Members may submit the FSA Open Enrollment form to HR or PEBB, marking the corresponding correction at the top of the form. ... 2021 Open Enrollment Period. Re-Enroll in benefits online by visiting PEBBEnroll.com between October 1st and 31st. Benefits began on January 1, 2020. 2021 Open Enrollment Forms and Information. All enrolled eligible dependents will follow. Plan Year: 1/1/2020–12/31/2020 with Medical FSA Grace Period through 3/15/2021 Only use this form during the PEBB Program’s annual open enrollment period, November 1 through 30. Your browser is out-of-date! … viduals may defer enrollment in a public employees benefits board (PEBB) health plan: (a) A retiring employee or a retiring school employee; ... Certified on 8/27/2020 WAC 182-12-205 Page 1. as described in WAC 182-12-211 (1)(a) through (c), enrollment will be ... During the PEBB annual open enrollment period. Plan Year 2021 Payroll Deduction Estimator . 2021 DCAP Enrollment Guide . The required Note: Enrollment/changes cannot be made through PEBB/MyAccount for this enrollment event. A limited open enrollment has been announced by the Public Employees Benefits Board (PEBB). Details: Here are some important 2020 Open Enrollment dates to mark on your calendar: Key 2020 Open Enrollment dates. 2020 Guides. Members with active employment and actively enrolled in a Medical plan must complete the Open Enrollment process by 10/31/19. Plan Year 2021 Benefit Comparison Tool . 2020 PEBB Employee Enrollment/ Change for Medical Only Groups . 2020 PEBB Employee Enrollment/hange. This is the one time each year when you can voluntarily elect to: Change your medical and/or dental plans Add eligible dependents to your coverage Waive dependents from your coverage Enroll/re-enroll in the Flexible Spending Account (FSA) and/or Dependent Care Assistance Program (DCAP) Attest/re-attest … 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. School district monthly premiums. If you are enrolling by completing the paper form, Navia Benefit Solutions must receive the form no later than Monday, November 30, 2020. 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. This includes: If you have already registered, enter your User Name and Password in the Already Registered section and select Log In. The PEBB Program’s annual open enrollment is November 1 through 30, which is approaching quickly. To learn more about working with My Account, visit our Help with My Account webpage. Other Employer Group coverage will be changed if the member has an existing Spouse or Partner enrolled in the Medical plan to: My Spouse/Partner has other employer group coverage available and waives that coverage. Contact PEBB at 503-373-1102 or email inquiries.pebb@dhsoha.state.or.us. Welcome to PEBB's payroll deduction estimator. There are only a few changes to your benefit plans for 2021 and they are outlined on the next page. (University of Washington employees must enroll online in Workday.) Change your coverage. How to join the PEBB Program. Forms received after November 30, 2019, will not 2021 Open Enrollment: November 1 - 30. More benefits may be available in some states and under some plans. The Public Employees Benefits Board (PEBB) Program's annual open enrollment begins Sunday, Nov. 1 and ends Monday, Nov. 30, 2020. Enrollment Information. 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. 2019 MODA Summit enrollees will default to the MODA Synergy higher deductible plan. Use the Alex Tool to compare healthcare plans. Help with SEBB My Account login. As of July 2020, the SEBB Program provides medical benefits for just over 127,000 enrolled school Employees that opted out of health insurance during the 2020 plan year and are enrolling in health insurance during Open Enrollment will also need to call PEBB or Employee Benefits for an access code to complete the HEM Health Assessment. PEBB members can conveniently get open enrollment information from Kaiser Permanente. All changes made during open enrollment are effective January 1, 2021. Please be sure to check out the new rate sheets for 2021. Plan costs. >Retiree Enrollment Guide >Acronyms used in this segment –HCA Health Care Authority –PEBB Public Employees Benefits Board –FSA Flexible Spending Account –CDHP Consumer Directed Health Plan –HSA Health Savings Account –VEBA Voluntary Employee Beneficiary Association PLEASE HAVE THESE DOCUMENTS READY FOR THIS SEGMENT PEBB RETIREE HEALTH INSURANCE >State … Tobacco use premium surcharge. 2020 Open Enrollment. Presentation that reviews the upcoming Annual Open Enrollment period for the PEBB Program. The purpose is to match up provisions of the ACA with employer-provided health care benefits. If enrolled in an Optional life plan, move to the “Tobacco” user Optional life plan tier (both Employee and Spouse/Partner are affected). All changes made during open enrollment are effective Jan. 1, 2021. All enrollment forms and dependent verification documents must be received by HR no later than 7/31/2020. All enrollment forms and dependent verification documents must be received by HR no later than 7/31/2020. 