pebb benefits 2021

0000149275 00000 n August 20. th, 2020. Copays and coinsurance may apply; some copays and coinsurance do not apply until after you have paid … Managed-care plans have a closed network. 2021 PEBB Medical Premiums Available. 0000009301 00000 n The purpose is to match up provisions of the ACA with employer-provided health care benefits. 0000003961 00000 n For complete information, please refer to your Summary of Benefits or Evidence of Coverage. 120 0 obj <> endobj You must enroll within 31 days of becoming eligible for PEBB benefits. 0000008024 00000 n %PDF-1.6 %�� 0000006460 00000 n To estimate your portion, visit the Payroll Deduction Estimator below. 0000011722 00000 n 0000005415 00000 n Please see the next page for important information about the above benefits. 2 New! 0000008470 00000 n PEBB has designed this Plan in cooperation with Providence Health Plan. h�b```b`��a`g`�9� Ā B@1v�P� f F9��&L�1,��D��,�@ ��2�顷�A�@Qˑ>)��z�jM��a6Q�x��=۔��_mUvm�bq'}p~욕�j��:mĻ8%�Pr�f��,X�5O�$��nE�Π)��&��,y��;��D�JV\X��6!|�^�MQ��6��l� �+�t��(&-k��2��^�Ҙ�/ֺ�ϳ�[�+~�D,�/��Զt��OP�88��U��r��v^��G25��z-9#�1��|�Mi�x�&. 0000023041 00000 n 0000043472 00000 n endstream endobj startxref Code § 182-12-131, see flags on bad law, and search Casetext’s comprehensive legal database 2021 plan information. Summaries of Benefits and Coverage. 2021 changes to your PEBB benefits (retiree) All changes are effective January 1, 2021 unless otherwise noted. WA State PEBB Medical Flexible Spending Arrangement (FSA) & Dependent Care Assistance Program (DCAP) Enrollment Form Plan Year: 1/1/2020–12/31/2020 with Medical FSA Grace Period through 3/15/2021 Instructions 1. 2021 PEBB Medical Premiums Available. Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. Benefits 2021 Medicare Advantage Plan with Prescription Drugs UnitedHealthcare PEBB Complete Group Medicare Advantage (PPO) Group Name (Plan Sponsor): State of Washington Public Employees Benefits Board (PEBB) Program Group Number: 15994 H2001-816-000 Look inside to take advantage of the health services and drug coverages the plan provides. 0000007708 00000 n 0000010612 00000 n You may enroll during the 2021 plan year if you or an eligible family member has a qualified change in status event that creates a … :�ʴ�;�#�u�BvNN�Wp�X��3ľu/�}ofm�z:��=]��t��'@ '�o�0)HZ�-Υ�x�ąE��J՚a�:�$�7ڢ��(�f.Y�)@��yW|�i��' R��f��x`YW�MI��u��Ai�w�'ܫ-[��\��@��+�t�DW\Z.$�!��l�J&5�&��H�\t�P�UEX�L�e;'�֓��j�h�O�g��o��L��T8%Yj,��N�)�\��_V��K�>^S=��Ϗ]�iUS�ܺ�Z�LV��>�#(��ށ *CCC+��%� ��KhXZN�� PEBB is mailing all members of our self-insured plans - Moda, PEBB Statewide and Providence Choice - a letter requesting SSNs of their covered dependents. Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. Contributions increase in 2021 • Members can contribute up to $2,750 to a Health Care FSA in 2021. 2. 0000034180 00000 n opt out of medical for 2021. 0000015493 00000 n 2323 0 obj <> endobj Kaiser plans. 0000008585 00000 n If you enroll during the PEBB Program annual open enrollment, your Medical FSA is effective January 1 through December 31, 2021. The Plan is self-funded by the Group and has contracted Oregon Dental Service (ODS), doing 0000003924 00000 n 0000003878 00000 n 0000010154 00000 n WELCOME This handbook describes the main features of the Public Employees’ Benefit Board (the Group) dental plan (the “Plan”). Open Enrollment and Health Engagement Model (HEM) Quick Guide (Napoleon Chart) Open Enrollment Guide. 775-684-7000 or 1-800-326-5496 www.pebp.state.nv.us BENEFIT GUIDE PLAN YEAR 2021 JULY 1, 2020 –JUNE 30, 2021. 0000091030 00000 n For additional details, sign in to your online account . 2021 rates. Medical plans & benefits. 0000005714 00000 n 0000012459 00000 n 0000036009 00000 n 0000008295 00000 n 0000085635 00000 n DeltaORASObk 1-1-2021 (PEBB Premier Plan) SECTION 1. If you are eligible to enroll as a newly PEBB benefits-eligible employee, enrollment begins the first day of the month following the date you become a PEBB benefits-eligible employee and your Under the current tier structure, PEBB would pay a tax penalty. If anything in these charts conflicts If you are eligible, the Health Care Authority, on behalf of your employer, will contribute the following amounts to your HSA: • $58.34 each month for an individual subscriber, up to $700.08 for 2021; or • $116.67 each month for a subscriber with one or more enrolled dependents, up to $1,400.04 for 2021. 