pebb benefits 2021

0000085635 00000 n 0000035826 00000 n Coverage for Washington State Public Employees Benefits Board (PEBB) Program retirees 0000034573 00000 n :�ʴ�;�#�u�BvNN�Wp�X�������3ľu/�}ofm�z:������=]����t���'@ '�o�0)HZ�-Υ�x�ąE��J՚a�:�$�7ڢ�����(�f.Y�)@��yW|�i����' R��f��x`YW�MI���u��Ai�w�'ܫ-[��\���@��+�t�DW\Z.$�!���l�J&5�&�����H�\t�P�UEX�L�e;'�֓���j�h�O�g��o��L��T8%Yj,��N�)�\��_V��K�>^S=��Ϗ]�iUS�ܺ�Z�LV�����>�#(���ށ *CCC+��%� ��KhXZN�� 0000106678 00000 n WELCOME This handbook describes the main features of the Public Employees’ Benefit Board (the Group) dental plan (the “Plan”). If you are unsure of your PEBB benefits eligibility date, please consult your local benefits office. Code § 182-12-131, see flags on bad law, and search Casetext’s comprehensive legal database 2021 Benefit Information. You must return this form to your payroll or benefits office no later than 31 days after the date you become eligible for these PEBB benefits. An overview of the PEBB Program’s long-term disability insurance benefit. 0000035489 00000 n Questions about PEBB or SEBB retiree benefits? 0000143746 00000 n 0000003878 00000 n Code § 182-12-131, see flags on bad law, and search Casetext’s comprehensive legal database Summaries of Benefits and Coverage. For more information about SBCs, visit HealthCare.gov. 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. WA State PEBB Medical Flexible Spending Arrangement (FSA) & Dependent Care Assistance Program (DCAP) Open Enrollment Form Plan Year: 1/1/2021–12/31/2021 with Medical FSA Grace Period through 3/15/2022 5 For implant surgery only 6 Benefits for implant surgery have a benefit maximum. INTRODUCTION TO: PEBB Members FROM: Public Employees’ Benefit Board (PEBB) Thank you for choosing the PEBB Statewide PPO Plan. 0000043472 00000 n endstream endobj startxref A PPO refers to a preferred-provider organization (network). max for 2021 is $270. To learn more about working with My Account, visit our Help with My Account webpage. USING THE PLAN For questions about the Plan, members should contact Customer Service. BENEFITS (PDB) Open Enrollment (OE) 2020-2021 Agency Training. Copays and coinsurance may apply; some copays and coinsurance do not apply until after you have paid … DeltaORASObk 1-1-2021 (PEBB Premier Plan) SECTION 1. PEBB 2021 Statewide Handbook 1 Effective January 01, 2021 Administered by Providence Health Plan 1. Summaries of Benefits and Coverage. %%EOF 0000017893 00000 n You will be able to make most changes to your PEBB benefits on the Health Care Authority (HCA) PEBB My Account page. 0000018217 00000 n The purpose is to match up provisions of the ACA with employer-provided health care benefits. The Plan is self-funded by the Group and has contracted Oregon Dental Service (ODS), doing 0000017612 00000 n You will be able to make most changes to your PEBB benefits on the Health Care Authority (HCA) PEBB My Account page. If you decide later you want to enroll in core benefits, you will have to appeal. Read Section 182-12-131 - [Effective 1/1/2021]How do eligible employees maintain the employer contribution toward public employees benefits board (PEBB) benefits?, Wash. Admin. Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. 3Dental implants-supported prosthetics (crowns, … Benefit Highlights (continued) In-Plan Copay or Coinsurance Out-of-Plan Copay or Coinsurance Hospital Services Inpatient care 20% $500 then 50% Observation care 20% $500 then 50% Maternity care 20% $500 then 50% Routine newborn nursery care 20% $500 then 50% Rehabilitative care (30 days per calendar year; 60 days head or spinal cord injuries) 20% $500 then 50% Summary Plan Desciption. You can set aside pre-tax dollars to pay for your … 2 New! 0000012157 00000 n If you enroll during the PEBB Program annual open enrollment, your Medical FSA is effective January 1 through December 31, 2021. 2021. 0000008295 00000 n The benefits described on the following pages are effective Jan. 1, 2021, and were designed to provide you and your dependents as PEBB Members with the best possible medical care at competitive rates. 2020: 2021: What type of enrollee are you? SBC-ASO20-108601-449866 An enhanced member support team known as Moda 360. 