News & Updates

If I have a newborn child, will he or she automatically be added to my health plan?

Newborn dependent child(ren) will automatically be covered under PEBP from the date of birth to 31 days following the date of birth. To continue coverage beyond the initial coverage period, enrollment must be completed within 60 days of the newborn’s date of birth.

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I am 24 years old and covered as a child under my parent’s PEBP plan. If I become eligible for PEBP benefits as a state employee, will I need to enroll in my own coverage?

If a child (age 26 or younger) is enrolled as a dependent of a PEBP participant and becomes eligible for their own PEBP coverage as a primary participant, the child has the option to remain as a dependent OR enroll on their own as a primary participant.  If the child enrolls as a primary participant,...

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What is the benefit waiting period for a new-hire employee?

Employees hired on the first day of the month are eligible for benefits on their date of hire. Employees hired on the second day through the last day of the month are eligible for benefits on the first day of the month following their date of hire. For example, if you were hired on June...

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My spouse/domestic partner is covered under his/her employer’s group health plan. If they lose coverage from their employer, do I need to wait until open enrollment to add him/her as a dependent on my plan?

You will not have to wait until Open Enrollment to add your spouse/domestic partner. The loss of employer-sponsored group coverage is a qualified family status event. However, you must submit a request within 60 days of the date your spouse/domestic partner’s other coverage ended.

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Are active employees required to enroll in Medicare at age 65?

No, PEBP does not require active employees aged 65 or older to enroll in Medicare until they retire.

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I am a surviving spouse of a deceased active employee, can I maintain my insurance coverage?

The covered dependents of a deceased active employee who had 10 or more years of service credit may continue coverage by re-joining the program as a survivor within 60 days of the employee’s death.

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