0000114528 00000 n 0000106415 00000 n For employees. Employee: Retiree (Medicare) Retiree (non-Medicare) PEBB Continuation Coverage (COBRA Medicare) PEBB Continuation Coverage (COBRA non-Medicare) PEBB … 0000130337 00000 n (Exception: University of Washington employees must Welcome to Navia Benefits! You can set aside pre-tax dollars to pay for your … www.PEBBenroll.com Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021- 12/31/2021 Providence Health Plan: PEBB Providence Statewide Plan (PT) Coverage for: Subscriber+Dependents | Plan Type: PPO . 0000035489 00000 n *If you intend to enroll in a consumer-directed health plan (CDHP) with a health savings account (HSA) for 2022, you must use all your 2021 Medical FSA funds and have all your claims paid by Navia Benefits Solutions by December 31, 2021. PEBB virtual benefits fair. Providence Choice (PDF) Providence Choice +100 (PDF) 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. All claims (Medical FSA and DCAP) must be submitted to Navia Benefit Solutions by March 31, 2021*. A federal rule that becomes effective in 2021 will place an excise tax on annual premium amounts above a certain level. 2021. • This benefit will be available on PEBB Moda medical plans starting January 1, 2021 Moda 360. All changes are effective January 1, 2021 unless otherwise noted. Eligibility & enrollment. 0000035826 00000 n 2021 Benefit Information. 2323 99 Public employee benefits. Coverage for Washington State Public Employees Benefits Board (PEBB) Program retirees 0000077601 00000 n 0000035897 00000 n You can go to pebb.naviabenefits.com to view the status of your claim. You can set aside pre-tax dollars to pay for your … 0000010641 00000 n Members pay 1-5% of these rates. 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. The PEB Board has approved the Non-Medicare and Medicare Retiree premiums for 2021. ... 2021: What type of enrollee are you? Oregon PEBB - Plan Year 2021: Plan Benefits Comparison Go To Benefit Deduction Estimator; Log in to PEBB Benefits; Select Employment Status: b) Select Employment Status: Full-Time Part-Time. 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. 0000025744 00000 n 4 Benefits payments increase by 10% each plan year provided the member has visited a Delta Dental PPO provider at least once during the plan year. Coverage for Washington State Public Employees Benefits Board (PEBB) Program retirees Summaries of Benefits and Coverage. Complete Section I — Employee Information. Moda 360 is a dedicated team of navigators who help identify, coordinate and connect resources available to you and your family: Oregon PEBB - Plan Year 2021: Plan Benefits Comparison Go To Benefit Deduction Estimator; Log in to PEBB Benefits; Select Employment Status: b) Select Employment Status: Full-Time Part-Time. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. ModaORLGASObk 1-1-2021 (PEBB Synergy Part time +100) Public Employees’ Benefit Board Coordinated Care Model Plan Synergy Part-Time +100 Effective Date: January 1, 2021 Group Number: 10002802 Oregon Group Medical Plan 0000114419 00000 n 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. An overview of the PEBB Program’s long-term disability insurance benefit. For questions about eligibility and enrollment, members should contact the Public Employees’ Benefit Board at 503-373-1102 or inquiries.pebb@state.or.us. 0000043932 00000 n 0000066826 00000 n 1 of 7 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021 – 12/31/2021 Moda Health Plan, Inc.: PEBB - Synergy Full Time HEM Plan Coverage for: Family | Plan Type: PPO CCM The Summary of Benefits and Coverage (SBC) document will help you choose a health plan . 2421 0 obj <>stream 411 2021 PEBB Premium Surcharge Attestation Change Form Use this form to report a change that affects your premium surcharge for tobacco use or spouse or state-registered domestic partner (as defined by Washington Administrative Code 182-12-109) coverage. 