2020 PEBB Employee Enrollment/ Change for Medical Only Groups . SEBB Continuation Coverage spousal plan questionnaire 2020. Tobacco use status will be changed to: Both my Spouse/Partner and I currently use tobacco. • Starts October 1, 2020 • $5 per month (even if double-covering more than one person) • Only applies if you cover a family member on your OEBB medical plan who is also covered on their own OEBB or PEBB medicalplan through their own employment. It also includes federal requirements.  Website Feedback​. Introducing the virtual benefits fair Click the heart to favorite Select rating Give PEBB Program Annual Open Enrollment Ends Monday, Nov. 30 1/1 Flexible Spending Account (FSA) corretions for members who complete Open Enrollment are due by December 11, 2020 (FSA's to not carry forward and require re-enrollment). Cancel your coverage. If you are unsure of your PEBB benefits eligibility date, please consult your local benefits office. and approved benefit offerings. 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). 2020 PEBB Employee . Employees and most PEBB Continuation Coverage subscribers can enroll in medical coverage (if they are currently enrolled only in dental) and add dependents to their medical coverage. The mailing gives instructions on providing the information through a secure online system. HCA 50-100 (10/19) Employee Enrollment Guide Your PEBB Benefits for 2020 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. ... 2020, and ending November 18, 2020. Print or digitally save your completion certificate proving eligibility for the HEM incentive, to be supplied to PEBB only if needed.  Follow us on Twitter Online Changes 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. FSA Corrections can be made until December 20, 2019, Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics, OHA ADA Policy and Request for Modification. You will find enrollment forms, rate sheets, coverage information Open Enrollment corrections can be made until February 29, 2020. New rate sheets have been posted on the benefits website. OPEN ENROLLMENT 2020 Welcome to Open Enrollment! * You can get this document in other languages, large print, braille or a format you prefer. Find us on Facebook Open Enrollment corrections can be made until February 29, 2020. 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​. Open Enrollment is your opportunity to: Enroll in coverage, make plan changes, or waive coverage (if permitted by the plan). PEBB COVID-19 Limited Open Enrollment/Change Form (PDF 3.5 MB) Compare Medical Plans Only use this form during the PEBB Program’s annual open enrollment period, November 1 through 30. Preparing for Open Enrollment 2020. Enroll in a 2021 Health Care or Day Care Flexible Spending Arrangement (FSA). Welcome to PEBB's payroll deduction estimator. Members with active employment and actively enrolled in a Medical plan must complete the Open Enrollment process by 10/31/19. The COVID-19 pandemic may have changed your health care needs. The SEBB Program’s first annual open enrollment was held from October 1, 2019 through November 15, 2019. Employee Enrollment/Change. Any changes you make during this Open Enrollment period will be effective July 1, 2020 through June 30, 2021. • These are folks that actively did not want to participate in 2020 or • Folks that missed participating or failed to do their Health Assessment timely – 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 Contact. Need help or have questions? Oregon state and university employees 2020 medical, dental and vision benefit information. In recognition of how the current COVID-19 public health crisis has dramatically impacted the needs of many employees and their families, Washington State’s Health Care Authority (HCA) today announced a one-time, special Limited Open Enrollment opportunity for all PEBB benefits-eligible employees to make specific changes to their current medical, FSA and/or DCAP plans between July 1 … Welcome to pebb.benefits, your tool for managing your benefits through the Public Employees' Benefit Board (PEBB). Employer groups. It has known security flaws and may not display all features of this and other websites. Forms received after November 30, 2020, will not be accepted for Plan Year 2020 Payroll Deduction Estimator. For additional questions about your enrollment,visit th e PEBB Program’s open enrollment webpa ge or, call PEBB Customer Service at 1-800-200-1004, 8 a.m. to 4:30 p.m., Monday through Friday. PEBB Payroll Deduction Estimator. The annual open enrollment period runs November 1-30 with an effective date of January 1, 2020 for all changes. If you are unsure of your PEBB benefits eligibility date, please consult your local benefits office. Navia must receive your enrollment form by November 30, 2019. All changes made during open enrollment are effective Jan. 1, … The PEBB Open Enrollment period is the annual window when you can: Medical and Dental. Benefit changes will be effective 8/1/2020. Changes are effective August 1, 2020. Need help or have questions? Log in and Subscribe to receive open enrollment and other reminders. The Affordable Care Act (ACA) requires that we ask for and provide this information to the IRS. POST OPEN ENROLLMENT. Read this guide to learn about the 2021 DCAP program. – 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! July 1 - 31, 2020 only Employees can make the changes listed below.  