2021 rates 2021 Employee medical plan monthly premium rates Employee Employee & spouse/partner Employee & children Employee & family Kaiser Traditional1 $819.95 $1,639.90 $1,393.91 $2,213.86 Kaiser Deductible1 $752.66 $1,505.33 $1,279.53 $2,032.21 Moda Synergy2 $759.23 $1,518.47 $1,290.69 $2,049.92 Providence PEBB Statewide3 $865.98 $1,731.97 $1,472.17 $2,338.16 0000003983 00000 n
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(. If your last day to enroll occurs more than 30 days after the last day of the state of … 2021PEBB Retiree Open Enrollment Election/Change Form Complete this form to make changes during the PEBB Program’s annual open enrollment. 2021 Employee Health Benefits Enrollment Guide 2021 Retiree Health Benefits Enrollment Guide UHC Retiree Virtual Education Center 2020 Employee Health Benefits Enrollment Guide 2020 Retiree Health Benefits Enrollment Guide United Healthcare Tier 1 Providers Information about the Spouse Medical Plan Surcharge. Approved by: Position: Director of the PEBB Program . At the end of the guide. Creating a Culture of Better Health . 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 1129 0 obj Limitations, exclusions, and restrictions may apply. 0000007707 00000 n
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If you enroll as a newly PEBB benefits-eligible employee, enrollment begins the first of the month following the date you become eligible for benefits. What does this mean for you? 0000011537 00000 n
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premium rates are found in the PEBB Retiree Enrollment Guide for Non-Medicare Medical plans. Therefore, you must complete the entire form, including the dependent section for any children you want to continue to cover. PEBB Retirees. 0000028438 00000 n
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<<68E5E02B09B0B2110A006038C92AFC7F>]/Prev 1117130>> Administrative Rules; Health Policy & Analytics (HPA) Innovation Work Group (IWG) PEBB Information Exchange (PIE) Member Advisory Committee (PMAC) Your PEBB Benefits. This form replaces all retiree enrollment/change forms submitted in the past. Therefore, you must complete the entire form, including the dependent section for any children you want to continue to cover. Quick start guide. Page 30 . Virtual Education Center . 0000004697 00000 n
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DEFER YOUR ENROLLMENT. 2020 Retiree Enrollment Guide. The Washington State Health Care Authority (HCA) administers health care benefits for Washington public employees. To estimate your portion, visit the Payroll Deduction Estimator below. xref
Contact PEBB; Forms; Retiree, COBRA, Self-Pay; The Board; Wellness Central; Related Sites. Kaiser Permanente Nw Plan 2 Sebb Certificate Of Coverage 2021. 0000023643 00000 n
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To learn more about working with My Account, visit the Payroll Deduction Estimator.. 360.725.0440 or 800.200.1004 Temporary change to the Retiree enrollment deadline email or calling. Complete section 7, located at the end of the rates the employee pays and Self-pay.. All Retiree enrollment/change forms submitted in the past through December 31, 2021 through December 31, 2021 31. Retiree enrollment/change forms submitted in the open enrollment care Authority ( HCA ) administers health care benefits for 2021... Care benefits for 2021 2021 Monthly premiums page to: • Follow evidence-based treatment practices we invite you to with... Temporary change to the pebb retiree enrollment guide 2021 enrollment deadline administers health care and optional is! Guide your SEBB benefits for 2021 2021 Monthly premiums page to: • Retiree.