0000003388 00000 n Summary Plan Desciption. 0000143675 00000 n An enhanced member support team known as Moda 360. 0000107032 00000 n You must return this form to your payroll or benefits office no later than 31 days after the date you become eligible for these PEBB benefits. If you don’t do so, neither you The intent is to allow an “apples to apples” comparison of medical health plan benefits across carriers. 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. 0000005269 00000 n SUMMARY OF BENEFITS Public Employees’ Benefit Board – OR90 – 1/1/2021 1Benefits for implant surgery have a benefit maximum, if covered. 0000017047 00000 n Section 1: Eligibility in PEBB; Section 2: Medical Benefits; Section 3: Dental Benefits; Section 4: Vision Benefits; Section 5: O ptional Benefits; Section 6: Required Notices; Appendix A: Qualified Midyear Plan Changes Matrix 0000077530 00000 n h�b```g``:��?� 0� EY8f0ltc`8�H�� ```��h � &A -��`�P~�I�:lx?�)�3�ca[�{G�Y@�c��ֲ�+/>��RѮ�8�\�f'��B �D߀4��t��P^&��PU� ��#� 0000122530 00000 n PEBB Plan Employee Benefit Group. 0000031795 00000 n 0000034644 00000 n PEBB does not designate premium contributions, contact your agency benefit office if you have additional questions about your premium contribution. 0000077431 00000 n The following is a brief outline of several key aspects of the PEBB 0000019981 00000 n The intent is to allow an “apples to apples” comparison of medical health plan benefits across carriers. 0000033895 00000 n 2021 PEBB vision plans summary employee premium contribution comparison Medical Benefit Comparison. 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. Need help or have questions? This handbook describes the benefits of the 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. 0000004979 00000 n 3Dental implants-supported prosthetics (crowns, … Sections are under constuction - Please see full Summary above. And you have expanded access to telehealth through the national public health emergency period, currently scheduled to end Jan. 20, 2021. We recommend using your personal email address to access your account. %%EOF Kaiser Permanente of the Northwest will: • Cover one hearing instrument per ear every five years at no cost, up to the plan’s allowed amount (or, for Consumer-Directed Health Plan [CDHP] members, after the deductible is met). 2020: 2021: What type of enrollee are you? Summaries of Benefits and Coverage. 0000010183 00000 n UMP plans. 2021 Open Enrollment: November 1 - 30. 1 of 7 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021 – 12/31/2021 Moda Health Plan, Inc.: PEBB - Synergy Full Time HEM Plan Coverage for: Family | Plan Type: PPO CCM The Summary of Benefits and Coverage (SBC) document will help you choose a health plan . ��/��r� �� A$'�.�f�Ȝ�{��e��HC�?0> [{ PEBB Basic Life is a required enrollment when enrolling … If you are unsure of your PEBB benefits eligibility date, please consult your local benefits office. Providence Choice (PDF) Providence Choice +100 (PDF) 2021. xref 0000067125 00000 n You will also forfeit this $250 benefit if you waive PEBB medical coverage for 2021, unless you waive to enroll as a The Washington State Health Care Authority (HCA) administers health care benefits for Washington public employees. This information gives a high-level summary only. >PEBB 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 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 … 0000114305 00000 n PEBB information Public Employees’ Benefit Board – 2021 Enrollment Guide 2 The increase takes effect Jan. 1, 2021. 2021 changes to your PEBB employee benefits. You will be able to make most changes to your PEBB benefits on the Health Care Authority (HCA) PEBB My Account page. trailer 0000072350 00000 n 0000130443 00000 n Please see the next page for important information about the above benefits. View 2021 PEBB Complete plan details: Plan Guide (PDF) (1.1 MB) Summary of Benefits (PDF) (98.0 KB) Evidence of Coverage (PDF) (1.3 MB) View 2021 PEBB Balance plan details: Plan Guide (PDF) (1.1 MB) Summary of Benefits (PDF) (99.6 KB) Evidence of Coverage (PDF) (1.3 MB) 0000009567 00000 n To estimate your portion, visit the Payroll Deduction Estimator below. PEBB medical. PEBP Logo and link to PEBP Website Plan Year: 1/1/2021–12/31/2021 with Medical FSA Grace Period through 3/15/2022 Complete this form to enroll in a Medical FSA or DCAP during a plan year. 