2021 Open Enrollment. PEBB or PEBB/PEBB medical double coverage surcharge. Tobacco use premium surcharge. Enroll your eligible dependents or remove dependents from coverage. (University of Washington employees must enroll online in Workday.) 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). 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. You can choose to make your changes online or on paper forms. POST OPEN ENROLLMENT. Benefits began on January 1, 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 OPEN ENROLLMENT 2020 Welcome to Open Enrollment! Only use this form during the PEBB Program’s annual open enrollment period, November 1 through 30. Oregon Public Employees Benefit Board Open Enrollment for 2020 - Moda Medical informational video Contact. Enroll in a 2021 Health Care or Day Care Flexible Spending Arrangement (FSA). Note: the estimator may not work if using Internet Explorer 8 or earlier. 2020 PEBB Employee Enrollment/ Change for Medical Only Groups . – 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! Plan Year 2021 Payroll Deduction Estimator . 2020 Open Enrollment. 2020 PEBB Employee Enrollment/hange. It has known security flaws and may not display all features of this and other websites. Temporary change to the retiree enrollment deadline. 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 . Default to the benefit elections they had for 2019, and will move from any 'standard deductible medical plan' to the higher deductible (. The SEBB Program’s first annual open enrollment was held from October 1, 2019 through November 15, 2019. 2021 Open Enrollment by Employee Benefit Group Your 2021 Open Enrollment depends on your Employee Benefit Group. You must enroll within 31 days of becoming eligible for PEBB benefits. The PEBB Program’s annual open enrollment is November 1 through 30, which is approaching quickly. A limited open enrollment has been announced by the Public Employees Benefits Board (PEBB). All changes made during open enrollment are effective January 1, 2021. 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. Changes are effective August 1, 2020. 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. What is Open Enrollment? Employer group monthly premiums. Contact PEBB at 503-373-1102 or email inquiries.pebb@dhsoha.state.or.us. Welcome to PEBB's payroll deduction estimator. Began: 11/01/20 Ended: 11/30/20 . Enroll in Medical. Details: Here are some important 2020 Open Enrollment dates to mark on your calendar: Key 2020 Open Enrollment dates. 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. Find a provider. The Affordable Care Act (ACA) requires that we ask for and provide this information to the IRS. Plan Year 2021 Payroll Deduction Estimator . All enrolled eligible dependents will follow. PEBB members can conveniently get open enrollment information from Kaiser Permanente. This is your once-a-year opportunity to make changes to your PEBB benefits. Your PEBB Benefits. 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! Only use this form during the PEBB Program’s annual open enrollment period, November 1 through 30. 1. 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 … Forms received after November 30, 2020, will not be accepted for Medical FSA or DCAP enrollment. ... PEBB MEDICAL/DENTAL/LIFE- if you are not making any changes, you do not need to complete a new form. Change in Status Form. 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. PEBB Open Enrollment How to Make Changes and Re-Attest to the Spousal Premium Surcharges . 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. Forms received after November 30, 2019, will not 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. To learn more about working with My Account, visit our Help with My Account webpage. Your browser is out-of-date! School district monthly premiums. Open enrollment is your opportunity to make changes to your health plan benefits. The required 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. Open Enrollment is your opportunity to: Enroll in coverage, make plan changes, or waive coverage (if permitted by the plan). 2020 PEBB Employee Enrollment/ Change for Medical Only Groups . 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. form replaces all . 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. Open Enrollment for 2021 has closed, and ran from November 1-30, 2020. July 1 - 31, 2020 only Employees can make the changes listed below. The mailing gives instructions on providing the information through a secure online system. Learn how. If you are unsure of your PEBB benefits eligibility date, please consult your local benefits office. Plan Year 2021 Benefit Comparison Tool . >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 …