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The Public Employees Benefits Board (PEBB) Program will provide more information about these and other changes starting in mid-October before the annual open enrollment, November 1 through 30. 4 Dental plan options Plan options Full-time Delta Dental PPO. Website Feedback. AIS Flex. WA State PEBB Medical Flexible Spending Arrangement (FSA) & Dependent Care Assistance Program (DCAP) Open Enrollment Form Plan Year: 1/1/2021–12/31/2021 with Medical FSA Grace Period through 3/15/2022 Only use this form during the PEBB Program’s annual open enrollment period, November 1 … DeltaORASObk 1-1-2021 (PEBB Premier Part time … Oregon Group Dental Plan Public Employees Benefit Board Delta Dental Premier Plan Effective date: January 1, 2021 Group number: 10002802 Oregon Dental Service doing business as Delta Dental Plan of Oregon provides dental claims payment services only and does not assume financial risk or obligation with respect to payment of claims. 0000003326 00000 n
2021 PEBB dental plans summary comparison Plan provider status Kaiser Dental (full-time and part-time) Delta Dental PPO … Your health plan enrollment is for an entire year (January 1 through December 31), unless you make changes during a special open enrollment … If you want lifespans to grow, you might want open enrollment to stop shrinking. Home; County Departments. Delta Dental Ortho. This is "PEBB medical open enrollment 2021 webinar" by Moda Health on Vimeo, the home for high quality videos and the people who love them. h��ѱ
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Communications. Eligibility Summary Pages 10–12 . 2021 PEBB Employee Enrollment/Change 2021 PEBB Employee Enrollment Change for Medical Only Groups Long-term Disability (LTD) Enrollment/Change Form Premium Surcharge Attestation Help Sheet HCA is committed to providing equal access to our services. 0000005028 00000 n
To learn more about Coordinated Care and PCP 360s: Click Here Providers in the Synergy Network PEBB members have access to our Statewide network that includes OHSU. 0000003297 00000 n
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If the employee does not submit the court ordered documentation as required, the child’s enrollment will not activate. PEBB 2021 Open Enrollment: Dental Delta Dental. '/_layouts/15/Reporting.aspx'
Office of Human Resources, Oregon State University, 236 Kerr Administration Building, Corvallis, OR 97331-8578 Phone: 541-737-3103 Fax: 541-737-7771 or 541-737-0541 Health Details: HCA’s website at hca.wa.gov/pebb-employee Your spouse or SRDP cannot be enrolled in two PEBB Program medical and dental accounts at the same time. To find an in … trailer
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*2021 open enrollment materials will be available by 10/1 Coordinated Care and PCP 360s PEBB Plans have coordinated care and require that each family member chooses a PCP360 to receive in-network benefits. Policy resolutions All changes to PEBB rules that take effect January 1, 2021 will be available at PEBB rules and policies. To learn more about Coordinated Care and PCP 360s: Click Here Providers in the Synergy Network PEBB members have access to our Statewide network that includes OHSU. Select county in which you live or work: Select plan type to compare: Medical Plan Comparison Dental Plan Comparison - choose up to 4 plans. Moda Health Medical and Pharmacy 2 •Members will be connected with a Moda 360 health navigator when calling Moda Health •The navigator will assist the members with any questions they may have, but will also serve as a guide to connect them with the care, resources and programs that best fit the member and their family’s needs •This benefit will be 0000003938 00000 n
Subscriber’s last name Social Security number Tobacco use premium surcharge . Oregon Group Dental Plan Public Employees Benefit Board Delta Dental Premier Part time Plan Effective date: January 1, 2021 Group number: 10002802 Oregon Dental Service doing business as Delta Dental Plan of Oregon provides dental claims payment services only and does not assume financial risk or obligation with respect to payment of claims. 0000003977 00000 n
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