Getting to Know Your Plan
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If you are an active employee or retiree, please log on to your E-PEBP Portal for detailed information including Plan Year 2021 documents, new voluntary product information, to enroll/make changes, or to access your HealthScope or Express Scripts single sign on accounts.
We encourage you to look over the commonly used health coverage and medical terms before you begin.
PLAN YEAR 2021
To review plan options, dependent eligibility, years of service subsidy and premium cost under the Consumer Driven Health Plan (PPO), Premier Plan (EPO), or Health Plan of Nevada (HMO), view the Benefit Guide.
FAQs for Voluntary Products
Flexible Spending Accounts
Plan Year 2021 Master Plan Documents
Consumer Driven Health Plan (PPO) MPD
Premier Plan (EPO) MPD
Enrollment and Eligibility MPD
Health and Welfare Benefits
Health and Welfare Wrap Plan
Medicare Exchange Health Reimbursement Arrangement Summary
Dental Plan and Summary of Benefits for Life and Long-Term Disability Insurance
Summary of Benefits and Coverage
Consumer Driven Health Plan - Individual
Consumer Driven Health Plan - Family
Consumer Driven Health Plan Pharmacy Benefits at a Glance
PEBP Premier Plan - Individual and Family
Premier Plan Pharmacy Benefits at a Glance
Health Plan of Nevada - Individual and Family
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.
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.
PEBP provides a comprehensive benefit package to eligible full time employees and retirees which includes medical, prescription drug, dental, vision, basic life, and long-term disability insurance (for active employees). Additional voluntary products are also available to purchase.
Log on to your E-PEBP Portal for additional information on each plan, voluntary product details, or to complete enrollment.
PEBP offers two medical plan options for Northern Nevada and two medical plan options for Southern Nevada. Those residing out of the state of Nevada only have one plan option (PPO).
Consumer Driven Health Plan (PPO) with an HSA or HRA
Premier Plan (EPO)
Consumer Driven Health Plan (PPO) with an HSA or HRA
Health Plan of Nevada (HMO)
Benefits are based on a fiscal year, rather than a calendar year. The plan year starts July 1st and ends June 30th. The benefits you select at initial enrollment will remain in effect through June 30th, unless you experience a qualifying life event that allows you to make changes to your coverage.
New Hire Enrollment
Medical Plan Enrollment
Employees working in a full-time position with a state agency, participating non-state agency, or the Nevada System of Higher Education (NSHE) are eligible for benefits on:
- The first day of full-time employment or the date of the contract, if that date is the first day of the month; or
- The first day of the month immediately following the first day of full-time employment or contract date if the first day of employment/contract date is on or after the second day of the month.
As a new benefits-eligible employee you must enroll or decline coverage online through your E-PEBP Portal and upload any required supporting documents (if adding dependents) no later than the last day of the month your coverage is scheduled to become effective.
Failure to enroll or decline coverage within the specified timeframe will result in coverage being defaulted to the Consumer Driven Health Plan (CDHP) with a Health Reimbursement Arrangement (HRA) and self-only coverage. Employees enrolled in the CDHP will pay a monthly premium for that coverage.
New benefits-eligible employees who wish to participate in any voluntary products may find additional information, including enrollment timeframes, in their E-PEBP Portal.
During Open Enrollment, PEBP participants have the opportunity to make changes to their coverage. Changes that may be made during Open Enrollment include: changing medical plan options, adding or deleting dependents and declining all benefits. Medicare Exchange retirees may elect or decline PEBP dental benefits.
Open Enrollment is normally held between May 1st - May 31st each year with any changes becoming effective on July 1st.
Supporting Documents - Participants who are adding dependents to their coverage during the Open Enrollment period must upload any required supporting documents into their E-PEBP Portal (e.g., copy of marriage certificate, birth certificate, etc.) by June 15th.
Qualifying Life Events
Qualifying life events include the birth of a child, marriage, divorce, etc. You must complete an online event through the E-PEBP Portal as well as upload any supporting documents within 60 days of the qualifying life event in order for changes to your coverage to take place.
Enrolling in Retiree Coverage
Once PEBP receives a termination notice from your Agency due to retirement, we will mail you retiree forms you will need to complete in order to continue your Health Insurance coverage once you retire. You will need to complete these forms within 60 days after your retirement date. Retirement coverage starts on the first day of the month concurrent with or following your date of retirement. Failure to enroll within 60 days will result in termination of coverage.
Active employees and their covered dependents are not required to enroll in Medicare Part A or B prior to retirement.
Retirees and their covered dependents who are turning 65 must enroll in premium-free Medicare Part A (if eligible) and purchase Part B coverage. Retirees should contact the Social Security Administration (SSA) 60-90 days prior to their 65th birthday to determine if they qualify for premium-free Medicare Part A coverage.
Retirees with Medicare Parts A and B will be required to enroll in a medical plan through Via Benefits unless they cover a non-Medicare dependent on their plan or have TRICARE for Life.
Portability of Basic Life and/or Voluntary Life Insurance Coverage
Terminating employees may be eligible to port or convert their Basic and/or Voluntary group life insurance under the "Portability and/or Right to Convert" provisions of their Standard life insurance policies. To apply, complete the Group Conversion packet or the Group Life Portability Insurance application within 31 days after your employment terminates. Details regarding these options are available in the policy certificates on The Standard's website. For specific information, contact The Standard at 1-888-288-1270.