Plan Year 2021 Documents and Rates


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.

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

FAQs for Voluntary Products

Voluntary Benefits FAQs
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)

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

Health Plan of Nevada (HMO)

Summary of Benefits and Coverage – Individual and Family
Evidence of Coverage Certificate (EOC) Document
Vision Plan Summary and Preferred Drug List
Member Guide
HPN Website –

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.

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.