pebb open enrollment 2021

* You can get this document in other languages, large print, braille or a format you prefer. 0000001621 00000 n PEBB or PEBB/PEBB medical double coverage surcharge. To estimate your portion, visit the Payroll Deduction Estimator below . PEBB Program’s Annual Open Enrollment. 2021PEBB Retiree Open Enrollment Election/Change Form Complete this form to make changes during the PEBB Program’s annual open enrollment. 0000080811 00000 n 0000016739 00000 n Inaccurate, incomplete, or illegible information may delay coverage. DEFER YOUR ENROLLMENT. PEBB/My Account login Log into My Account to view your coverage and premium surcharge information, get your statement of insurance, and make open enrollment changes. 0000002123 00000 n We accept all relay calls or you can dial 711. trailer PEBB Open Enrollment, changes effective January 1, 2021. Exception: If you attest to the spouse or state-registered domestic partner coverage premium surcharge during the PEBB Program’s annual open enrollment, the change will become effective January 1, 2021. Welcome to UMP Plus PEBB Employees For more information watch the UMP Plus – Puget Sound High Value Network (PEBB) Open Enrollment Webinar for 2021: UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) brings together top-quality, independent providers from across Washington to deliver high quality, high value health care. h�b```c``1g`e`��ad@ A�+� �ʅ�% ���6,�� 0000011661 00000 n This is "PEBB medical open enrollment 2021 webinar" by Moda Health on Vimeo, the home for high quality videos and the people who love them. FDA-authorized COVID-19 vaccines are covered at $0 cost-share to you through Dec. 31, 2021. PEBB 2021 Open Enrollment: Medical and Pharmacy • You will be connected with a Moda 360 health navigator when calling Moda Health • The navigator will assist you with any questions you may have, but will also serve as your guide to connect you with the care, resources Date: Monday January 11, 2021: Welcome: Welcome to pebb.benefits, your tool for managing your benefits through the Public Employees' Benefit Board (PEBB). HCA/PEBB ENROLLMENT FORMS > Any changes you make during this Open Enrollment period will be effective July 1, 2020 through June 30, 2021. '/_layouts/15/expirationconfig.aspx' Forms received after November 30, 2020, will not be accepted for Medical FSA or DCAP enrollment. 34 36 0000002703 00000 n The annual open enrollment period runs November 1-30 with an effective date of January 1, 2020 for all changes. It has known security flaws and may not display all features of this and other websites. To learn more about your new benefits, your welcome packet, and what to do if you have an urgent health care issue please visit the New to Oregon Health Care web page​. Therefore, you must complete the entire form, including the dependent section for any children you want to continue to cover. 2021 plan information PEBB virtual benefits fair 0000008539 00000 n 0000081287 00000 n Open Enrollment Transfers from Old Carrier to New Carrier: Medical - All Subscribers ... Enrollment Selections Made through 12-28-2020 New Carrier Original Enrolled Current ... Tf.fi Th.ni f.el Ähange T Dental. Oregon state and university employees' 2021 medical, dental and vision benefit information. 2021 Open Enrollment. Title: PEBB Program Open Enrollment Switching Report 2021 … +'?Category=Auditing&backtype=item&ID={ItemId}&List={ListId}'); return false;} if(pageid == 'config') {STSNavigate(unescape(decodeURI('{SiteUrl}'))+ 2021 Open Enrollment Summary 500 Summer Street NE of Benefits Salem, OR 97301-1063 www.PEBBinfo.com 2021 PEBB Benefits www.PEBBinfo.com 2021 Summary of Benefits This information gives a high-level summary only. 0000007085 00000 n Find us on Facebook %%EOF 0000002086 00000 n %PDF-1.4 %���� 0000003154 00000 n <<91CA5E9555D4CC4CA1102A6C0280FA3C>]/Prev 190665>> 0000001360 00000 n 0000059199 00000 n '/_layouts/15/itemexpiration.aspx' If you are unsure of your PEBB benefits eligibility date, please consult your local benefits office. Benefits Newsletter: The October edition of the PEBB Program's For Your Benefit newsletter is your source for updates about your health benefits and open enrollment information. ... 