Search results with tag "Pebb"
2022 PEBB Retiree Enrollment Guide - hca.wa.gov
www.hca.wa.govPEBB Retiree . Enrollment Guide. Your PEBB benefits for2022. Monthly . premiums Pages 6–9. Benefits . comparisons Pages 36–45. Enrollment forms. Online. Eligibility . summary Pages 10–12. Choosing the PEBB medical plan that’s right for you. Page 26–30
2022 PEBB Premium Surcharge Attestation Help Sheet
www.hca.wa.gov2022 PEBB Premium Surcharge Attestation . Help Sheet. Use the information below to determine whether the premium surcharges apply to you. Then attest (respond) in the surcharge sections on your enrollment form or the 2022 PEBB Premium Surcharge Attestation Change form.
2021 PEBB medical benefits comparison - Wa
www.hca.wa.gov2021 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. Copays and coinsurance may apply; some copays and coinsurance do not apply until after you have paid your annual deductible.
2022 Retiree Election Form (Form A)
www.hca.wa.gov2022 PEBB Premium Surcharge Attestation Help Sheet . available at hca.wa.gov/pebb-retirees. for instructions on how to respond. Does the tobacco use premium surcharge apply to you? Check one: No, I am enrolled in Medicare Part A and Part B. The premium surcharge does not apply. Yes, I am subject to the $25 premium surcharge. I have used tobacco ...
Public Employees Benefits Board (PEBB) Program ...
www.standard.comSI 7533D-377661 Page 1 of 1 (6/15) Public Employees Benefits Board (PEBB) Program Underwritten by Standard Insurance Company . Long Term Disability (LTD) Enrollment/Change Form
50-0226 PEBB Premium Surcharge Attestation Help Sheet
www.hca.wa.govfrom tobacco that is intended for human consumption, including any component, part, or accessory of a tobacco product. This includes, but is not limited to, cigars, cigarettes, pipe tobacco, chewing tobacco, snuff, and other tobacco products. Tobacco products do not include: • E-cigarettes • Tobacco cessation aids approved by the Food and Drug
51-0205 PEBB Retiree Enrollment Guide - Wa
www.hca.wa.gov• Medicare premiums are reduced by the state-funded contribution, up to the lesser of $183 or 50 percent of the plan rate per retiree per month. For more information on these requirements, contact your medical plan’s customer service department. Retiree Medicare medical plan premiums Effective January 1, 2021. For members enrolled in
Changes to PEBB benefits for 2022
www.hca.wa.govThe PEB Board approved the following monthly premiums for 2022. All figures are rounded to the nearest dollar. State agency and higher education employees Employees who work for an educational service district, city, tribal government, county, port, hospital, etc., must contact their payroll or benefits office to get their monthly premiums.
PEBB Open Enrollment Guide - oregon.gov
www.oregon.govOptional 16 — Public Employees’ Benefit Board – 2018 Enrollment Guide Public Employees’ Benefit Board – 2018 Enrollment Guide — 17 Optional insurance The long-term disability benefit is a percentage of the first $12,000 of your pre-disability earnings. The maximum monthly
PEBB Open Enrollment Guide - oregon.gov
www.oregon.govDental 12 — Public Employees’ Benefit Board – 2018 Enrollment Guide Dental plans You are not required to enroll in a dental plan, but to enroll in a dental plan you must be enrolled in a medical plan choice
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