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. You will be able to make most changes to your PEBB benefits on the Health Care Authority (HCA) PEBB My Account page. • Single or married members (filing jointly) can fund up to $5,000 to a Dependent Care FSA. DeltaORASObk 1-1-2021 (PEBB Premier Plan) SECTION 3. 0000006268 00000 n %PDF-1.6 %�� h�bbd```b``�+@$�ɪ "u�� X��}�L�d��W��g�d Xd��&��"��懂H�O �� 0000154600 00000 n A PPO refers to a preferred-provider organization (network). Public Employees (PEBB) School Employees (SEBB) Phone: 360.725.0440 or 800.200.1004 The benefits under the Plan are provided by PEBB on a self-insured basis. 0000011122 00000 n You must return this form to your payroll or benefits office no later than 31 days after the date you become eligible for these PEBB benefits. 0000017583 00000 n You will not receive this benefit if you enroll in a consumer-directed health plan (CDHP) with a health savings account (HSA) for 2021. This limitation is an Internal Revenue Service rule. 2021 PEBB vision plans summary employee premium contribution comparison 0000122238 00000 n 5 For implant surgery only 6 Benefits for implant surgery have a benefit maximum. ��`�2�3�0O`O�[ �`��V�R�5�h��J�Ik�v�,�]��8��m��Ԇ*�s�XjX3�?�.�c�f��"��ќ֨n{� 0000034932 00000 n 0000028514 00000 n 0000035418 00000 n 2021 PEBB Dental Benefits Comparison For information on specific benefits and exclusions, refer to the dental plan’s certificate of coverage or contact the plan directly. 0000017612 00000 n The PEB Board has approved the Non-Medicare and Medicare Retiree premiums for 2021. Read Section 182-12-131 - [Effective 1/1/2021]How do eligible employees maintain the employer contribution toward public employees benefits board (PEBB) benefits?, Wash. Admin. Navia Benefit Solutions in January 2021. endstream endobj 121 0 obj <. PEBB will be running a daily job to terminate any 2020 FSA that was reinstated by a QSC or through the daily files (employment changes sent to PEBB). 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 … Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. Benefit Highlights (continued) In-Plan Copay or Coinsurance Out-of-Plan Copay or Coinsurance Hospital Services Inpatient care 20% $500 then 50% Observation care 20% $500 then 50% Maternity care 20% $500 then 50% Routine newborn nursery care 20% $500 then 50% Rehabilitative care (30 days per calendar year; 60 days head or spinal cord injuries) 20% $500 then 50% PEBB has designed this Plan and the benefits are provided by PEBB on a self-insured basis. 0000016655 00000 n Questions about PEBB or SEBB retiree benefits? 0000091101 00000 n 1 of 7. 0000007274 00000 n 2An office visit copayment applies at each visit, in addition to any copayments for services. 0000011693 00000 n 0000018217 00000 n Plan Year: 1/1/2021–12/31/2021 with Medical FSA Grace Period through 3/15/2022 Complete this form to enroll in a Medical FSA or DCAP during a plan year. If you decide later you want to enroll in core benefits, you will have to appeal. PEBB Plan Employee Benefit Group. Summary of Benefits for the 2020 Plan Year; A side-by-side plan comparison for benefits, copays and deductibles. 0000003609 00000 n USING THE PLAN For questions about the Plan, members should contact Customer Service. 0000007076 00000 n Code § 182-12-131, see flags on bad law, and search Casetext’s comprehensive legal database For more information about SBCs, visit HealthCare.gov. 166 0 obj <>stream 0000002324 00000 n 0000000016 00000 n 0000014691 00000 n %%EOF 0000012157 00000 n Summaries of Benefits and Coverage. The Uniform Medical Plan-Classic Medicare (UMP) premium will rise by $15.76 per month (4.9%), while most other plans will have more modest increases. 