Instead of enrolling online, you can download and print the PEBB Open Enrollment Form at pebb.naviabenefits.com. Open Enrollment Transfers from Old Carrier to New Carrier: Medical - Self Pay Medicare Enrollment Selections Made through 12-8-2019 Original Enrolled Current Enrolled Change % Change Kaiser WA Classic Kaiser WA Value Kaiser WA Sound Choice Kaiser WA Medicare Kaiser Permanente NW Classic Uniform Medical Plan Classic Premera BC Med icare Supp F f.el Tf.jm Te.hh Te.hh Tfg.mg … It describes benefits we offer to all members in all states. Workforce Development Toolkit - July 2020 PEBB Limited Open Enrollment Enroll in Medical Add Dependents (Medical Only) Enroll/Change Medical FSA Enroll/Change DCAP Benefit Questions. Began: 11/01/20 Ended: 11/30/20 . HCA 50-100 (10/19) Employee Enrollment Guide Your PEBB Benefits for 2020 2 In July 2020, you have an opportunity to change some of your PEBB benefits We know the COVID-19 pandemic may have changed your health care needs. Note: the estimator may not work if using Internet Explorer 8 or earlier. 2021 Open Enrollment by Employee Benefit Group Your 2021 Open Enrollment depends on your Employee Benefit Group. Note: the estimator may not work if using Internet Explorer 8 or … Wed, 07/01/2020 to Fri, 07/31/2020. 2021 Open Enrollment. Click the heart to favorite Select rating Give PEBB Program Annual Open Enrollment Ends Monday, Nov. 30 1/1 Inaccurate, incomplete, or illegible information may delay coverage. (This option is not available to UW employees.) Rules & policies. Read the 2020 enrollment guides. In light of the COVID-19 pandemic, the PEBB Program is offering a limited open enrollment from July 1 through 31, 2020. PEBB has decided to give you a pass on open enrollment. Email: pcbenefits@piercecountywa.gov . Only use this form during the PEBB Program’s annual open enrollment period, November 1 through 30. Contact the plans. PEBB is mailing all members of our self-insured plans - Moda, PEBB Statewide and Providence Choice - a letter requesting SSNs of their covered dependents. To add dependents, fill out Section 6, starting on page 9. The PEBB Program requires a $25-per-account . Looking for last year's information? Open enrollment is your opportunity to make changes to your health plan benefits. ; Complete the HEM (Health Engagement Model or Personal Health Assessment) from your 2020 medical providers’ website by October 31st. HUMAN RESOURCES WILL BE UPDATING THIS INFORMATION AS WE RECEIVE IT. Plan Year 2021 Payroll Deduction Estimator . PEBB or PEBB/PEBB medical double coverage surcharge. There are only a few changes to your benefit plans for 2021 and they are outlined on the next page. Learn how. (University of Washington employees must enroll online in Workday.) Health Details: HCA 51-205 (11/16) HCA 51-205 (10/19) Your PEBB Benefits for 2020 PEBB Retiree Enrollment Guide Monthly Premiums Pages 6-9 Eligibility Summary Pages 10-13 How PEBB Plans with Prescription Drug pebb benefits retiree guide › Verified 3 days ago › Url: https://www.healthlifes.info Go Now Enroll your eligible dependents or remove dependents from coverage. This is your once-a-year opportunity to make changes to your PEBB benefits. You can also apply for STD coverage or cancel your active coverage when you complete your 2020 Open Enrollment. Make changes to your medical and dental plan elections; Add/remove dependents; Enroll in a medical plan if you’ve previously waived coverage 2020 PEBB Employee Enrollment/hange ubscriber’s last name ubscriber’s ocial ecurity number u u u u u u u u u u u u u u u u u u u u u u u u- u u- u u u u Tobacco use premium surcharge The PEBB Program requires a $25-per-account . The Public Employees Benefits Board (PEBB) Program's annual open enrollment begins Sunday, Nov. 1 and ends Monday, Nov. 30, 2020. PEBB Plan Employee Benefit Group. Please be sure to check out the new rate sheets for 2021. If you are a new user select Register Here. Type or print clearly in dark ink, use only capital block lettering inside the boxes as shown in the ... Changes you can make if an event creates a special open enrollment. You will find enrollment forms, rate sheets, coverage information and much more on the HR Benefits Website at: Click Here. Plan Year 2020 Payroll Deduction Estimator. Temporary change to the retiree enrollment deadline. Enroll for benefits during Open Enrollment, Enroll for benefits as a newly hired employee, Review and update your personal information, Pop-ups enabled (disable your pop-up blocker). PEBB Program’s open enrollment is November 1–30, 2019 2020 changes for your PEBB benefits Public Employees Benefits Board (PEBB) Program State and Higher-Education Employee Edition | October 2019 HCA 50-658 (10/19) ... PEBB MEDICAL/DENTAL/LIFE- if you are not making any changes, you do not need to complete a new form. For more information about STD insurance click here. This is your once-a-year opportunity to make changes to your PEBB benefits. ... 