0000015209 00000 n %%EOF Code § 182-12-131, see flags on bad law, and search Casetext’s comprehensive legal database We recommend using your personal email address to access your account. 0000067125 00000 n Benefits & coverage by plan. Benefits 2021 Medicare Advantage Plan with Prescription Drugs UnitedHealthcare PEBB Balance Group Medicare Advantage (PPO) Group Name (Plan Sponsor): State of Washington Public Employees Benefits Board (PEBB) Program Group Number: 15993 H2001-816-000 Look inside to take advantage of the health services and drug coverages the plan provides. Employee Premium Share Your employee premium share will calculate at a 3% share if you are a full-time employee, have two plans available and choose the lowest premium cost medical plan where you live or work; all other choices will calculate at … 2021 PEBB vision plans summary employee premium contribution comparison 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 h�bbd```b``�+@$�ɪ "u�� X��}�L�d��W��g�d Xd��&��"��懂H�O �� 0000107391 00000 n 0000006268 00000 n PEBB medical. 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. 0000006460 00000 n INTRODUCTION TO: PEBB Members FROM: Public Employees’ Benefit Board (PEBB) Thank you for choosing the PEBB Statewide PPO Plan. 0000003388 00000 n Eligibility & enrollment. Benefits 2021 Medicare Advantage Plan with Prescription Drugs UnitedHealthcare PEBB Complete Group Medicare Advantage (PPO) Group Name (Plan Sponsor): State of Washington Public Employees Benefits Board (PEBB) Program Group Number: 15994 H2001-816-000 Look inside to take advantage of the health services and drug coverages the plan provides. 0000016804 00000 n PEBB virtual benefits fair. 2020: 2021: What type of enrollee are you? 0000012157 00000 n Under the current tier structure, PEBB would pay a tax penalty. 0000003878 00000 n PEBB has designed this Plan in cooperation with Providence Health Plan. PEBB is mailing all members of our self-insured plans - Moda, PEBB Statewide and Providence Choice - a letter requesting SSNs of their covered dependents. 0000072350 00000 n BENEFITS (PDB) Open Enrollment (OE) 2020-2021 Agency Training. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. 2021. www.PEBBenroll.com For more information about SBCs, visit HealthCare.gov. endstream endobj startxref 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 … Providence Choice (PDF) Providence Choice +100 (PDF) You must enroll within 31 days of becoming eligible for PEBB benefits. 0 0000008295 00000 n PEBB 2021 Statewide Handbook 1 Effective January 01, 2021 Administered by Providence Health Plan 1. Benefits 2021 Medicare Advantage Plan with Prescription Drugs UnitedHealthcare PEBB Complete Group Medicare Advantage (PPO) Group Name (Plan Sponsor): State of Washington Public Employees Benefits Board (PEBB) Program Group Number: 15994 H2001-816-000 Look inside to take advantage of the health services and drug coverages the plan provides. trailer 0000034573 00000 n • Single or married members (filing jointly) can fund up to $5,000 to a Dependent Care FSA. August 20. th, 2020. 775-684-7000 or 1-800-326-5496 www.pebp.state.nv.us BENEFIT GUIDE PLAN YEAR 2021 JULY 1, 2020 –JUNE 30, 2021. 2021 rates. 0000043472 00000 n 0000031795 00000 n This limitation is an Internal Revenue Service rule. 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 Has contracted Oregon Dental Service ( ODS ), doing Welcome to Navia benefits contact Customer.... 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