Open Enrollment Plan Year 2023

For previous Plan Year Documents please click here.
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PLAN YEAR 2023

Open enrollment for the Public Employees’ Benefits Program (PEBP) for Plan Year 2023 is May 16th through May 31st. Changes to your PEBP health care benefits or to your dependent coverage tier may be made within this limited time frame. If you wish to attend an open enrollment meeting, registration is required. Please visit our Calendar of Events page for more information.

 

*****If you do not wish to make any changes, no action is required*****

 

Open enrollment is the only time of year you can make changes to your health benefits without experiencing a qualifying life event (e.g., marriage or birth of a child). Any changes you make during this open enrollment period will be effective July 1, 2022 through June 30, 2023.

To get started with your open enrollment changes beginning May 16th, access your account with the orange Login button on the top right-hand side of this page. You will then be directed to your E-PEBP Portal account.

To review plan options, dependent eligibility, years of service subsidy and premium cost under the Consumer Driven Health Plan (CDHP PPO), Low Deductible PPO Plan (LD PPO), Premier (EPO) Plan, or Health Plan of Nevada (HMO), view the Benefit Guide.

View the Open Enrollment Guide
View the Plan Comparison
View the Rates

If you are planning to enroll in a Flexible Spending Account, please click here to download the form. You may contact UMR, previously known as HealthScope Benefits, at 1-888-763-8232, for more information.

If you are adding dependents, all supporting documentation is due no later than June 15th, 2022. Please log on to your E-PEBP Portal and upload your supporting documents directly into your account.

View the Glossary of Health Coverage and Medical Terms 

Effective July 1, 2022, the Consumer Driven Health Plan (CDHP), Premier Plan (EPO), and Low Deductible PPO (LD PPO) networks (Aetna Signature Administrators) are being replaced with UnitedHealthcare Choice Plus (northern Nevada and out-of-state) and Sierra Health-Care Options (southern Nevada). To find in-network providers for PY23 please visit the Find a Provider tool on PEBPs homepage. PPO and EPO members are encouraged to confirm the network status of provider(s) before receiving health care services beginning July 1, 2022. 

Webinar Recording and Slide Decks

Click here to view the slide deck for the northern Nevada and out-of-state open enrollment presentation. Click here to view a recording of the presentation.

Click here to view the slide deck for the southern Nevada and out-of-state open enrollment presentation. Click here to watch a recording of the presentation.

Click here to view the slide deck for the Medicare Exchange presentation. Click here to view the recording of the presentation.

Plan Year 2023 Master Plan Documents

Consumer Driven Health Plan (CDHP-PPO) MPD
Low Deductible (LD-PPO) MPD
Premier Plan (EPO) MPD
Enrollment and Eligibility MPD
Flexible Spending Accounts MPD
Health and Welfare Wrap Plan – Actives
Health and Welfare Wrap Plan – Retirees
Section 125 Health and Welfare Benefits
Medicare Exchange Health Reimbursement Arrangement Summary
Dental Plan and Summary of Benefits for Life Insurance

Voluntary Products

Please click here to learn more about voluntary benefits and vendor information.
Or view the Voluntary Products FAQs

Health Plan of Nevada (HMO)

Employee Enrollment Booklet
HPN Member Kit
Benefit Schedule
Pharmacy Rx Rider
Drug Benefit Guide
Vision Care Rider
HPN Website – https://www.myhpnstateofnevada.com/

Summary of Benefits and Coverage

Consumer Driven Health Plan – Individual
Consumer Driven Health Plan – Family
PEBP Premier Plan – Individual and Family
Low Deductible Plan – Individual
Low Deductible Plan – Family
Health Plan of Nevada – Individual and Family

Express Scripts Price Your Medications

Express Scripts administers pharmacy benefits for the Consumer Driven Health Plan (CDHP PPO), Low Deductible Plan (LD PPO), and Premier Plan (EPO). Just like your medical plan covers visits to your doctor, your Express Scripts prescription plan covers the medication your doctor prescribes. Use the Price Your Medication and Find a Provider Tool.

PY22 CDHP Pharmacy Benefit Summary
PY22 EPO Pharmacy Benefit Summary
PY22 LD PPO Pharmacy Benefit Summary

Information for Retiree Late Enrollment

Retiree Late Enrollment is the time when retired state employees and retired employees from a PEBP participating local government (or the surviving spouse or domestic partner of such retirees) can reinstate PEBP retiree coverage one time. To learn about Retiree benefits and eligibility view the PY23 Open Enrollment Guide -OR- Benefit Guide

Complete your changes by May 31st for benefits to take effect July 1st, 2022. If you are adding dependents, all supporting documentation should be uploaded into your E-PEBP Portal no later than June 15, 2022.

Reinstatement Late Enrollment Plan Year 2023 Form 

Via Benefits Medicare Exchange Retirees

Retirees and their eligible spouses/domestic partners enrolled in a medical plan through Via Benefits may newly enroll in or opt-out of their current PEBP dental coverage during open enrollment. To make changes online, log on to your E-PEBP Portal.

If you do not wish to make any changes, no action is required. 

View Dental Rates and Monthly HRA Contributions
View PEBP and Medicare Guide