Health Insurance Open Enrollment
For Plan Year 2015
Coverage Effective for July 1, 2014 to June 30, 2015
Important Dates To Remember
- May 1, 2014 to May 31, 2014 – PEBP Health Insurance Open Enrollment
- May 1, 2014 to May 31, 2014 – NSHE Flexible Spending Account Plan Open Enrollment
PEBP Open Enrollment for Health Insurance (PPO and HMO)
May 1, 2014 to May 31, 2014 will be the Open Enrollment period for the Public Employees Benefits Program (PEBP). Open Enrollment provides you with the opportunity to review your healthcare options and make changes to your Plan. This is the time to learn about any plan/premium changes, change plans, add or delete dependents.
You will need to complete Open Enrollment on-line if you are:
- Changing Plans (Consumer Driven Health Plan (CDHP) to the HMO or HMO to the CDHP)
- Declining coverage (please note that if you decline coverage, you are also declining the $25,000 basic life insurance and the Long Term Disability benefit)
- Adding or Deleting dependent
- Establish a Health Savings Account (if you were previously not eligible for the HSA or were defaulted to an HRA and now are eligible for the HSA, you will need to complete Open Enrollment in order to establish your HSA)
If you are not making any changes, then NO action is required.
PEBP will be mailing out letters to all participants in the last week of April with instructions on how to complete your Open Enrollment on-line. If you do not receive your letter by April 28, 2014, please call the Public Employees Benefits Program directly at 1-800-326-5496.
Additionally, PEBP will be holding Open Enrollment Meetings via the web on the following dates:
|5/06/2014||2:30 p.m. - 4:00 p.m.||South||Register here|
|5/07/2014||9:00 a.m. - 10:30 a.m.||South||Register here|
|5/13/2014||9:00 a.m. - 10:30 a.m.||South||Register here|
|5/15/2014||11:00 am - 12:30 p.m.||South||Register here|
|5/20/2014||9:00 a.m. - 10:30 a.m.||South||Register here|
|5/22/2014||12:00 p.m. - 1:30 p.m.||South||Register here|
Open Enrollment Information
- Premium Rate Tables
- Open Enrollment Guide
- E-PEBP Online Enrollment System
- HSA Frequently Asked Questions
Health Savings Account
If you enroll in the Consumer Driven Health Plan (CDHP), PEBP will be providing seed money into a Health Savings Account (HSA) to help offset your out of pocket expenses. If you do not qualify for a HSA, your will still receive the seed money, but it will be in the form of a Health Reimbursement Arrangement (HRA).
For Plan Year 2014, the PEBP Board approved using PEBP’s unrestricted surplus to provide employees with one-time contributions to the HSA/HRA accounts. This one time contribution will only be available for those who are enrolled in the CDH Plan on July 1, 2013. The contributions are as follows:
|Regular HSA/HRA PEBP Contribution||One-time Cont. (from unrestricted surplus)||Total HSA/HRA PEBP Cont.|
*Maximum of 3 dependents.
You can use these contributions to pay for your out-of-pocket medical and prescription costs, including your deductible.
If you qualify for the HSA, you can also elect to contribute additional money on a pre-tax basis to your HSA to a maximum of $3300.00 if you have participant only coverage or $6,550.00 if you have family (two or more individuals) coverage. Please note that the PEBP contribution is included in this limit.
Additional information on the HSA is available online:
- HSA - Frequently Asked Questions
- IRS Publication 969
- List of qualified expenses
- HSA - Custodial Agreement and Disclosure Statement
- HSA - Designation of Representative by Accountholder
If you do not qualify for the HSA, PEBP will open an HRA account for you. The HRA is owned by PEBP and you will not be eligible to add any money into an HRA account.
NSHE Flexible Spending Plan (Section 125) Open Enrollment
The NSHE Flexible Spending Plan Open Enrollment is May 1, 2014 to May 31, 2014 and is administered by ASI Flex. The NSHE Flexible Spending Plan (Section 125) is NOT administered by the State of Nevada. Please do not fill out the State Flexible Spending Account forms or declination of coverage forms. If you wish to participate in the NSHE Flexible Spending Plan, additional information will be provided shortly before May 1.
NSHE offers two types of Flexible Spending Accounts
- Medical Flexible Spending Account – allows employees to pay for qualified medical expenses using pre-tax dollars
- Dependent Care Flexible Spending Account – allows employees to pay for day care or after care expenses for qualified dependents using pre-tax dollars.
If you will be electing the Consumer Driven Health PPO Plan through PEBP and opening a Health Savings Account (HSA), you will NOT be eligible for NSHE’s Medical FSA. IRS rules do not permit an individual to have both an HSA and an FSA. You will only qualify for a limited scope FSA which can only be used for dental and vision expenses.
If you do not qualify for an HSA and PEBP opens a Health Reimbursement Account (HRA) for you, you may still be eligible to open a Medical FSA. A comparison of the HSA, HRA, and FSA plans is available on-line.
If you are on the HMO plan or decline coverage, you are still eligible to participate in the Medical FSA.
The maximum amount that you can contribute to a Medical FSA is $2,500.00 for the plan year. The money is deducted from your paycheck on a pre-tax basis in equal amounts over the course of the plan year. After you incur expenses that qualify for reimbursement, you request tax-free withdrawals from your FSA to reimburse yourself. Any contribution amounts that you do not use by the end of the 2015 Plan Year are forfeited to the NSHE plan as required by IRS regulations.
Regardless of what health plan you use, you are eligible to participate in the Dependent Care FSA. The maximum amount that you can contribute to a Dependent Care FSA is $,5,000.00 ($2,500 in the case of a married individual filing a separate tax return for the plan year) per household. The money is deducted from your paycheck on a pre-tax basis in equal amounts over the course of the plan year. After you incur expenses that qualify for reimbursement, you request tax-free withdrawals from your FSA to reimburse yourself. Any contribution amounts that you do not use by the end of the 2015 Plan Year are forfeited to the NSHE plan as required by IRS regulations.
Cost to Participate in the FSA
There is a $3.25 per month fee to participate in the FSA. This fee will be deducted from your annual FSA election. If you are participating in the Medical FSA, you may request a debit card for an additional $9.00 annual fee. Debit cards can only be used for the full Medical FSA. If you have a limited scope FSA, you will not be able to use the debit card.