News & Updates

What are the coverage areas for the HMO or EPO plans?

If you reside in southern Nevada, coverage is administered by the Health Plan of Nevada (HMO) and is only available to participants residing in the following counties: Clark, Esmeralda and Nye Counties. If you reside in northern Nevada, coverage is administered by the Premier (EPO) Plan and is only available to participants residing in the following fourteen northern Nevada counties:...

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Do I need to be a United States citizen to open and contribute to an HSA?

In general, you must be a United States citizen, green card holder, or a United States resident to participate. An HSA cannot be opened without a verifiable United States residential address and a valid United States Social Security Number.

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I will not qualify for premium-free Medicare Part A. May I maintain my PEBP CDHP, EPO or HMO coverage?

Yes. If you do not qualify for premium-free Medicare Part A, you will be able to maintain your PEBP CDHP, EPO or HMO plan. However, you will be required to submit verification that you do not qualify for premium-free Part A. You will also be required to purchase Part B Medicare at age 65 if you...

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What happens to my HSA if I am no longer an eligible individual? For example, if I change coverage from the CDHP to an HMO or EPO or if I enroll in Medicare?

If you are no longer an eligible individual, you can still receive tax-free distributions to pay or reimburse your qualified medical expenses. However, you can no longer contribute money to your HSA.

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Am I eligible to make or receive contributions to an HSA?

To be eligible to establish and contribute to an HSA on a pre-tax basis, the employee must meet the following criteria: The employee is covered under other medical insurance coverage unless that medical insurance coverage: (1) is also a High Deductible Health Plan as defined by the IRS; (2) covers a specific disease state (such as cancer...

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What is an unsubsidized dependent?

Unsubsidized Dependents Covered under a PEBP Plan An unsubsidized dependent is an otherwise eligible spouse/domestic partner or dependent child who remains covered under PEBP while the primary Plan participant transitions medical coverage to the Medicare Exchange. Termination of a primary participant’s coverage will result in termination of the unsubsidized dependents. Unsubsidized dependents enrolled in the...

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I was initially hired on or after January 1, 2012. Will I be eligible for the retiree health insurance premium subsidy at retirement?

Employees with an initial hire date on or after January 1, 2012 may enroll in retiree coverage but will not qualify for a retiree premium subsidy or Exchange HRA contribution.

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I am covered under the EPO plan in Northern Nevada. However, I am moving to Las Vegas. May I keep my Northern Nevada EPO Plan?

EPO and HMO participants who move outside of their designated plan’s coverage area must select a new medical plan to coincide with their new coverage area within 30 days. Contact PEBP Members Services to notify them and discuss your options.

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My spouse/domestic partner is covered under their own employer’s group health plan, may I also cover them on my plan?

A spouse or domestic partner who is eligible for other employer group coverage is not eligible for coverage as a dependent under this plan. Exceptions may apply if the employer group coverage is determined to be significantly inferior. “Significantly inferior” refers to a plan that offers limited benefits, such as a mini-med plan or a...

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Are dependents allowed to be covered under two PEBP plans?

No. A dependent cannot be covered under two PEBP plans at the same time.

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