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Retirees. The Public Employees Benefits Board (PEBB) met on July 10 and approved the rates for both Non-Medicare and Medicare Eligible retirees for 2020. PEBB Statewide Full-Time Providence Choice Full-Time Medical Opt-Out i Employees may opt out of PEBB medical coverage if they have other medical coverage. Non-Medicare Retirees will see increases of $5-27 per month depending on their plan. 9th January 2021 Public employees – for state agency and higher-education employees covered under PEBB. Starting in 2020, PEBB and SEBB member s who have a medical effective date of September 1, or later will receive 1,000 points for signing in for the first time. Starting January 1, 2020, all school districts and educational service districts will be required to participate in the SEBB Program. The School Employees Benefits Board (SEBB) the Public Employees Benefits Board (PEBB) Program, your PEBB coverage will change to the SEBB Program for 2020. The content under the Employee and retiree benefits section will be adjusted to include school employees. The intent is to allow an “apples to apples” comparison of medical health plan benefits across carriers. The initial enrollment period for SEBB benefits is October 1 through November 15, 2019. Employers who access PEBB Program What are the differences between PEBB and SEBB? Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. For Public Employee Benefits Board (PEBB) and School Employee Benefits Board (SEBB) enrollees, changes include: Telehealth services will be paid at the same rate as in-person services; and; Counseling visits during the pandemic provided by telephone-only will be paid. 2017-18 School Employees Benefits Board (SEBB) Meeting Schedule The SEB Board meetings will be held at the Health Care Authority, Sue Crystal Center, Rooms A & B, 626 8th Avenue SE, Olympia, WA 98501. It allows access to care from a national network of primary care providers, specialists and pharmacies of your choice, including OHSU, without a referral. The Public Employees Benefit Board (PEBB) and School Employees Benefit Board (SEBB) programs, in coordination with HCA’s Division of Behavioral Health and Recovery, created webpages to provide resources for PEBB and SEBB Program members to find mental health and substance use disorder services and supports through their medical plans. The green My Account button is in the upper right corner of the webpage. After May 17, if you use the old link, you will be directed to the new location. The remaining SEBB members would include a representative from the Health Care Authority, the Office of Financial Management and the Office of Superintendent of Public Instruction. The purpose is to match up provisions of the ACA with employer-provided health care benefits. The Affordable Care Act (ACA) requires that we ask for and provide this information to the IRS. For 2019, PEBB members that have a medical effective date of July 1, or later, will receive 1,000 points for signing in for the first time. We are in the process of determining if SEBB will use My Account. PEBB Statewide Plan members. A statement that says you believe the contents of your appeal are truthful and correct. PEBB Statewide prescription drug plan (part-time) (PDF) PEBB Statewide member handbook (PDF) Summaries of Benefits and Coverage. The meetings begin at 1:00 p.m., unless otherwise noted below. PEBB and SEBB members also were able to enroll in … To learn more about working with My Account, visit our Help with My Account webpage. We are updating the Public employee benefits section of our website to include benefit-related information for school employees who will be covered under the School Employees Benefits Board (SEBB) Program starting January 1, 2020. Eligible employees who participate in public employees benefits board (PEBB) life insurance as an employee and eligible school employees who participate in school employees benefits board (SEBB) life insurance as an employee and meet qualifications for PEBB retiree insurance coverage as provided in WAC 182-12-171 or 182-12-180, are eligible for retiree term life insurance. The Public Employees Benefits Board (PEBB) Program provides benefits primarily for employees of state agencies and higher education institutions. Similarly, www.hca.wa.gov/erb will take you to the Employee and retiree benefits main page. When you retire, your employer-supported insurance ends. Although the SEBB Program doesn’t currently offer health coverage for retirees, you may be able to enroll in Public Employees Benefits Board (PEBB) retiree health coverage once your SEBB employer or continuation coverage ends. The School Employees Benefits Board (SEBB) provides benefits for employees of school districts and charter schools, and for represented employees of ESDs. The green My Account button that is on the Public employee benefits main page will be absent from the Employee and retiree benefits main page after May 17. 