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Plan Year 2022 Documents and Rates

PLAN YEAR 2022

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

View the Plan Comparison
View the PY22 Monthly Premium Rates
View the Qualifying Life Event Guide

Plan Year 2022 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
Section 125 Health and Welfare Benefits
Retiree Health and Welfare Wrap Plan
Medicare Exchange Health Reimbursement Arrangement Summary
Dental Plan and Summary of Benefits for Life Insurance

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

FAQs for Voluntary Products

Visit our Voluntary Benefits site to learn more about our voluntary products, vendors, and other information.

Flexible Spending Accounts

Flexible Spending Accounts Summary Plan Description (SPD)

Via Benefits Medicare Exchange Retirees

Retirees and their eligible spouses/domestic partners must be enrolled in a medical plan through Via Benefits in order to keep PEBP benefits.

Dental Rates and Monthly HRA Contributions
PEBP and Medicare Guide
Medicare Exchange Health Reimbursement Arrangement 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 Benefit Guide.