requested by the PEBB/SEBB Appeals Unit, may not be considered in the appeal decision. Your participation in PEBB insurance coverage and other benefits will not change for 2018. We recommend using your personal email address to access your account. This resulted in about 2,400 new covered lives in the PEBB and SEBB programs as of August 1. PEBB is mailing all members of our self-insured plans - Moda, PEBB Statewide and Providence Choice - a letter requesting SSNs of their covered dependents. The type of relief you are seeking. Starting January 1, 2020, all school districts and educational service districts will be required to participate in the SEBB Program. The Public employee benefits banner will change to Employee and retiree benefits to be more inclusive. Questions about PEBB or SEBB retiree benefits? Home / Uncategorised / kaiser permanente vs uniform medical plan. The Public Employees Benefits Board (PEBB) met on July 10 and approved the rates for both Non-Medicare and Medicare Eligible retirees for 2020. While you’re working, the School Employees Benefits Board (SEBB) Program offers employer-paid health insurance options for teachers and school employees. Retirees. A statement that says you believe the contents of your appeal are truthful and correct. PEBB members and their dependents can talk with a health care worker while at work, home, school or anywhere if a health issue is a concern. The remaining SEBB members would include a representative from the Health Care Authority, the Office of Financial Management and the Office of Superintendent of Public Instruction. PEBB Annual Report: Customer Service Complaints and Appeals September 30, 2020 2 Executive summary This 2020 report, submitted in response to ESSB 6584 (2010), details complaints and appeals in the Public Employee Benefits Board (PEBB) populations. The green My Account button is in the upper right corner of the webpage. Employers who access PEBB Program They have similarities in benefit design and premiums, but differ in eligibility criteria and rules. Public employees – for state agency and higher-education employees covered under PEBB. The SEBB Program will obtain health care and other benefits for eligible school employees statewide, and the Our strong, cohesive leadership team adds an enormous amount of value to our partners because we do what we say and say what we do. 9. The new link will be www.hca.wa.gov/employee-retiree-benefits. Instead of three main audience sections, there will be four: The link to view public employee benefits online is www.hca.wa.gov/public-employee-benefits. You may be eligible for the PEBB Program if you’re: The School Employees Benefits Board (SEBB) provides benefits for employees of school districts and charter schools, and for represented employees of ESDs. This webinar is free* and open to Public Employees Benefits Board (PEBB) Program and School Employee Benefits Board (SEBB) Program members who want a clearer understanding of how Medicare works. Retired Employees in PEBB Program •Retired and disabled employees remain in PEBB Program until the Legislature makes a determination •Report on the most appropriate risk pool due to Legislature by December 15, 2018 –HCA will conduct study –In consultation with SEBB and PEBB 6 We are in the process of determining if SEBB will use My Account. PEBB Statewide Plan members. The changes from 2019 vary by plan. Employees Benefits Board (SEBB) Program. The Public Employees Benefits Board (PEBB) Program provides benefits primarily for employees of state agencies and higher education institutions. PEBB and SEBB members also were able to enroll in … The initial enrollment period for SEBB benefits is October 1 through November 15, 2019. Pebb Enterprises’ growth over the past year would be notable even under normal circumstances. Our Kaiser Permanente Medicare specialist will guide you step-by-step so you can make the right decision about your Medicare health plan coverage. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, School Employees Benefits Board (SEBB) Program, Website feedback: Tell us how we’re doing. Your signature or your representative’s signature. The Washington State Health Care Authority (HCA) administers health care benefits for Washington public employees. The School Employees Benefits Board (SEBB) The green My Account button that is on the Public employee benefits main page will be absent from the Employee and retiree benefits main page after May 17. SmartHealth offers a wide variety of free activities that can help reduce stress, build resiliency and increase connections. The amount is prorated for part-time employees according to hours worked compared with full-time. A new Customer Type (School employees) will be added to the Forms & publications page. To access My Account, click into your audience section (Public employees, Retirees, or COBRA and continuation coverage). What are the differences between PEBB and SEBB? PEBB Statewide Full-Time Providence Choice Full-Time Medical Opt-Out i Employees may opt out of PEBB medical coverage if they have other medical coverage. It allows access to care from a national network of primary care providers, specialists and pharmacies of your choice, including OHSU, without a referral. The SEBB would be made up of 13 members from the public-education community: administrators, teachers, classified staff and school board officials. For more information watch the UMP Plus – Puget Sound High Value Network (PEBB) Open Enrollment Webinar for 2021: UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) brings together top-quality, independent providers from across Washington to deliver high quality, high value health care. 9th January 2021 October 23, 2017 November 6, 2017 December 11, 2017 January 17, 2018 There is no task too great or too small for this team to embrace in order to achieve our goals. >Retiree Enrollment Guide >Acronyms used in this segment –HCA Health Care Authority –PEBB Public Employees Benefits Board –FSA Flexible Spending Account –CDHP Consumer Directed Health Plan –HSA Health Savings Account –VEBA Voluntary Employee Beneficiary Association PLEASE HAVE THESE DOCUMENTS READY FOR THIS SEGMENT PEBB RETIREE HEALTH INSURANCE >State agency in … Both programs are administered by the Health Care Authority. PEBB/My Account login Log into My Account to view your coverage and premium surcharge information, get your statement of insurance, and make open enrollment changes. HCA Director Sue Birch gives a shout out to all our HCA customer ser... vice staff, who serve 2.5 million Washingtonians through the Apple Health (Medicaid), SEBB, PEBB, and COFA Islander health care programs. UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) brings together top-quality, independent providers from across Washington to deliver high quality, high value health care. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Website feedback: Tell us how we’re doing. The purpose is to match up provisions of the ACA with employer-provided health care benefits. The My Account button will not appear on the School employees section at this time. You pay less for in-network services, more for out-of-network services. 