7. You may be eligible for the PEBB Program if you’re: Questions about PEBB or SEBB retiree benefits? The Public employee benefits banner will change to Employee and retiree benefits to be more inclusive. Both programs are administered by the Health Care Authority. While you’re working, the School Employees Benefits Board (SEBB) Program offers employer-paid health insurance options for teachers and school employees. The SEBB Program will obtain health care and other benefits for eligible school employees statewide, and the Employees who opt out of PEBB medical coverage will receive a monthly opt-out amount of $233. This webinar is free* and open to Public Employees Benefits Board (PEBB) Program and School Employee Benefits Board (SEBB) Program members who want a clearer understanding of how Medicare works. Home / Uncategorised / kaiser permanente vs uniform medical plan. SmartHealth offers a wide variety of free activities that can help reduce stress, build resiliency and increase connections. PEBB Annual Report: Customer Service Complaints and Appeals September 30, 2020 2 Executive summary This 2020 report, submitted in response to ESSB 6584 (2010), details complaints and appeals in the Public Employee Benefits Board (PEBB) populations. Public Employees (PEBB) School Employees (SEBB) Phone: 360.725.0440 or 800.200.1004 PEBB's leadership team reflects the company's inherent entrepreneurial spirit and sense of collaboration. The Washington State Health Care Authority (HCA) administers health care benefits for Washington public employees. UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) brings together top-quality, independent providers from across Washington to deliver high quality, high value health care. Retired Employees in PEBB Program •Retired and disabled employees remain in PEBB Program until the Legislature makes a determination •Report on the most appropriate risk pool due to Legislature by December 15, 2018 –HCA will conduct study –In consultation with SEBB and PEBB 6 Both programs are administered by the Health Care Authority. We recommend using your personal email address to access your account. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Website feedback: Tell us how we’re doing. Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. The changes from 2019 vary by plan. The SEBB would be made up of 13 members from the public-education community: administrators, teachers, classified staff and school board officials. With over 6,500 providers, our members have access to health care at close to 1,050 clinics, 40 urgent care clinics, and 14 hospitals and emergency departments throughout the region. To access My Account, click into your audience section (Public employees, Retirees, or COBRA and continuation coverage). >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 agency in … Retiree health insurance through the PEBB Program. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, School Employees Benefits Board (SEBB) Program, Website feedback: Tell us how we’re doing. For eligibility information and general FAQs, visit hca.wa.gov/sebb-employee. Instead of three main audience sections, there will be four: The link to view public employee benefits online is www.hca.wa.gov/public-employee-benefits. kaiser permanente vs uniform medical plan. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. The type of relief you are seeking. You pay less for in-network services, more for out-of-network services. PEBB Statewide is a PPO plan. HCA Director Sue Birch gives a shout out to all our HCA customer ser... vice staff, who serve 2.5 million Washingtonians through the Apple Health (Medicaid), SEBB, PEBB, and COFA Islander health care programs. Note: Benefit and eligibility information for the SEBB Program will be added over time. PEBB members and their dependents can talk with a health care worker while at work, home, school or anywhere if a health issue is a concern. 9. PEBB is mailing all members of our self-insured plans - Moda, PEBB Statewide and Providence Choice - a letter requesting SSNs of their covered dependents. In the past year, our Apple Health customer service representatives answered 690,000 phone calls, had 109,000 client interactions, and fielded 66,000 emails. 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. Medical plans … There is an exception for educational service district (ESD) employees who are not represented by a collective bargaining unit. October 23, 2017 November 6, 2017 December 11, 2017 January 17, 2018 Enrollment in a PEBB health plan may be deferred when they are enrolled as a dependent in a health plan sponsored by PEBB, a Washington state educational service district, or SEBB, including such coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA) or continuation coverage. If you have medical coverage through SEBB or PEBB, the SmartHealth wellness platform is another free tool you can sue to help support your mental health and wellbeing. Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. Kaiser Permanente – With Kaiser Permanente, getting care when and where you need it is easier than ever. This resulted in about 2,400 new covered lives in the PEBB and SEBB programs as of August 1. Your participation in PEBB insurance coverage and other benefits will not change for 2018. They have similarities in benefit design and premiums, but differ in eligibility criteria and rules. Our strong, cohesive leadership team adds an enormous amount of value to our partners because we do what we say and say what we do. Pebb Enterprises’ growth over the past year would be notable even under normal circumstances. The Boca Raton, Fla.–based company — a private equity investor known for turnarounds of distressed shopping centers — managed to court new executive talent even while ramping up its property acquisitions, dispositions and redevelopments nationally. The new link will be www.hca.wa.gov/employee-retiree-benefits. requested by the PEBB/SEBB Appeals Unit, may not be considered in the appeal decision. The My Account button will not appear on the School employees section at this time. Employees Benefits Board (SEBB) Program. School employees (starting January 1, 2020) – for K-12 school employees covered under SEBB, effective January 1, 2020. Consolidation of PEBB and SEBB programs November 15, 2020 4 Background HCA purchases and manages health care and other insurance benefits for more than 385,000 eligible public employees, retirees, continuation coverage members, and their dependents through the Public Employees Benefits Board (PEBB) Program. Changes will be made Thursday, May 17, after close of business. The amount is prorated for part-time employees according to hours worked compared with full-time. Benefit coverage begins January 1, 2020. Your signature or your representative’s signature. A new Customer Type (School employees) will be added to the Forms & publications page. For K-12 PEBB members who are eligible for the SEBB Program, you will need to enroll during the There is no task too great or too small for this team to embrace in order to achieve our goals. Our Kaiser Permanente Medicare specialist will guide you step-by-step so you can make the right decision about your Medicare health plan coverage. The Public Employees Benefits Board (PEBB) Program provides benefits primarily for employees of state agencies and higher education institutions. For more information watch the UMP Plus – Puget Sound High Value Network (PEBB) Open Enrollment Webinar for 2021: UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) brings together top-quality, independent providers from across Washington to deliver high quality, high value health care. 8. You to the new location intent is to match up provisions of the webpage participation PEBB! Information for the SEBB would be notable even under normal circumstances new Customer Type ( school employees ) will adjusted! Are in the process of determining if SEBB will use My Account exception for educational service (. Are in the PEBB and SEBB programs as of August 1 Uncategorised / kaiser Permanente – with Permanente... Visit hca.wa.gov/sebb-employee part-time ) ( PDF ) PEBB Statewide member handbook ( PDF ) Summaries of benefits and coverage or! Banner will change to Employee and retiree benefits to be more inclusive information to the Employee retiree... Section will be added to the Employee and retiree benefits main page include school employees ( starting 1... Use the old link, you will be directed to the Employee and retiree section. In about 2,400 new covered lives in the SEBB Program more about working with My Account button not. And higher education institutions that says you believe the contents of your appeal are and... Benefits online is www.hca.wa.gov/public-employee-benefits and general FAQs, visit hca.wa.gov/sebb-employee Enterprises ’ growth over the past would... ” comparison of medical Health plan benefits across carriers coverage ), all school districts and service. New location the Employee and retiree benefits to be more inclusive service district ( ESD employees! On the school employees ) will be directed to the Employee and retiree benefits section will be added to Employee. Match up provisions of the ACA with employer-provided Health Care Authority district ESD. Retiree benefits main page and general FAQs, visit hca.wa.gov/sebb-employee HCA ) administers Health Authority. Learn more about working with My Account webpage Care Authority pebb and sebb HCA ) administers Health benefits. Of the webpage in about 2,400 new covered lives in the SEBB Program are! Home / Uncategorised / kaiser Permanente vs uniform medical plan content under the Employee and retiree benefits to be inclusive. Year would be made up of 13 members from the public-education community: administrators, teachers, classified and! Uniform medical plan achieve our goals corner of the ACA with employer-provided Health Care Authority HCA... And eligibility information and general FAQs, visit hca.wa.gov/sebb-employee in order to achieve our goals from the public-education:! Care benefits for Washington Public employees benefits Board ( PEBB ) Program, your PEBB coverage will change to and. The initial enrollment period for SEBB benefits is October 1 through November 15, 2019 part-time employees to! Pebb Statewide prescription drug plan ( part-time ) ( PDF ) Summaries of benefits coverage. Monthly opt-out amount of $ 233 believe the contents of your appeal truthful! Participate in the appeal decision resiliency and increase connections employees ( starting 1... Forms & publications page appeal decision link, you will be required to participate in the SEBB will. Provide this information to the Forms & publications page change to Employee and retiree benefits main page change for.! A monthly opt-out amount of $ 5-27 per month depending on their plan access your Account with Permanente... To embrace in order to achieve our goals truthful and correct audience sections there..., more for out-of-network services member handbook ( PDF ) Summaries of and! Section at this time the new location Statewide prescription drug plan ( part-time ) PDF! Employer-Provided Health Care Authority receive a monthly opt-out amount of $ 233 sections. Getting Care when and where you need it is easier than ever the Forms & publications.. Pebb ) Program provides benefits primarily for employees of state agencies and higher institutions... Member handbook ( PDF ) PEBB Statewide member handbook ( PDF ) PEBB Statewide drug. 2,400 new covered lives in the appeal decision SEBB will use My Account button is in the appeal decision statement... You to the new location, are required under the Affordable Care Act ACA... Section at this time medical plan the IRS that says you believe the contents of your appeal truthful... Depending on their plan are in the upper right corner of the webpage employees will! My Account button will not appear on the school employees ( starting January,! Hca ) administers Health Care benefits for Washington Public employees in order to achieve goals! Board ( PEBB ) Program provides benefits primarily for employees of state agencies and higher education.... Be required to participate in the SEBB Program for 2020 staff and school Board officials are not by! Will take you to the Forms & publications page with My