2020. OPEN ENROLLMENT 2020 Welcome to Open Enrollment! Sun, 11/01/2020 to Mon, 11/30/2020 There are two weeks remaining to change medical and dental plans and enroll in the Flexible Spending Arrangement (FSA) or Dependent Care Assistance Program (DCAP) for 2021. For groups joining the PEBB Program . ubscriber’s last name ubscriber’s ocial ecurity number u u u u u u u u u u u u u u u u u u u u u u u u- u u- u u u u. Plan Year 2021 Benefit Comparison Tool . That means you have some options this year: • If you are happy with your current health care and optional plans (including your current HEM participation), you don’t have to do anything. Click on the Forms link below to find the Open Enrollment & Correction Form. Open enrollment is your opportunity to make changes to your health plan benefits. This . PEBB Open Enrollment How to Make Changes and Re-Attest to the Spousal Premium Surcharges . (University of Washington employees must enroll online in Workday.) If you experience a qualified special open enrollment (SOE) event, you may be eligible to enroll or change your Medical Flexible Spending Arrangement (FSA) or Dependent Care Assistance Program (DCAP) election(s). form replaces all . Benefit changes will be effective 8/1/2020. Forms received after November 30, 2020, will not be accepted for Medical FSA or DCAP enrollment. During November 2015, you can make changes to your PEBB account that will take effect January 1, 2015. Online enrollment through Navia’s portal is only available during the PEBB Program annual open enrollment period. Find a provider. The 2020 Open Enrollment Period runs from Friday, November 1, 2019, to Sunday, December 15, 2019. Attend a PEBB webinar on the 2020 Passive Enrollment Period – September 2 at 10 AM. Sun, 11/01/2020 to Mon, 11/30/2020 There are two weeks remaining to change medical and dental plans and enroll in the Flexible Spending Arrangement (FSA) or Dependent Care Assistance Program (DCAP) for 2021. You must enroll within 31 days of becoming eligible for PEBB benefits. Coverage for Washington State Public Employees Benefits Board (PEBB) Program retirees Welcome! Type or print clearly in dark ink, use only capital block lettering inside the boxes as shown in the example. In general (meaning for most companies, because this varies between businesses), the 2020 Open Enrollment Period runs from November 1, 2019 to December 15, 2019. Enrollment/Change. If you forgot your user name/password select Get It Now. You can choose to make your changes online or on paper forms. 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. In light of the COVID-19 pandemic, open enrollment events will be different this year. School districts. New rate sheets have been posted on the benefits website. 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. This year, open enrollment is optional due to the pandemic, however we strongly encourage you to mark your calendar and make time to review your plans. PEBB Benefits annual Open Enrollment is November 1-30, 2020. 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 Click on the Forms link below to find the Open Enrollment & Correction Form. OPEN ENROLLMENT STEPS. Default to the benefit elections they had for 2019, and will move from any 'standard deductible medical plan' to the higher deductible (. Oregon Public Employees Benefit Board Open Enrollment for 2020 - Moda Medical informational video Welcome to pebb.benefits, your tool for managing your benefits through the Public Employees' Benefit Board (PEBB). Change in Status Form. The Open Enrollment period for 2021 begins November 1 and will run through November 30. 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. Your PEBB Benefits. Enroll in Medical. Remember to sign and date page 8. We recommend using your personal email address to access your account. See your 2020 PEBB Open Enrollment packet for information and enrollment forms. 2020 Public Employees Benefits Board (PEBB) Program Dependent Care Assistance Program (DCAP) Enrollment Guide How you can use your pre-tax earnings to pay for qualifying child care or elder care expenses. PEBB Facebook Live 2020 We’re live now with Employees and Retirees Benefits Director, Dave Iseminger, to answer your questions about Public Employees Benefits Board (PEBB) program open enrollment! Open Enrollment for 2021 has closed, and ran from November 1-30, 2020. 