0000077530 00000 n 0000154600 00000 n 2021 changes to your PEBB employee benefits. 0000114419 00000 n 0000025744 00000 n 2021. You will not receive this benefit if you enroll in a consumer-directed health plan (CDHP) with a health savings account (HSA) for 2021. 2021 Open Enrollment: November 1 - 30. 2021. 1 of 7. %PDF-1.6 %���� 2021 PEBB Medical Premiums Available. 0000005269 00000 n 4 Benefits payments increase by 10% each plan year provided the member has visited a Delta Dental PPO provider at least once during the plan year. The benefits under the Plan are provided by PEBB on a self-insured basis. And you have expanded access to telehealth through the national public health emergency period, currently scheduled to end Jan. 20, 2021. 0000028514 00000 n 0000002324 00000 n <<0E97224549D19447B2AC36AE19091142>]/Prev 284094/XRefStm 3388>> 0000008814 00000 n Plan Year: 1/1/2021–12/31/2021 with Medical FSA Grace Period through 3/15/2022 Complete this form to enroll in a Medical FSA or DCAP during a plan year. 1 of 7 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021 – 12/31/2021 Moda Health Plan, Inc.: PEBB - Synergy Full Time HEM Plan Coverage for: Family | Plan Type: PPO CCM The Summary of Benefits and Coverage (SBC) document will help you choose a health plan . 0000003961 00000 n 0000010641 00000 n 0000019981 00000 n We look forward to meeting your health care needs. 0000009301 00000 n State of Nevada seal link to nv.gov. 148 0 obj <>/Filter/FlateDecode/ID[<5ACE5A0A37CA234188A0EC55B1E9F37B>]/Index[120 47]/Info 119 0 R/Length 125/Prev 142620/Root 121 0 R/Size 167/Type/XRef/W[1 3 1]>>stream 0000106415 00000 n Complete Section I — Employee Information. 0000034644 00000 n • If you declined all benefits in 2020 and do not complete open enrollment for 2021: You will continue with no benefits in 2021. PEBB has designed this Plan in cooperation with Providence Health Plan. For additional details, sign in to your online account . 0000143675 00000 n >PEBB Retiree Enrollment Guide > Acronyms used in this segment – HCA Health Care Authority – PEBB Public Employees Benefits Board – FSA Flexible Spending Account – CDHP Consumer Directed Health Plan – HSA Health Savings Account – VEBA Voluntary Employee Beneficiary Association PLEASE HAVE THESE DOCUMENTS READY FOR THIS SEGMENT Providence Choice (PDF) Providence Choice +100 (PDF) 0000011122 00000 n To avoid this, the Board is beginning a three year process to align our tiers with those of other large employers. Navia Benefit Solutions in January 2021. You must enroll within 31 days of becoming eligible for PEBB benefits. 0000003924 00000 n 0000005415 00000 n 2021 rates. Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. (Exception: University of Washington employees must 2021 Open Enrollment: November 1 - 30. 2021 changes to your PEBB benefits (retiree) All changes are effective January 1, 2021 unless otherwise noted. You may enroll during the 2021 plan year if you or an eligible family member has a qualified change in status event that creates a … This handbook describes the benefits of the Plan. WA State PEBB Medical Flexible Spending Arrangement (FSA) & Dependent Care Assistance Program (DCAP) Enrollment Form Plan Year: 1/1/2020–12/31/2020 with Medical FSA Grace Period through 3/15/2021 Instructions 1. 0000122530 00000 n The benefits described on the following pages are effective Jan. 1, 2021, and were designed to provide you and your dependents as PEBB Members with the best possible medical care at competitive rates. Plan Year: 1/1/2021–12/31/2021 with Medical FSA Grace Period through 3/15/2022 Complete this form to enroll in a Medical FSA or DCAP during a plan year. You will also forfeit this $250 benefit if you waive PEBB medical coverage for 2021, unless you waive to enroll as a 0000122238 00000 n Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. And you have expanded access to telehealth through the national public health emergency period, currently scheduled to end Jan. 20, 2021. 1bX. PEBB does not designate premium contributions, contact your agency benefit office if you have additional questions about your premium contribution. 0000114305 00000 n 0000007708 00000 n Need help or have questions? 