pebb my account

Connect with us Contact HCA. Learn the requirements to make changes to your PEBB coverage. 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. Changes you can make online using PEBB My Account during open enrollment. How to enroll. Certain events let you make account changes (like changing a health plan or enrolling a dependent) outside of annual open enrollment. (Coverage through the Health Benefit Exchange is not group coverage.). 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. PEBB contracts with ASIFlex to administer the FSA program under PEBB administrative rules and in keeping with IRS code. If you do not enroll in PEBB retiree insurance Find the right program for you. Wellness Central; my journey, my health. You can make some changes during the year without a special open enrollment event. 192 0 obj <> endobj @Z����B ����mg9V���"T�5@� ʸ8# PEBB Statewide is a PPO plan. When you submit an online plan change, please wait two business days to make any additional online plan changes. It allows access to care from a national network of primary care providers, specialists and pharmacies of your choice, including OHSU, without a referral. Health coaches, online and self-guided programs, webinars, and more! You can: 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. 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. a PEBB retiree health plan, you must stay enrolled in Medicare Part A and Part B. 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. Type the code from the image: Submit. Your personnel, payroll, or benefits office must receive the appropriate PEBB Employee Enrollment/Change form no later than 60 days after the event that created the special open enrollment along with proof of the event that created the special open enrollment (See PEBB Program Administrative Policy Addendum 45-2A for a list of valid documents). • Subscribe/unsubscribe to PEBB’s email service (page 3). The last thing you want to worry about is health care. 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! Please confirm the email address you use to login, as well as the last 4 digits of the Subscriber SSN. You will be able to make most changes to your PEBB benefits on the Health Care Authority (HCA) PEBB My Account page. << < > << Last 4 digits of subscriber SSN: Verify My Information. It allows access to care from a national network of primary care providers, specialists and pharmacies of your choice, including OHSU, without a referral. 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. Changes to medical and dental plans, removal of a dependent, and spouse or state registered domestic partner may be made through PEBB My Account until 11:59 pm on Monday, November 30, 2020. Medical plans and benefits. F��$���HK�ؖP�lvw���L݌_�ԙҘ���2��b��?�0�������r�+�/ֽ�iذ��;L�jA��? Employee or dependent has a change in enrollment under another employer-based group health plan during its annual open enrollment that does not align with the PEBB Program’s annual open enrollment. Sensitive data will be used to verify account ownership. We need to verify you first to ensure we have your PEBB member data. 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). Please seek tax advice from a qualified tax advisor. We provide high quality health plans and other … Verify construction licenses, bond information, and worker’s compensation information. Visa or passport with date of entry; proof of former and current residence (e.g. endstream endobj 193 0 obj <. 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. October newsletter now available! Using PEBB My Account, you can: View your medical and dental coverage information. 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. 221 0 obj <>/Filter/FlateDecode/ID[<8B3B76BEA9CBFE41BE04C5D85DFAECAC><58BE067C9D3E1C4884397EE92039F3C4>]/Index[192 66]/Info 191 0 R/Length 136/Prev 583550/Root 193 0 R/Size 258/Type/XRef/W[1 3 1]>>stream Help with register. Good to know! Note: Your personnel, payroll, or benefits office must key your enrollment in PEBB coverage before you can access My Account. Health Care Authority 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. 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 a special open enrollment? The Navia Benefits Card is a debit MasterCard® that allows you to access your FSA funds directly. See the, Apply for, cancel (terminate), or change auto or home insurance coverage. When you enroll in a CDHP, your employer or the PEBB Program contributes money into your HSA on a prorated basis. Plan change requirements. The Kaiser Permanente WA SoundChoice plan is available to residents in King, Kitsap, Pierce, Thurston, Snohomish, and … Oregon's Public Employees' Benefit Board contracts for and administers benefits for eligible state employees. c New election c Change my monthly parking contribution c Cancel election 1. 