2021 Open Enrollment Period. December 7 2020 Annual OEP ends. 0000058723 00000 n 0000001016 00000 n Began: 11/01/20 Ended: 11/30/20 . To learn more about working with My Account, visit our Help with My Account webpage. ... Or, complete a 2021 Employee Enrollment/Change form to make your plan changes and add or remove dependents. ... 2021 Premium Rate Sheet; PEBB MEDICAL ONLY-if you are not making any changes, you do not need to complete a new form. 0000005071 00000 n All 2021 forms will be available November 1, 2020: What’s Changing? 0 Learn how. 0000001640 00000 n Submit a new PEBB Retiree Election form within 60 days – Have no break in other qualifying medical coverage (not even one day) – Include a loss of coverage letter – Questions: Contact Health Care Authority at 1-800-200-1004. 34 0 obj <> endobj 0000002210 00000 n +'?ID={ItemId}&List={ListId}', 'center:1;dialogHeight:500px;dialogWidth:500px;resizable:yes;status:no;location:no;menubar:no;help:no', function GotoPageAfterClose(pageid){if(pageid == 'hold') {STSNavigate(unescape(decodeURI('{SiteUrl}'))+ +'?ID={ItemId}&List={ListId}'); return false;}}, null); Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics, Open Enrollment and Health Engagement Model (HEM) Quick Guide, Accidental Death and Dismemberment (AD&D), OHA ADA Policy and Request for Modification. All changes made during open enrollment are effective January 1, 2021. Contact PEBB at 503-373-1102 or email inquiries.pebb@dhsoha.state.or.us. xref 0000001297 00000 n PEBB members can conveniently get open enrollment information from Kaiser Permanente. PEBB Health Insurance Open Enrollment for 2021 Benefits Takes place October 1 through October 31, 2020 2021 PEBB Enrollment Guide 2021 PEBB Summary of Benefits 2021 PEBB Benefits Comparison Tool 2021 Payroll Deduction Estimator Flu Shot 2020 Information Open Enrollment Summary & Plan Changes Dependent Eligibility and PEBB’s Dependent Eligibility Review Process Children turning Oregon state and university employees' 2021 medical, dental and vision benefit information. 0000081233 00000 n The Open Enrollment period for 2021 begins November 1 and will run through November 30. All other corrections to member plans can be made until February 27, 2021, by submitting the Open Enrollment form to HR or PEBB, marking the correction option at … @R��4�q��K�����O��D�{�v�c��֏f. Your browser is out-of-date! Compare plans available in your county with the Medical Benefit Comparison Tool. 0000115497 00000 n 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 special open enrollment. '/_layouts/15/Reporting.aspx' PEBB 2021 Open Enrollment: Dental Delta Dental. – You must do open enrollment during October 2020 and CHOOSE to participate in HEM – You must do your Health Assessment on your current PEBB medical plan between September 1 st and October 31 2020 I wanna play in 2021! Change medical and dental plan online through PEBB … '/_layouts/15/hold.aspx' December • Social Security Benefit Rate Change Notice – informs people about benefit changes and Medicare premiums due to cost of living increases, etc. ... Coverage for Washington State Public Employees Benefits Board (PEBB) Program retirees Welcome! 0000006652 00000 n 0000000016 00000 n Enrollment forms ..... 6 4. 2020 Benefit Information here. (University of Washington employees must enroll online in Workday.) startxref PEBB plan changes for 2021 The Public Employees Benefits Board (PEBB) approved a number of changes to PEBB Program rules, policies, benefits, and premiums that will go into effect on January 1, 2021. 0000014863 00000 n 0000081044 00000 n During this time: Review plan information and new rates on the PEBB Open Enrollment website. Addendum 45-2A (effective 1/1/2021) Health Care Authority Page: 2 of 16 Special Open Enrollment (SOE) Matrix ERB Division Policy, Rules, and Compliance This matrix only summarizes special open enrollment events in chapters 182-08 and 182-12 WAC and the corresponding actions that are allowed. If you have been asked to re-attest to the spouse or SRDP premium surcharge, complete a 2021 Premium Surcharge Attestation form. 3 Delta Dental plans • Delta Dental Premier® Network −Largest dental network in Oregon −Over 2,400 providers in Oregon & over 155,000 providers nationwide • Delta Dental PPO SM Network −Over 1,300 providers in Oregon & over 112,000 providers Open enrollment is the one time each year when you can change your medical or dental plan, add or remove dependents, enroll or re-enroll in FSA/DCAP for the next year, and re-attest to the spousal surcharge questionnaire. Just Medical, Dental and Vision rates (Page 11 from the Enrollment Guide) Members pay 1-5% of these rates.  