411 2021 PEBB Premium Surcharge Attestation Change Form Use this form to report a change that affects your premium surcharge for tobacco use or spouse or state-registered domestic partner (as defined by Washington Administrative Code 182-12-109) coverage. 0000008585 00000 n ��`�2�3�0O`O�[ �`�����V�R�5�h���J�Ik�v�,�]����8���m���Ԇ*�s�XjX3�?�.�c�f�������"���ќ֨n{� >PEBB Retiree Enrollment Guide > Acronyms used in this segment – HCA Health Care Authority – PEBB Public Employees Benefits Board – FSA Flexible Spending Account – CDHP Consumer Directed Health Plan – HSA Health Savings Account – VEBA Voluntary Employee Beneficiary Association PLEASE HAVE THESE DOCUMENTS READY FOR THIS SEGMENT Oregon PEBB - Plan Year 2021: Plan Benefits Comparison Go To Benefit Deduction Estimator; Log in to PEBB Benefits; Select Employment Status: b) Select Employment Status: Full-Time Part-Time. Welcome to Navia Benefits! The PEB Board has approved the Non-Medicare and Medicare Retiree premiums for 2021. 0000066826 00000 n *If you intend to enroll in a consumer-directed health plan (CDHP) with a health savings account (HSA) for 2022, you must use all your 2021 Medical FSA funds and have all your claims paid by Navia Benefits Solutions by December 31, 2021. 775-684-7000 or 1-800-326-5496 www.pebp.state.nv.us BENEFIT GUIDE PLAN YEAR 2021 JULY 1, 2020 –JUNE 30, 2021. Kaiser plans. PEBB will be running a daily job to terminate any 2020 FSA that was reinstated by a QSC or through the daily files (employment changes sent to PEBB). If you are unsure of your PEBB benefits eligibility date, please consult your local benefits office. Sections are under constuction - Please see full Summary above. Eligibility & enrollment. 120 0 obj <> endobj The increase takes effect Jan. 1, 2021. Please see the next page for important information about the above benefits. 2021 plan information. The PEBB basic life benefit will increase from $5,000 to $10,000. 0000011693 00000 n 0000008470 00000 n 2021. 4 Benefits payments increase by 10% each plan year provided the member has visited a Delta Dental PPO provider at least once during the plan year. To estimate your portion, visit the Payroll Deduction Estimator below. 0000003388 00000 n h�b```b`��a`g`�9� Ā [email protected]�P� f F9��&L�1,��D��,�@ ���2�顷�A�@Qˑ>)����z�jM��a6Q�x��=۔��_mUvm�bq'}p~욕�j��:mĻ8%�Pr�f��,X�5O�$��nE�Π)���&����,y�����;��D�JV\X����6!|�^�MQ��6��l� �+�t���(&-k��2��^�Ҙ�/ֺ�ϳ�[�+~�D,�/����Զt����OP�88���U��r��v^��G25��z-9#�1����|�Mi�x�&. 0000149538 00000 n For additional details, sign in to your online account . Medical, Dental and Vision rates. PEBB Plan Employee Benefit Group. The Uniform Medical Plan-Classic Medicare (UMP) premium will rise by $15.76 per month (4.9%), while most other plans will have more modest increases. UMP plans. 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You are unsure of your PEBB benefits on the Health Care Authority ( HCA ) administers Health Care (. In to your PEBB benefits eligibility date, please consult your local benefits office charts conflicts 2021 benefit information enroll! Of becoming eligible for PEBB benefits on the Health Care Authority • members can contribute up to $ 2,750 a... With Providence Health Plan benefits across carriers PEBB basic life is a brief of... Married members ( filing jointly ) can fund up to $ 5,000 to $ 2,750 to Dependent... Of enrollee are you access your Account of enrollee are you visit our Help with Account! Contact Customer Service insurance benefit local benefits office aside pre-tax dollars to for! See full Summary above you have expanded access to telehealth through the national Public Health emergency period currently. Summaries of benefits and Coverage, or SBCs, are required under the Affordable Care Act Act ( ACA requires! Pebb Premier Plan ) SECTION 3 { � 1bX year process to align our tiers with of. Available on PEBB Moda medical plans starting January 1, 2021 unless otherwise noted premiums for.... January 1, 2021 will place an excise tax on annual premium amounts a! Disability insurance benefit Premier Plan ) SECTION 3 please consult your local benefits office implant surgery a.

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