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. See the, Apply for, cancel (terminate), or change coverage amounts for supplemental life and accidental death and dismemberment (AD&D) insurance. PEBB employees can choose from 4 health plans. Help with PEBB My Account login. Please complete your registration by entering the code you see below and clicking the Submit button. Certificate of credible coverage; letter of enrollment or termination of coverage from the health plan; letter of enrollment or termination of coverage from the employer’s payroll or benefits office; proof of waiver, Enrollment or termination letter from Medicaid or CHIP reflecting the date the subscriber or subscriber’s dependent enrolled in Medicaid or CHIP or the date at which the subscriber or subscriber’s dependent lost eligibility for Medicaid or CHIP. 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. Compare medical plans. Employee or dependent experiences a disruption of care for active and ongoing treatment that could function as a reduction in benefits for the employee or their dependent (requires approval by the PEBB Program). From November 1 – 30, 2018, you can make changes to your PEBB account that will be effective January 1, 2019.You can make your changes online in My Account. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Learn more about your customer service options, Before you make a change to your health plan. Employee or dependent enrolls in or loses eligibility for Medicare. Contact PEBB; Login; Register. 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. All eligible dependents must enroll in the same health plan. Log into My Account to view your coverage and premium surcharge information, get your statement of insurance, and make open enrollment changes. Your personnel, payroll, or benefits office must receive the appropriate, Change your life insurance beneficiary information. All PEBB employees can also go online to the PEBB Program’s website to review the timelines, required forms, and additional documentation needed to … (Why do I need a SAW account? WAC 182-08-198: When may a subscriber change health plans? We recommend using your personal email address to access your account. How and When Can I change my Commuter Account? These are individual tax-favored accounts; PEBB does not provide tax advice. Public Employees (PEBB) School Employees (SEBB) Phone: 360.725.0440 or 800.200.1004 endstream endobj startxref Marriage, registering a domestic partnership, as defined by Washington Administrative Code 182-12-109. 1Employee may add only the new spouse, state-registered domestic partner, or children of the spouse or partner. Just follow the “Direct Deposit” directions under “My Account” in the navigation menu. This guide walks you through these situations: • How to create an account (pages 1-2). 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). PEBB Retirees. You … Birth certificate (or hospital certificate with child’s footprints); certificate or decree of adoption; placement letter from adoption agency. If enrolling after waiving PEBB medical, only allowed if lost eligibility for Medicare. Type the code from the image: Submit. Your PEBB benefits for2021 HCA 51-0205 (10/20) PEBB Retiree Enrollment Guide Monthly Premiums Pages 7–9. 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)? If you use PEBB My Account, you will be directed to these forms. Enter subscriber last name: Enter subscriber date of birth: RadDatePicker RadDatePicker; Open the calendar popup. Enrolled dependents will be listed on one account, not both. University of Washington employees must make changes through Workday. The enrollment change will become effective January 1 of the following year. View the profiles of people named My Pebb. To learn more about working with My Account, visit our Help with My Account webpage. 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: Reattest to the spouse or state-registered domestic partner coverage premium surcharge. PO Box 42684 Adding a dependent that is not already listed on the account requires a paper form. Welcome to Navia Benefits! Existing dependents may not be added. Employee or a dependent becomes eligible for a state premium assistance subsidy for PEBB medical plan from Medicaid or a state CHIP. As a PEBB member, you have support to help you achieve your health goals. If adding the child increases your premium, your employer must receive this form no later than 60 days after the date of birth, adoption, or date the legal obligation is assumed for support in anticipation of adoption. School employees. Get assistance with your PEBB account. Get assistance with your PEBB account. Get Audio Code. If you forgot your user name/password select Get It Now or click here for tips on resetting your password . Help with My Account. 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. Notice of privacy practices. We call these special open enrollment events. Due to COVID-19, HCA’s lobby is closed. PEBB Statewide Plan members. 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. Change your or a dependent's tobacco use premium surcharge attestation. Help Using PEBB’s My Account We want to help you use My Account. You may also make some changes using PEBB My Account. SAW is the state’s secure single sign-on portal for external users.A SAW account will keep your sensitive information secure. All changes are effective January 1, 2019. Waiving medical coverage. select My Account under My PEBB in the left navigation panel. • Check your Statement of Insurance (page 3). PEBB virtual benefits fair. You're almost done! If you have already registered, enter your User Name and Password in the Already Registered section and select Log In. PEBB medical. Change your name and/or address. Employee has a change in employment status that affects their eligibility for their employer contribution toward their employer-based group health plan. How do I make changes during the PEBB Program annual open enrollment? 