Note: Your personnel, payroll, or benefits office must key your enrollment in PEBB coverage before you can access My Account. Good to know! ), If you have a provider you want to stay with, contact the new plan or check the. The enrollment change will become effective January 1 of the following year. 192 0 obj <> endobj You may be enrolled in only one PEBB medical or dental plan. Otherwise, you can change your password here. Your PEBB benefits for2021 HCA 51-0205 (10/20) PEBB Retiree Enrollment Guide Monthly Premiums Pages 7–9. PEBB Long-Term Disability Enrollment/Change form, PEBB Long-Term Disability Evidence of Insurability form, Employee Authorization for Payroll Deduction to Health Savings Account, Health Savings Account Beneficiary Designation, PEBB Program Administrative Policy Addendum 45-2A, PEBB Program Administrative Policy Addendum 45-2A. You will be able to make most changes to your PEBB benefits on the Health Care Authority (HCA) PEBB My Account page. %PDF-1.6 %���� PEBB Statewide is a PPO plan. You may also make some changes using PEBB My Account. Learn the requirements to make changes to your PEBB coverage. • Subscribe/unsubscribe to PEBB’s email service (page 3). Sensitive data will be used to verify account ownership. All changes are effective January 1, 2019. 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. You can make some changes during the year without a special open enrollment event. Enrolled dependents will be listed on one account, not both. Reattest to the spouse or state-registered domestic partner coverage premium surcharge. Behavioral health services by plan. Find the right program for you. a PEBB retiree health plan, you must stay enrolled in Medicare Part A and Part B. 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. 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. To enroll in PEBB benefits, employees should contact your payroll or benefits office. utility bill); certificate of credible coverage. Skip Mega Menu My Accounts My Group Benefits. Eligibility and enrollment. Parking Account (Maximum monthly contribution or reimbursement is $270.00) Monthly contribution (minimum $20) $ 1a. The Navia Benefits Card is a debit MasterCard® that allows you to access your FSA funds directly. Unit 9 & 10 Lot, 251 Izingolweni Rd, Port Edward, 4295. Type the code from the image: Submit. Benefits Comparisons Pages 34–47. We provide high quality health plans and other … Enroll in a medical plan, if you previously waived PEBB medical. 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 set aside pre-tax dollars to pay for your … Join Facebook to connect with My Pebb and others you may know. 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. (Coverage through the Health Benefit Exchange is not group coverage.). To sign up, go to PEBB My Account at hca.wa.gov/my-account. Get your statement of insurance. PEBB Statewide is a PPO plan. 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. Complete the information below to get assistance with My Account. How to determine eligibility. Note: University of Washington employees must make changes through Workday. SmartHealth (PEBB) | Washington State Health Care Authority. Proof of former and current residence (e.g. See PEBB's Summary Plan Description for details about eligibility and enrollment in the FSA program. See the, Apply for, cancel (terminate), or change coverage amounts for supplemental life and accidental death and dismemberment (AD&D) insurance. utility bill); letter or document showing coverage was lost (e.g. Employee or dependent enrolls in or loses eligibility for Medicare. 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. Note: University of Washington employees must make changes through Workday. See the, Enroll in, cancel (terminate), or increase or decrease the waiting period for supplemental long-term disability coverage. Employee or a dependent becomes eligible for a state premium assistance subsidy for PEBB medical plan from Medicaid or a state CHIP. PEBB contracts with ASIFlex to administer the FSA program under PEBB administrative rules and in keeping with IRS code. WAC 182-08-199: When may an employee enroll in or revoke an election and make a new election under the premium payment plan, Medical Flexible Spending Arrangement (FSA) or Dependent Care Assistance Program (DCAP)? Use the PEBB Premium Surcharge Attestation Change form or log into PEBB My Account. 2021 plan information. Help with register. Employee or dependent enrolls in or loses eligibility for Apple Health (Medicaid) or a state Children’s Health Insurance Program (CHIP). If enrolling after waiving PEBB medical, only allowed if lost eligibility for Medicare. If you have already registered, enter your User Name and Password in the Already Registered section and select Log In. PEBB virtual benefits fair. If there is any conflict between information posted on the site and the FSA Enrollment Guide or DCAP Enrollment Guide, the Enrollment Guide prevails. Subscriber registration - Step 3 of 3. endstream endobj startxref What's changing with your PEBB health coverage in 2021. Connect with us Contact HCA. Use the links in this menu to learn more about the benefits you are eligible for WA State Health Care Authority PEBB. 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