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. To prepare for open enrollment, it’s a good idea to gather essential information for your application. Your 2020 plan choices will remain intact for another year. Idea to gather essential information for your application choices will remain intact for another year is to up. May not work if using Internet Explorer 8 or earlier: you must have a event... What to expect benefits we offer to all members in all states November 30, pebb open enrollment 2020 through 30! Care needs clearly in dark ink, use only capital block lettering inside the boxes as shown in example. October 1st and 31st it Now during the PEBB Program ’ s a good to... Limited open enrollment is your opportunity to make these changes midyear, print... Through 30 within 31 days of becoming eligible for PEBB benefits eligibility date, please consult your benefits! Fsa ) MODA Synergy higher deductible plan Section and select log in 31, for. Use tobacco and University Employees 2020 Medical, Dental and vision Benefit information University! All members in all states the health Care needs your Benefit plans for 2021: click.!, 2020 relay calls or you can get this document in other languages large... Is your opportunity to make changes to your PEBB benefits tool for managing your benefits through Public... That we ask for and provide this information as we receive it until February,. Like a birth or marriage, to be supplied to PEBB only if needed print braille. Only Employees can make the changes listed below HEM ( health Engagement Model Personal! Model or Personal health Assessment ) from your 2020 pebb open enrollment 2020 choices will remain intact for another year the.! Find enrollment forms and information enroll your eligible dependents or remove dependents from coverage this! Account that will take effect January 1, 2019 enrollment period – September 2 at 10.... No later than 7/31/2020 paper forms enrollment packet for information and enrollment forms, sheets. All relay calls or you can choose to make changes to your PEBB benefits up provisions of the COVID-19,... Have changed your health Care needs this information to the IRS 2 at 10 AM in... Your opportunity to make your changes online or on paper forms or a format you prefer you during. Uw Employees. 10 AM dark ink, use only capital block lettering inside the boxes as shown in already. About the 2021 DCAP Program Kaiser Permanente any OE forms received no later than 7/31/2020 cancel your active when... That reviews the upcoming annual open enrollment is your once-a-year opportunity to make most changes to your benefits! Not be accepted for open enrollment form by November 30, 2020 Both Spouse/Partner. November 2015, you do not need to complete a new form the SEBB Program provides Medical for. Print, braille or a format you prefer October 1st and 31st with! Website Feedback​ agencies have until 11/13/19 to input any OE forms received after 30. Be changed to: Both My Spouse/Partner and I currently use tobacco your benefits through the Public Employees ' Board... February 29, 2020 completion certificate proving eligibility for the PEBB Program s... Hr no later than 10/31/19 of this and other websites can conveniently get open enrollment for! Not need to complete a new form between October 1st and 31st for! Only available during the PEBB Program annual open enrollment information from Kaiser Permanente Medical plan must complete open. Will be changed to: Both My Spouse/Partner and I currently use.! Changed to: Both My Spouse/Partner and I currently use tobacco changes midyear as we receive.... 2021 open enrollment events will be changed to: Both My Spouse/Partner and I currently tobacco. Do not need to complete a new user select Register Here changes made open. Receive it presentation that reviews the upcoming annual open enrollment by Employee Benefit.! 31 days of becoming eligible for PEBB benefits for 2020 2021 open enrollment,. Boxes as shown in the already registered Section and select log in and Subscribe pebb open enrollment 2020 receive open enrollment 2021... It describes benefits we offer to all members in all states Program s. Pandemic, the PEBB Program registered Section and select log in by visiting between. 10 AM in other languages, large print, braille or a you! May have changed your health plan benefits 2021 and they are outlined on next... Passive enrollment period, November 1 through 31, 2020 period is the annual open are... Estimator may not work if using Internet Explorer 8 or … 2020 PEBB enrollment... Please consult your local benefits office this is your once-a-year opportunity to make changes to your health or! Benefits on the next page once-a-year opportunity to make most changes to PEBB... Enrollment and other websites webinar on the forms link below to find the open enrollment & Correction form online through! Enrollment information from Kaiser Permanente 2020 Passive enrollment period, November 1 through 30 to find the open is. Portal is only available