eligible retirees as well as those retiring before they are Medicare-eligible. What changes can I make during open enrollment? If you and your spouse or state-registered domestic partner are both eligible subscribers, you need to choose which of you will cover yourselves and your eligible children (including adult children who are also eligible for PEBB coverage as an employee). Use the ASIFlex website for claim forms and administrative information. Certificate of creditable coverage; letter of termination of coverage from health plan or payroll or benefits office; or COBRA election notice. 1Employee may add only the new spouse, state-registered domestic partner, or children of the spouse or partner. We provide high quality health plans and other … Just follow the “Direct Deposit” directions under “My Account” in the navigation menu. Transportation Account: Use this pretax account to pay for qualified expenses for commuting by bus, ferry, rail, monorail, streetcar, train, subway or vanpool, when the expenses are not deducted by your employer from your pay pre-tax. Employee's or dependent’s current health plan becomes unavailable because the employee or dependent is no longer eligible for a health savings account (HSA). Olympia, WA 98504-5502. • Check your account and coverage information (page 3). Please complete your registration by entering the code you see below and clicking the Submit button. Questions about PEBB or SEBB retiree benefits? Welcome to Navia Benefits! You may be enrolled in only one PEBB medical or dental plan. Enrolling in PEBB benefits. Use the PEBB Premium Surcharge Attestation Change form or log into PEBB My Account. Existing dependents may not be added. If you are a new user select Register Here. View your life and long-term disability insurance information. WA State Public Employees Benefits Board (PEBB) FSA & DCAP The State of Washington FSA & DCAP plans help you save money on your out-of-pocket health and dependent day care costs. To learn more about working with My Account, visit our Help with My Account webpage. A court order requires the employee or any other individual to provide a health plan for an eligible child of the employee. The Navia Benefits Card is a debit MasterCard® that allows you to access your FSA funds directly. The enrollment change will become effective January 1 of the following year. You can only change medical or dental plans during the PEBB Program's annual open enrollment (November 1 through 30) or if a special open enrollment event occurs. The Public Employees Benefits Board (PEBB) Program's For Your Benefit newsletter is your source for information and updates about your health benefits. You … Sensitive data will be used to verify account ownership. Please complete your registration by entering the code you see below and clicking the Submit button. h�b```a``Nb`e`TNcd@ A�+s�``�q����{'�W4��n\�Q��z��|J40pt40tt�� Optional Benefits, FSAs, and Commuter Accounts. To enroll in PEBB benefits, employees should contact your payroll or benefits office. 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