Employee hire letter from employer that contains information about benefits eligibility; employment contract; termination letter; letter of resignation; statement of insurance; certificate of coverage. PEBB Statewide Plan members. 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. The PEBB Parking account is not used to pay for monthly state lot parking.) We provide high quality health plans and other … Set up and manage direct deposit of your benefit payments from your online retirement account. If you are a new user select Register Here. Find the right program for you. (Dependents can have different providers. Certificate of credible coverage; proof of enrollment or termination of coverage from TRICARE. Enroll in a medical plan, if you previously waived PEBB medical. Otherwise, you can change your password here. 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? Retirement is an exciting time, but it can also be a challenge. 192 0 obj <> endobj 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. Waiving medical coverage. The last thing you want to worry about is health care. Oregon's Public Employees' Benefit Board contracts for and administers benefits for eligible state employees. 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. Subscriber registration - Step 3 of 3. Please seek tax advice from a qualified tax advisor. Please complete your registration by entering the code you see below and clicking the Submit button. Your payroll, or benefits office must receive the appropriate PEBB Employee Enrollment/Change form during the PEBB Program's annual open enrolment. 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. Use the PEBB Premium Surcharge Attestation Change form or log into. Due to COVID-19, HCA’s lobby is closed. As a PEBB member, you have support to help you achieve your health goals. a PEBB retiree health plan, you must stay enrolled in Medicare Part A and Part B. (Why do I need a SAW account? 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. Find the right program for you. The Navia Benefits Card. 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. 2021 plan information. select My Account under My PEBB in the left navigation panel. Health coaches, online and self-guided programs, webinars, and more! Notice of privacy practices. Enter subscriber last name: Enter subscriber date of birth: RadDatePicker RadDatePicker; Open the calendar popup. Help with register. %PDF-1.6 %���� See PEBB's Summary Plan Description for details about eligibility and enrollment in the FSA program. Please complete your registration by entering the code you see below and clicking the Submit button. Sensitive data will be used to verify account ownership. However, you must enroll in dental, basic life insurance, basic AD&D insurance, and basic LTD insurance under your own account (if applicable). 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. 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. If you have already registered, enter your User Name and Password in the Already Registered section and select Log In. Employee or dependent enrolls in or loses eligibility for Medicare. What can I do in PEBB My Account? 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