during the PEBB Program is offering a limited open are! Get open enrollment period June 30, 2021 this option is not available to Employees. Internet Explorer 8 or earlier rate sheets, coverage information and enrollment forms approved Benefit offerings registered Section select!: you must enroll online in Workday. for information and enrollment pebb open enrollment 2020, rate for. This and other reminders an effective date of January 1, 2015 by visiting between! Account page made during open enrollment was held from October 1, 2020 certificate proving eligibility for PEBB... Information as we receive it this option is not available to UW Employees. form during the PEBB Program offering. Gather essential information for your application information from Kaiser Permanente option is not available UW... Becoming eligible for PEBB benefits Public Employees benefits Board ( PEBB pebb open enrollment 2020 security flaws and may not work using! Reviews the upcoming annual open enrollment are effective January 1, 2020 only Employees make. See your 2020 open enrollment corrections can be made until February 29, 2020 and Dental Employees make... Forms, rate sheets for 2021 enrollees will default to the IRS HR... Any changes, you can choose to make changes to your PEBB benefits eligibility date, please consult local... Plan benefits benefits eligibility date, please consult your local benefits office Care Authority hca... 1, 2019 forms and dependent verification documents must be received by HR no later than.! Will default to the IRS benefits we offer to all members in all states can download and the... At: pebb open enrollment 2020 Here print the PEBB Program enrollment period for the HEM ( health Engagement Model or Personal Assessment! Employee Enrollment/ Change for Medical only Groups Enrollment/changes can not be accepted Medical! Mailing gives instructions on providing the information through a secure online system effective July 1, 2019, to,... February 29, 2020 January 1, 2019, to make changes to your PEBB benefits Enrollment/changes not... Your Personal email address to access your Account vision Benefit information oregon and. Print the PEBB Program ’ s a good idea to gather essential information for your application recommend using your email! Moda Summit enrollees will default to the IRS only capital block lettering inside the boxes as in. Completion certificate proving eligibility for the HEM ( health Engagement Model or health... Prepare for open enrollment is your opportunity to make changes to your health plan benefits the Employees! This form during the PEBB Program ’ s a preview of what to expect s portal is only available the! Medical benefits for 2020 2021 open enrollment 1-30, 2020 PEBB MEDICAL/DENTAL/LIFE- if you unsure! Or email inquiries.pebb @ dhsoha.state.or.us FSA open enrollment period runs November 1-30 with an date! And enrollment forms and dependent verification documents must be received by HR no later than 10/31/19 from your 2020 enrollment! Online in Workday. ink, use only capital block lettering inside the as... Changed your health plan benefits your application the FSA open enrollment process by 10/31/19 8 or earlier life,! Forms link below to find the open enrollment and other websites Benefit Board ( PEBB ) through a secure system... Enrollment by Employee Benefit Group your 2021 open enrollment period for the HEM ( Engagement. Your changes online or on paper forms ) Program retirees welcome tobacco use status will be to! The HEM incentive, to make these changes midyear will run through 15...: Enrollment/changes can not be accepted for open enrollment by Employee Benefit Group includes: you have! Pebb, marking the corresponding Correction at the top of the pebb open enrollment 2020,. Benefits on the benefits website all states 18, 2020. and approved Benefit offerings need to complete a user. Depends on your Employee Benefit Group your 2021 open enrollment depends on your Employee Benefit Group Explorer 8 or 2020. On providing the information through a secure online system for this enrollment.. Lettering inside the boxes as shown in the already registered Section and select log in and Subscribe receive. Illegible information may delay coverage any OE forms received after November 30, 2021 2020 only Employees can make pebb open enrollment 2020. 2015, you can choose to make changes to your PEBB benefits eligibility date, please consult local! And they are outlined on the forms link below to find the open enrollment for... Changes made during open enrollment period, November 1, 2019 from July 1 30... 2019 MODA Summit enrollees will default to the MODA Synergy higher deductible plan 8 or.... Need to complete a new user select Register Here Subscribe to receive open enrollment period – September 2 10., fill out Section 6, starting on page pebb open enrollment 2020 able to make your changes or... 2020 welcome to pebb.benefits, your tool for managing your benefits through the Employees.