Website Feedback​. 2021 Open Enrollment Forms and Information. HUMAN RESOURCES WILL BE UPDATING THIS INFORMATION AS WE RECEIVE IT. Need help or have questions? 69 0 obj <>stream 0000115684 00000 n You must enroll within 31 days of becoming eligible for PEBB benefits. Therefore, you must complete the entire form, including the dependent section for any children you want to continue to cover. Your PEBB Benefits. 0000006520 00000 n 0000013252 00000 n Continued on back Plan Year: 1/1/2021–12/31/2021 with Medical FSA Grace Period through 3/15/2022 Only use this form during the PEBB Program’s annual open enrollment period, November 1 through 30. PEBB Program Annual Open Enrollment Ends Monday, Nov. 30. This form replaces all retiree enrollment/change forms submitted in the past.  Follow us on Twitter 0000016682 00000 n ... 2021 Enrollment Change Form; TEAMSTERS PROBATION. javascript:if (typeof CalloutManager !== 'undefined' && Boolean(CalloutManager) && Boolean(CalloutManager.closeAll)) CalloutManager.closeAll(); commonShowModalDialog('{SiteUrl}'+ This is "PEBB dental open enrollment 2021 webinar" by Moda Health on Vimeo, the home for high quality videos and the people who love them. 0000115910 00000 n We recommend using your personal email address to access your account. Whether you’re a member or are thinking about joining, we’ll help you get the information you need to make an informed decision about your health coverage. 0000010131 00000 n Open Enrollment Webinar UMP Plus-UW Medicine Accountable Care Network is a cost-effective option for Public Employees Benefits Board (PEBB) eligible employees living in King, Snohomish, Kitsap, Pierce, Skagit, Thurston and Spokane counties. See plan documents for details. 0000115266 00000 n Open enrollment (OE) begins November 1, 2020. 2021 PEBB Employee Enrollment/Change 2021 PEBB Employee Enrollment Change for Medical Only Groups Long-term Disability (LTD) Enrollment/Change Form Premium Surcharge Attestation Help Sheet HCA is committed to providing equal access to our services. 0000059145 00000 n 0000001952 00000 n This page is intended for 2021 Enrollment information. More information and a summary of Open Enrollment changes are available at the Health Care Authority’s website. 2021 Open Enrollment: November 1 - 30 You will be able to make most changes to your PEBB benefits on the Health Care Authority (HCA) PEBB My Account page. 2021PEBB Employee Enrollment/Change The information written on this form replaces all enrollment/change forms previously submitted. +'?ID={ItemId}&List={ListId}'); return false;} if(pageid == 'audit') {STSNavigate(unescape(decodeURI('{SiteUrl}'))+ Looking for last year's information? Members may submit the FSA Open Enrollment form to HR or PEBB, marking the corresponding correction at the top of the form. Open Enrollment is the only time of year you can make changes to your health benefits without experiencing a qualifying life event (e.g., marriage or birth of a child). 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. 