Read the full issue: State agency and higher-education K-12 and employer groups Retirees PEBB Continuation Coverage Since the newsletter was printed, there have been updates. You may also make some changes using PEBB My Account. Make changes to your tobacco use premium surcharge attestation. When you enroll in a CDHP, your employer or the PEBB Program contributes money into your HSA on a prorated basis. All PEBB employees can also go online to the PEBB Program’s website to review the timelines, required forms, and additional documentation needed to … Health coaches, online and self-guided programs, webinars, and more! Get assistance with your PEBB account. 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. Changes you can make online using PEBB My Account during open enrollment. Use the appropriate, Remove dependent(s) from coverage due to loss of eligibility due to divorce, annulment, dissolution, or a qualifying event of a dependent ceasing to be eligible as a dependent child (required). Help with register. How to enroll. 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. Certain events let you make account changes (like changing a health plan or enrolling a dependent) outside of annual open enrollment. F��$���HK�ؖP�lvw���L݌_�ԙҘ���2��b��?�0�������r�+�/ֽ�iذ��;L�jA��? Birth, adoption, or assuming a legal obligation for support in anticipation of adoption. 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. See the, Apply for, cancel (terminate), or change coverage amounts for supplemental life and accidental death and dismemberment (AD&D) insurance. If enrolling after waiving PEBB medical, only allowed if lost eligibility for Medicare. WAC 182-08-198: When may a subscriber change health plans? Use the links in this menu to learn more about the benefits you are eligible for WA State Health Care Authority PEBB. Type the code from the image: Submit. Use the PEBB Premium Surcharge Attestation Change form or log into. h�b```a``Nb`e`TNcd@ A�+s�``�q����{'�W4��n\�Q��z��|J40pt40tt�� PEBB/My Account login. Help Using PEBB’s My Account We want to help you use My Account. select My Account under My PEBB in the left navigation panel. endstream endobj startxref Note: "Employer contribution" means contributions made by the dependent's current or former employer toward health coverage as described in Treasury Regulation 54.9801-6. Employee or dependent loses eligibility for other coverage under a group health plan or through health insurance, as defined by the Health Insurance Portability and Accountability Act (HIPAA). Compare medical plans. If you have already registered, enter your User Name and Password in the Already Registered section and select Log In. utility bill); certificate of credible coverage. PEBB does not designate premium contributions, contact your agency benefit office if you have additional questions about your premium contribution. 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. 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. << < > << Last 4 digits of subscriber SSN: Verify My Information. See PEBB's Summary Plan Description for details about eligibility and enrollment in the FSA program. Oregon's Public Employees' Benefit Board contracts for and administers benefits for eligible state employees. The Public Employees Benefits Board (PEBB) Program's For Your Benefit newsletter is your source for information and updates about your health benefits. Employee's dependent moves from another country to live within the United States, or from the United States to another country and that change in residence resulted in the dependent losing their health insurance. 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. Get Audio Code. 2Employee may only remove a dependent from PEBB coverage if the dependent enrolls in the new spouse’s or state-registered domestic partner’s plan. You can access multiple government services … Go to My Account on the PEBB website. Unit 9 & 10 Lot, 251 Izingolweni Rd, Port Edward, 4295. 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. If you use PEBB My Account, you will be directed to these forms. Employee or a dependent becomes eligible for a state premium assistance subsidy for PEBB medical plan from Medicaid or a state CHIP. Help with My Account. PEBB contracts with ASIFlex to administer the FSA program under PEBB administrative rules and in keeping with IRS code. Note: Your personnel, payroll, or benefits office must key your enrollment in PEBB coverage before you can access My Account. Use the PEBB Premium Surcharge Attestation Change form or log into PEBB My Account. If you do not enroll in PEBB retiree insurance %PDF-1.6 %���� Use the, Change your HSA beneficiary information. Adding a dependent that is not already listed on the account requires a paper form. 3Waiving for this event is allowed only if the employee enrolls in medical under the new spouse or state-registered domestic partner's employer-based group health plan. Please seek tax advice from a qualified tax advisor. Connect with us Contact HCA. Your personnel, payroll, or benefits office must receive the appropriate, Change your life insurance beneficiary information. If you forgot your user name/password select Get It Now or click here for tips on resetting your password . Existing dependents may not be added. 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. 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. Plan change requirements. Employee Enrollment/Change Form Medical Only (PEBB) 2021, Employee Enrollment/Change Form (PEBB) 2021, Website feedback: Tell us how we’re doing. It allows access to care from a national network of primary care providers, specialists and pharmacies of your choice, including OHSU, without a referral. 2021 plan information. For more details about the changes you can make during these events, see PEBB Program Administrative Policy Addendum 45-2A and refer to the following Washington Administrative Code (WAC) sections: Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. 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). Change your name and/or address. Dependent verification. Some information described in this guide is based on federal or state laws. Enroll in a medical plan, if you previously waived PEBB medical. a PEBB retiree health plan, you must stay enrolled in Medicare Part A and Part B. • Check your Statement of Insurance (page 3). 0 PEBB … Using PEBB My Account, you can: View your medical and dental coverage information. The enrollment change will become effective January 1 of the following year. Log into My Account to view your coverage and premium surcharge information, get your statement of insurance, and make open enrollment changes. What can I do in PEBB My Account? Certificate of creditable coverage; letter of termination of coverage from health plan or payroll or benefits office; or COBRA election notice. 5. We call these special open enrollment events. To learn more about working with My Account, visit our Help with My Account webpage. Use the, Change your or a dependent's tobacco use premium surcharge attestation. 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). Subscriber registration - Step 3 of 3. You may be enrolled in only one PEBB medical or dental plan. Visit SEBB My Account and click the green Log into SEBB My Account button under Employee/Subscriber.. You will be directed to SecureAccess Washington (SAW) to create an account. • Subscribe/unsubscribe to PEBB’s email service (page 3). SmartHealth (PEBB) | Washington State Health Care Authority. (Coverage through the Health Benefit Exchange is not group coverage.). Complete the information below to get assistance with My Account. Your payroll, or benefits office must receive the appropriate PEBB Employee Enrollment/Change form during the PEBB Program's annual open enrolment. Cancellation letter from the health plan; coverage confirmation in a new health plan; Medicare entitlement letter; copy of current tax return claiming you as a dependent, Submit request for a plan change to: Enrolled dependents will be listed on one account, not both. Connect with us Contact HCA. ), If you have a provider you want to stay with, contact the new plan or check the. Check back in two business days to verify the coverage you selected and your spousal or state-registered domestic partner coverage premium surcharge attestation is correct. You may be enrolled in only one PEBB medical plan from Medicaid or a dependent ) outside of annual enrollment... Premium assistance subsidy for PEBB medical enrollment in the FSA Program health benefits. 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