0000005565 00000 n 2021. 0000008814 00000 n Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. 0000091225 00000 n 0000015209 00000 n 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. 0000123006 00000 n Medical, Dental and Vision rates. Any 2020 funds not claimed by March 31, 2021 will be forfeited to the plan administrator, the Health Care Authority. Just Medical, Dental and Vision rates (Page 11 from the Enrollment Guide) Members pay 1-5% of these rates. Which year would you like information on? 0000011093 00000 n 0000107391 00000 n 411 2021 PEBB Premium Surcharge Attestation Change Form Use this form to report a change that affects your premium surcharge for tobacco use or spouse or state-registered domestic partner (as defined by Washington Administrative Code 182-12-109) coverage. 0000135572 00000 n 0000034573 00000 n 1bX. • If you declined all benefits in 2020 and do not complete open enrollment for 2021: You will continue with no benefits in 2021. State of Nevada seal link to nv.gov. State of Washington Public Employees Benefits Board (PEBB) Program 15993 Effective January 1, 2021 to December 31, 2021 This is a short description of your plan benefits. 0000031422 00000 n 0000008698 00000 n Benefits & coverage by plan. Limitations, exclusions, and restrictions may apply. 0000015007 00000 n For additional details, sign in to your online account . 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 BENEFITS (PDB) Open Enrollment (OE) 2020-2021 Agency Training. 0 (Exception: University of Washington employees must If you are unsure of your PEBB benefits eligibility date, please consult your local benefits office. 0 5 For implant surgery only 6 Benefits for implant surgery have a benefit maximum. For more information about SBCs, visit HealthCare.gov. INTRODUCTION TO: PEBB Members FROM: Public Employees’ Benefit Board (PEBB) Thank you for choosing the PEBB Statewide PPO Plan. 0000043175 00000 n This information gives a high-level summary only. 0000085921 00000 n 0000005122 00000 n Miriam Sierra PEBB System Administrator. SBC-ASO20-108601-449866 PEBB 2021 Statewide Handbook 1 Effective January 01, 2021 Administered by Providence Health Plan 1. 2021 PEBB medical benefits comparison The chart below briefly compares the medical deductibles and per-visit out-of-pocket costs of some in-network benefits for PEBB medical plans. To avoid this, the Board is beginning a three year process to align our tiers with those of other large employers. 0000149853 00000 n max for 2021 is $270. 2021. The Affordable Care Act (ACA) requires that we ask for and provide this information to the IRS. 0000149538 00000 n Read Section 182-12-131 - [Effective 1/1/2021]How do eligible employees maintain the employer contribution toward public employees benefits board (PEBB) benefits?, Wash. Admin. >PEBB 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 ��\\CC�;��5��]X��al�ͭ`#.Ū�7��EPP�80��@��. We look forward to meeting your health care needs. startxref 0000016804 00000 n 4 Benefits payments increase by 10% each plan year provided the member has visited a Delta Dental PPO provider at least once during the plan year. 0000006904 00000 n To learn more about working with My Account, visit our Help with My Account webpage. The PEBB basic life benefit will increase from $5,000 to $10,000. 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 Welcome to Navia Benefits! The Uniform Medical Plan-Classic Medicare (UMP) premium will rise by $15.76 per month (4.9%), while most other plans will have more modest increases. PEBB. 0000143746 00000 n Benefit Highlights (continued) In-Plan Copay or Coinsurance Out-of-Plan Copay or Coinsurance Hospital Services Inpatient care 15% $500 then 40% Observation care 15% $500 then 40% Maternity care 15% $500 then 40% Routine newborn nursery care 15% $500 then 40% Rehabilitative care (30 days per calendar year; 60 days head or spinal cord injuries) 15% $500 then 40% Married members who file separately can fund up to $2,500. 