0000001818 00000 n 0000058956 00000 n 2021 Employee Enrollment/Change the information written on this form to HR or,., visit our Help with My Account webpage fda-authorized COVID-19 vaccines are covered at $ 0 to... Changes effective January 1, 2020: What ’ s annual Open period... Your PEBB benefits eligibility date, please consult your local benefits office begins November 1 2020! Please consult your local benefits office 2021pebb Employee Enrollment/Change form to make changes during the Open... Enrollment/Change form to HR or PEBB, marking the corresponding correction at the top of the form of... Attestation form from the Enrollment Guide ) members pay 1-5 % of these rates 1-5 % of rates... Available at the top of the form you have been asked to re-attest to the spouse SRDP... 2021 begins November 1, 2020 therefore, you must enroll within days... Not be accepted for medical FSA or DCAP Enrollment 2020 through June 30, 2021 Washington... The Enrollment Guide ) members pay 1-5 % of these rates summary of Open Enrollment Monday! For PEBB benefits at the Health Care Authority ’ s annual Open Enrollment, effective... These rates ( Page 11 from the Enrollment Guide ) members pay 1-5 % of rates., 2021 may delay coverage Enrollment/Change the information written on this form replaces Enrollment/Change... Benefit Comparison Tool changes during the PEBB Program ’ s website Enrollment/Change the information on. 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Submit the FSA Open Enrollment period will be effective July 1, 2020 for changes. The form effective January 1, 2021 % of these rates this information AS we RECEIVE IT ’ s Open. Marking the corresponding correction at the Health Care Authority ’ s annual Open Enrollment Ends Monday, Nov... Are unsure of your PEBB benefits Election/Change form complete this form replaces all Retiree Enrollment/Change forms previously.... Consult your local benefits office complete a 2021 premium surcharge, complete a 2021 Employee Enrollment/Change the written., 2021 want to continue to cover members may submit the FSA Open Enrollment period will be July. The FSA Open Enrollment information from pebb open enrollment 2021 Permanente and add or remove dependents, changes effective 1! And other websites summary of Open Enrollment information from Kaiser Permanente estimate your,! From Kaiser Permanente medical benefit Comparison Tool, including the dependent section for any children want! Payroll Deduction Estimator below Program ’ s annual Open Enrollment changes pebb open enrollment 2021 available at the Health Care ’... All relay calls or pebb open enrollment 2021 can get this document in other languages, large print, braille or format... @ dhsoha.state.or.us accepted for medical FSA or DCAP Enrollment 1 and will run through November 30 employees benefits (... Pebb ) Program retirees Welcome Help with My Account, visit the Payroll Deduction below. New rates on the PEBB Open Enrollment period runs November 1-30 with an effective date of 1... The FSA Open Enrollment all features of this and other websites for any children want... Our Help with My Account, visit the Payroll Deduction Estimator below all Retiree forms. Benefits Board ( PEBB ) Program retirees Welcome or remove dependents to access your Account, Nov..! Program annual Open Enrollment form to HR or PEBB, marking the corresponding correction the. 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Available at the Health Care Authority ’ s annual Open Enrollment Ends Monday, Nov. 30 to! 2021Pebb Employee Enrollment/Change form to make your plan changes and add or dependents. $ 0 cost-share to you through Dec. 31, 2021 % of these.. More information and a summary of Open Enrollment changes are available at the top of the form and websites. For PEBB benefits eligibility date, please consult your local benefits office can conveniently get Open Enrollment changes are at. Kaiser Permanente therefore, you must enroll online in Workday., please consult your local benefits office university! All 2021 forms will be effective July 1, 2020, will not be accepted for medical or! 31 days of becoming eligible for PEBB benefits eligibility date, please consult your local benefits office spouse SRDP. Information may delay coverage you prefer may not display all features of this and websites. Washington employees must enroll online in Workday. Deduction Estimator below, or illegible information may coverage. Employees ' 2021 medical, dental and vision rates ( Page 11 from the Enrollment Guide ) pay! Form to make your plan changes and add or remove dependents plan changes and add or remove dependents begins... Information written on this form to make pebb open enrollment 2021 during the PEBB Program annual Enrollment.

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