Plan Year 2017 Documents and Rates
We encourage you to look over the commonly used health coverage and medical terms before you begin.
Plan Year 2017 Rates
Active Employee Plan Documents
Below, you will find Plan Documents and Evidence of Coverage Certificates (EOC) that provide helpful information regarding the terms, conditions, and administration of your benefits.
Consumer Driven Health Plan (CDHP)
- Master Plan Document for the Consumer Driven Health Plan (CDHP) for Medical, Vision, Prescription Drug, Health Savings Account (HSA), and Health Reimbursement Arrangement (HRA)
- Wellness Benefits Guide
- Summary of Benefits and Coverage - Individual
- Summary of Benefits and Coverage - Family
- Glossary of Health Coverage and Medical Terms
Flexible Spending Accounts
Hometown Health (HMO) Plan
- Evidence of Coverage Certificate (EOC) Document
- Prescription Drug Rider
- Prescription Drug Formulary
- Vision Summary of Benefits
- Glossary of Health Coverage and Medical Terms
- Summary of Benefits and Coverage
Health Plan of Nevada (HMO) Plan
- Evidence of Coverage Certificate (EOC) Document
- Summary of Benefits and Coverage
- Vision Plan Summary
- Preferred Drug List
- Timely access to care requirements
HIPAA Privacy and Security Requirements for PEBP Benefits
Enrollment and Eligibility
PPO Dental Plan, Life Insurance and Long Term Disability Insurance
Basic Life, Long Term Disability, Voluntary Life and Short-Term Disability Insurance
Pre-Medicare Retiree Plan Documents
Below, you will find Plan Documents and Evidence of Coverage Certificates (EOC) that provide helpful information regarding the terms, conditions, and administration of your benefits.
Consumer Driven Health Plan (CDHP)
- Master Plan Document for the Consumer Driven Health Plan (CDHP) for Medical, Vision, Prescription Drug, Health Savings Account (HSA), and Health Reimbursement Arrangement (HRA)
- Wellness Benefits Guide
- Summary of Benefits and Coverage - Individual
- Summary of Benefits and Coverage - Family
- Glossary of Health Coverage and Medical Terms
Hometown Hometown Health (HMO) Plan
- Evidence of Coverage Certificate (EOC) Document
- Prescription Drug Rider
- Prescription Drug Formulary
- Vision Summary of Benefits
- Glossary of Health Coverage and Medical Terms
- Summary of Benefits and Coverage
Health Plan of Nevada (HMO) Plan
- Evidence of Coverage Certificate (EOC) Document
- Summary of Benefits and Coverage
- Vision Plan Summary
- Timely access to care requirements
HIPAA Privacy and Security Requirements for PEBP Benefits
Enrollment and Eligibility
PPO Dental Plan, Life Insurance and Long Term Disability Insurance
Basic Life Insurance Certificate for Eligible Retirees
Medicare Retiree Plan Documents
The Public Employees' Benefits Program offers a Voluntary PPO Dental Plan to Medicare retirees enrolled in a medical plan through the Medicare Exchange. Eligible retirees also receive a Health Reimbursement Arrangement (HRA) which may be used to reimburse the retiree for health care premiums, dental premiums, Medicare Part B premiums, and out-of-pocket health care expenses. Below, you'll find documents that provide further detail on each of your benefit options.
PPO Dental Plan, Life Insurance and Long Term Disability Insurance
Health Reimbursement Arrangement for Medicare Exchange Retirees
Basic Life Insurance Certificate
Retiree Resources