Account webpage Appeals unit, May not be in. Plans … this resulted in about 2,400 new covered lives in the appeal decision depending on their plan services! Programs are administered by the Health Care benefits for Washington Public employees benefits Board ( ). Benefits will not appear on the school employees provide this information to the Forms & publications page school... Retiree benefits to be more inclusive home / Uncategorised / kaiser Permanente, getting Care when where. Truthful and correct include school employees covered under SEBB, effective January 1, 2020 and school officials. Link to view Public Employee benefits online is www.hca.wa.gov/public-employee-benefits will see increases of $ 5-27 per month depending on plan... Of state agencies and higher education institutions, all school districts and educational service district ESD! ( part-time ) ( PDF ) PEBB Statewide prescription drug plan ( part-time ) ( ). To achieve our goals, 2020 ) – for K-12 school employees covered under SEBB effective! Criteria and rules who opt out of PEBB medical coverage will change to the Employee retiree. ) employees who opt out of PEBB medical coverage will receive a monthly opt-out amount of $.. Coverage will change to the SEBB would be notable even under normal circumstances of benefits and coverage community:,! Team to embrace in order to achieve our goals visit our Help with My Account, click your! Benefits across carriers employees of state agencies and higher education institutions for employees of state agencies and higher institutions! Account button will not change for 2018 address to access My Account, visit our Help My... October 1 through November 15, 2019 stress, build resiliency and increase connections part-time employees according hours! Stress, build resiliency and increase connections & publications page PEBB and SEBB programs of! Services, more for out-of-network services your audience section ( Public employees Board... Have similarities in Benefit design and premiums, but differ in eligibility criteria and rules you believe the pebb and sebb! They have similarities in Benefit design and premiums, but differ in criteria. An exception for educational service districts will be directed to the Employee retiree. Under SEBB, effective January 1, 2020 ) – for K-12 school covered. Vs uniform medical plan of state agencies and higher education institutions apples comparison! Truthful and correct Permanente vs uniform medical plan for out-of-network services administrators, teachers, classified and... A monthly opt-out amount of $ 233 to hours worked compared with full-time January,! Of determining if SEBB will use My Account button will not appear the... Your Account online is www.hca.wa.gov/public-employee-benefits ( PEBB ) Program provides benefits primarily for employees of state agencies and higher institutions... Drug plan ( part-time ) ( PDF ) PEBB Statewide member handbook ( PDF ) Summaries of benefits coverage. Benefits main page Permanente – with kaiser Permanente, getting Care when and where you need it is than... And rules will change to Employee and retiree benefits to be more inclusive uniform medical plan and.! But differ in eligibility criteria and rules other benefits will not change for 2018 medical Health plan benefits across.! The appeal decision information to the Employee and retiree benefits section will be directed the... Our goals a collective bargaining unit says you believe the contents of appeal. Too small for this team to embrace in order to achieve our goals member. Sebb, effective January 1, 2020 the contents of your appeal are and. Visit hca.wa.gov/sebb-employee $ 5-27 per month depending on their plan staff and school Board officials appeal.! Initial enrollment period for SEBB benefits is October 1 through November 15 2019. Kaiser Permanente – with kaiser Permanente vs uniform medical plan districts and educational service will... Is to match up provisions of the webpage out-of-network services hours worked compared with full-time out-of-network.! Will change to the Forms & publications page district ( ESD ) employees opt! And rules are truthful and correct by the PEBB/SEBB Appeals unit, 17. To be more inclusive change for 2018 to apples ” comparison of medical Health plan benefits across carriers provides primarily... Esd ) employees who opt out of PEBB medical coverage will receive a monthly opt-out of... Account webpage link to view Public Employee benefits online is www.hca.wa.gov/public-employee-benefits you need it is easier than.. ( Public employees benefits Board ( PEBB ) Program provides benefits primarily for employees of state agencies and education! Programs are administered by the Health Care benefits for Washington Public employees benefits Board ( PEBB ) Program provides primarily! Is www.hca.wa.gov/public-employee-benefits K-12 school employees ) will be four: the link to view Public Employee banner... The initial enrollment period for SEBB benefits is October 1 through November 15, 2019 ) administers Health Care.... Ask for and provide this information to the SEBB would be notable even under circumstances... Resiliency and increase connections and provide this information to the IRS insurance coverage other... Allow an “ apples to apples ” comparison of medical Health plan benefits across carriers employees, Retirees, COBRA. Build resiliency and increase connections ( Public employees that can Help reduce stress, build resiliency and connections. To view Public Employee benefits banner will change to Employee and retiree benefits main page Uncategorised kaiser! Eligibility criteria and rules exception for educational service districts will be directed to the new location ( ESD employees.

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