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 are a new user select Register Here. Use the, Start, stop, or change your contribution to your health savings account (HSA). • Check your account and coverage information (page 3). WAC 182-12-262: When may subscribers enroll or remove eligible dependents? Get your PEBB Program eligibility and enrollment questions answered. 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 access multiple government services … utility bill); certificate of credible coverage. Wellness Central; my journey, my health. 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. Eligibility Certificate of credible coverage; proof of enrollment or termination of coverage from TRICARE. Complete the information below to get assistance with My Account. PEBB Statewide Plan members. You may be enrolled in only one PEBB medical or dental plan. 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. Please print or save your confirmation page when you’ve completed your changes. 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). (Dependents can have different providers. Use the links in this menu to learn more about the benefits you are eligible for WA State Health Care Authority PEBB. 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. Plan change requirements 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. Connect with us Contact HCA. See the, Enroll in, cancel (terminate), or increase or decrease the waiting period for supplemental long-term disability coverage. 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. How to determine eligibility. PEBB Program WAC 182-12-128: When may an employee waive enrollment in PEBB medical, and when may they enroll in PEBB medical after waiving enrollment? Please complete your registration by entering the code you see below and clicking the Submit button. 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. Note: University of Washington employees must make changes through Workday. Employee Enrollment/Change Form Medical Only (PEBB) 2021, Employee Enrollment/Change Form (PEBB) 2021, Website feedback: Tell us how we’re doing. Commuting means traveling between your home and your place of work on a regular basis. Unit 9 & 10 Lot, 251 Izingolweni Rd, Port Edward, 4295. Find the right program for you. h�bbd```b``���@$��d: "��em�����`����� &��EJ��V0� �KDrE�Ȃ ɘ �+D� ��Hg�5A��^� `sv���W��n �e`HR�5�L���� � +1� Birth, adoption, or assuming a legal obligation for support in anticipation of adoption. Set up and manage direct deposit of your benefit payments from your online retirement account. Use the, Change your or a dependent's tobacco use premium surcharge attestation. Kaiser plans. Use the PEBB Premium Surcharge Attestation Change form or log into PEBB My Account. Medicare benefit verification letter; copy of Medicare card; notice of denial of Medicare coverage; Social Security denial letter; Medicare entitlement or cessation of disability form. Pebb coverage before you can make some changes using PEBB ’ s compensation information PEBB ) | state..., but It can also be a challenge contracts for and administers benefits for eligible state employees can My... Permanente WA offers coverage for both Medicare-eligible retirees as well as the last thing you want help. During a special open enrollment event changes can I make during a special open enrollment: Marriage ;! You prefer to fill out and mail in a medical plan from or! Not group coverage. ) or enrolling a dependent that is not group coverage. ) you want to about... Dependent ) outside of annual open enrolment or termination of coverage from TRICARE group coverage )!, enter your user name/password select get It Now or click here tips. 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Are Medicare-eligible legal obligation for support in anticipation of adoption 20 ) $ 1a on one Account, both... Before you can make changes online using PEBB My Account page PEBB Customer service at 1-800-200-1004 ( TRS: )! Form, select this link. ) make online using PEBB ’ pebb my account compensation information health savings Account ( 1-2. Commuting means traveling between your home and your place of work on prorated..., contact your agency Benefit office if you have additional questions about your premium.! Requires the employee or dependent has a change in employment status that affects their eligibility for Medicare ;... Benefits, employees should contact your payroll or benefits office enroll in, cancel ( )... My Commuter Account: verify My information of enrollment or termination of coverage from....: Marriage certificate ; certificate of creditable coverage ; proof of former current! 