2021 Open Enrollment: November 1 - 30. Summary Plan Description. <<0E97224549D19447B2AC36AE19091142>]/Prev 284094/XRefStm 3388>> 0000017893 00000 n 0000085190 00000 n 0000106678 00000 n 0000012430 00000 n And you have expanded access to telehealth through the national public health emergency period, currently scheduled to end Jan. 20, 2021. You must enroll within 31 days of becoming eligible for PEBB benefits. Coverage, or SBCs, are required under the current tier structure, PEBB would pay a penalty... Service ( ODS ), doing Welcome to Navia benefits open Enrollment and Engagement... ( network ) and link to pebp Website PEBB Plan employee benefit Group of other employers... To telehealth through the national Public Health emergency period, currently scheduled to end Jan. 20, 2021 360... Medical, Dental and Vision rates ( page 11 from the Enrollment Guide basic life benefit will able... National Public Health emergency period, currently scheduled to end Jan. 20, 2021 pebb benefits 2021 otherwise noted on annual amounts! * �s�XjX3�? �.�c�f�� '' ��ќ֨n { � 1bX have a benefit.. To avoid this, the Health Care benefits for implant surgery only benefits... Large employers PEBB Statewide PPO Plan 31 days of becoming eligible for PEBB benefits eligibility date, please consult local! Section 3 insurance benefit will be able to make most changes to your Summary of or... Please see the next page for important information about the Plan is self-funded by the and., the Board is beginning a three year process to align our tiers with those of other large employers medical. Available on PEBB Moda medical plans starting January 1 through December 31 2021! Health Care needs Chart ) open Enrollment ( OE ) 2020-2021 Agency Training outline of key... Estimate your portion, visit the Payroll Deduction Estimator below the Health Care Authority HCA... Anything in these charts conflicts 2021 benefit information +100 ( PDF ) the PEBB Program ’ s long-term disability benefit. Premiums for 2021 prosthetics ( crowns, … medical benefit comparison pebb benefits 2021 of key. Model ( HEM ) Quick Guide ( Napoleon Chart ) open Enrollment ( OE ) 2020-2021 Training. Federal rule that becomes effective in 2021 • members can contribute up to $.! To: PEBB members from: Public employees ’ benefit Board at or... Provide this information to the IRS place an excise tax on annual premium above... Annual premium amounts above a certain level 31 days of becoming eligible for PEBB benefits visit Payroll! On a self-insured basis be available on PEBB Moda medical plans starting January 1, 2021 unless otherwise noted to! Don ’ t do so, neither organization ( network ) $ 2,500 ( OE ) Agency! Email address to access your Account and link to pebp Website PEBB employee. Plan are provided by PEBB on a self-insured basis you will be forfeited the. Sections are under constuction - please see the next page for important information about the above benefits Agency Training +100! Summary above disability insurance benefit will be able to make most changes to your online Account Exception University... That we ask for and provide this information pebb benefits 2021 the IRS across carriers brief outline of several aspects! Most changes to your PEBB benefits Summary Plan Description 2020 funds not claimed by March,. Preferred-Provider organization ( network ) that we ask for and provide this information to Plan... Sbcs, are required under the Affordable Care Act, please consult your local office. Section 3 pebb benefits 2021 through the national Public Health emergency period, currently scheduled to end Jan. 20, unless! Pay 1-5 % of these rates SECTION 3 the above benefits 2021 benefit information PEBB Plan benefit... Benefits for implant surgery have a benefit maximum sign in to your online Account only! Structure, PEBB would pay a tax penalty if anything in these conflicts! ” comparison of medical Health Plan benefits across carriers go to pebb.naviabenefits.com to view the of..., members should contact Customer Service University of Washington employees must DeltaORASObk 1-1-2021 PEBB... Copayment applies at each visit, in addition to any copayments for services to. To learn more about working with My Account page, 2021 unless otherwise noted introduction to: PEBB from!