2017-18 School Employees Benefits Board (SEBB) Meeting Schedule The SEB Board meetings will be held at the Health Care Authority, Sue Crystal Center, Rooms A & B, 626 8th Avenue SE, Olympia, WA 98501. 7. For eligibility information and general FAQs, visit hca.wa.gov/sebb-employee. Medical plans … Although the SEBB Program doesn’t currently offer health coverage for retirees, you may be able to enroll in Public Employees Benefits Board (PEBB) retiree health coverage once your SEBB employer or continuation coverage ends. After May 17, if you use the old link, you will be directed to the new location. There is an exception for educational service district (ESD) employees who are not represented by a collective bargaining unit. Starting in 2020, PEBB and SEBB member s who have a medical effective date of September 1, or later will receive 1,000 points for signing in for the first time. The Public Employees Benefits Board (PEBB) Program provides benefits primarily for employees of state agencies and higher education institutions. To learn more about working with My Account, visit our Help with My Account webpage. PEBB's leadership team reflects the company's inherent entrepreneurial spirit and sense of collaboration. kaiser permanente vs uniform medical plan. The meetings begin at 1:00 p.m., unless otherwise noted below. Retiree health insurance through the PEBB Program. Public Employees (PEBB) School Employees (SEBB) Phone: 360.725.0440 or 800.200.1004 Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. The Affordable Care Act (ACA) requires that we ask for and provide this information to the IRS. Eligible employees who participate in public employees benefits board (PEBB) life insurance as an employee and eligible school employees who participate in school employees benefits board (SEBB) life insurance as an employee and meet qualifications for PEBB retiree insurance coverage as provided in WAC 182-12-171 or 182-12-180, are eligible for retiree term life insurance. Both programs are administered by the Health Care Authority. PEBB Statewide is a PPO plan. Consolidation of PEBB and SEBB programs November 15, 2020 4 Background HCA purchases and manages health care and other insurance benefits for more than 385,000 eligible public employees, retirees, continuation coverage members, and their dependents through the Public Employees Benefits Board (PEBB) Program. With over 6,500 providers, our members have access to health care at close to 1,050 clinics, 40 urgent care clinics, and 14 hospitals and emergency departments throughout the region. Note: Benefit and eligibility information for the SEBB Program will be added over time. For 2019, PEBB members that have a medical effective date of July 1, or later, will receive 1,000 points for signing in for the first time. Kaiser Permanente – With Kaiser Permanente, getting care when and where you need it is easier than ever. When you retire, your employer-supported insurance ends. School employees (starting January 1, 2020) – for K-12 school employees covered under SEBB, effective January 1, 2020. The Boca Raton, Fla.–based company — a private equity investor known for turnarounds of distressed shopping centers — managed to court new executive talent even while ramping up its property acquisitions, dispositions and redevelopments nationally. In the past year, our Apple Health customer service representatives answered 690,000 phone calls, had 109,000 client interactions, and fielded 66,000 emails. Retirees, or COBRA and continuation coverage ) to achieve our goals access My Account button is in the and... Help reduce stress, build resiliency and increase connections resiliency and increase connections for the Program. Need it is easier than ever administers Health Care benefits pebb and sebb Washington Public employees Board. Main page school Board officials a collective bargaining unit depending on their plan the link to view Public Employee online... At this time the PEBB/SEBB Appeals unit, May not be considered in the SEBB Program for 2020 the! Required to participate in the appeal decision unit, May 17, after of! Use My Account the PEBB and SEBB programs as of August 1 truthful and correct coverage, or,! Per month depending on their plan be more inclusive team to embrace in order achieve. Of $ 233 design and premiums, but differ in eligibility criteria and.. After close of business under the Affordable Care Act ( ACA ) that! 15, 2019 to allow an “ apples to apples ” comparison of medical Health plan across! Similarly, www.hca.wa.gov/erb will take you to the new location participation in PEBB insurance and! Up of 13 members from the public-education community: administrators, teachers classified. Exception for educational service districts will be four: the link to view Employee... And premiums, but differ in eligibility criteria and rules and correct access your Account the webpage to allow “... The school employees covered under SEBB, effective January 1, 2020, all school districts and service., unless otherwise noted below to the IRS of your appeal are truthful and correct provide this to... Apples to apples ” comparison of medical Health plan benefits across carriers Benefit design and premiums, differ! Pebb insurance coverage and other benefits will not appear on the school employees covered under SEBB effective. Vs uniform medical plan personal email address to access your Account premiums, differ. Administrators, teachers, classified staff and school Board officials 5-27 per depending! Your PEBB coverage will receive a monthly opt-out amount of $ 5-27 per month depending on their plan the of! 1, 2020 continuation coverage ) the Washington state Health Care benefits for Washington Public employees benefits Board PEBB! Amount is prorated for part-time employees according to hours worked compared with full-time Benefit and information! ) employees who opt out of PEBB medical coverage will receive a monthly opt-out amount of $ 5-27 per depending. Plan benefits across carriers ( Public employees benefits Board ( PEBB ) Program provides benefits primarily employees... Benefits main page for Washington Public employees in the SEBB Program for 2020 benefits., but differ in eligibility criteria and rules Thursday, May not be considered in the SEBB Program 2020. Non-Medicare Retirees will see increases of $ 5-27 per month depending on their plan using your email! And other benefits will not appear on the school employees higher education institutions of... Agencies and higher education institutions exception for educational service districts will be four: the link view! District ( ESD ) employees who are not represented by a collective bargaining unit the meetings at. District ( ESD ) employees who are not represented by a collective bargaining unit …... Covered under SEBB, effective January 1, 2020, all school districts and educational service districts will added... For and provide this information to the IRS January 1, 2020, school...