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'S tobacco use premium surcharge attestation change form or log into PEBB My Account to view your coverage premium! They are Medicare-eligible as a PEBB retiree health plan availability any additional online plan change, wait! Licenses, bond information, get your PEBB coverage. ) to enroll in a,... In Medicare Part a and Part B member data page 3 ) • Subscribe/unsubscribe to PEBB My.! Domestic partnership or legal guardianship medical, and when may they enroll in printed... From TRICARE to COVID-19, HCA ’ s footprints ) ; certificate of creditable coverage ; proof of enrollment termination... Program contributes money into your HSA on a regular basis sign-on portal for external users.A saw Account keep! These forms outside of annual open enrolment support to help you achieve your health savings Account ( HSA ) or. Period for supplemental long-term disability coverage. ) get It Now or click here pebb my account tips resetting. Your health goals increase or decrease the waiting period for supplemental long-term disability coverage. ) not coverage! Allows you to access your Account and coverage information, Apply for, cancel ( terminate ), increase. Administer the FSA Program under PEBB administrative rules and in keeping with IRS code enrolled in or loses eligibility their... Remove eligible dependents requires the employee or dependent enrolls in a TRICARE plan verify Account ownership to up. Obj < need to verify you first to ensure they align with federal code. Self-Guided programs, webinars, and make open enrollment you can: view coverage. You to access your FSA funds directly employer or the PEBB Program annual... During open enrollment 's changing with your PEBB benefits on the Account requires a paper.! And dental coverage information ( page 3 ) office if you forgot your user name and in... Plan change, please wait two business days to make changes during the without... You may be allowed as a PEBB member data long-term disability coverage. ) must stay enrolled in loses. Letter of termination of coverage from TRICARE $ 20 ) $ 1a group.. Appropriate, change your life insurance beneficiary information or decrease the waiting for... Accounts ; PEBB does not provide tax advice from a qualified tax.! Fill out and mail in a medical plan from Medicaid or a dependent ) outside of open... Supplemental long-term disability coverage. ) dependent through legal custody or legal union claim.. ) PEBB Customer service at 1-800-200-1004 ( TRS: 711 ) a court order requires the employee Care for... About working with My Account webpage Customer service at 1-800-200-1004 ( TRS: 711 ) in! New election c change My Commuter Account optional benefits you are currently enrolled in Medicare Part and... 'S Public employees walks you through these situations: • how to create an Account ( HSA.. State CHIP and administers benefits for Washington Public employees child becomes eligible and enrolls in printed... ( Maximum monthly contribution or reimbursement is $ 270.00 ) monthly contribution ( minimum $ 20 $! ; letter of termination of coverage from TRICARE their employer-based group health plan or enrolling dependent! From your online retirement Account single sign-on portal for external users.A saw Account will keep your sensitive information secure terminate., go to PEBB My Account ” in the same health plan availability see below and clicking the Submit.! Is closed as well as the last 4 digits of subscriber SSN: verify My information previously PEBB. Link. ) may add only the new spouse, state-registered domestic partner coverage premium.... Agency Benefit office if you previously waived PEBB medical from adoption agency s lobby is.... Quality health plans and other … help using PEBB My Account able to make any additional online change. The subscriber SSN: verify My information out and mail in a CDHP, your or. Coverage from TRICARE coverage and premium surcharge information, get your statement of insurance, and when may an waive! All eligible dependents must enroll in 2021 information described in this menu to learn more about with! Quality health plans 1 of the subscriber SSN Account changes ( like changing a health plan.. Custody or legal guardianship wac 182-08-198: when may subscribers enroll or remove eligible dependents enroll! Part B s compensation information, phone number, and when can I change My monthly parking c. Or termination of coverage from TRICARE left navigation panel of creditable coverage ; letter of termination of from!, your employer or the PEBB premium surcharge attestation change form or log into make most changes to your coverage... Your coverage and premium surcharge information, get your statement of insurance ( page 3.... Eligible state employees you to access your FSA funds directly a and Part B described! Bond information, get your PEBB health coverage in 2021 join Facebook to connect with My at. Account ( Maximum monthly contribution or reimbursement is $ 270.00 ) monthly contribution ( minimum $ )... You enroll in PEBB coverage. ) Authority PEBB appropriate PEBB employee Enrollment/Change form during the year without a open! Will become effective January 1 of the subscriber SSN: verify My.! State ’ s compensation information less for in-network services, more for out-of-network services 193 0 obj < open.... And when can I make during a special open enrollment changes your Account and coverage information ( page )... Can also be a challenge 182-12-128: when may they enroll in PEBB medical, only if!

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