Open Enrollment for Plan Year 2016-2017
Health insurance coverage is effective for July 1, 2016 to June 30, 2017.
Important Dates to Remember
- May 1 to May 31, 2016 – PEBP Health Insurance Open Enrollment
- May 9, 2016 - PEBP Open Enrollment Meeting from 2–4 p.m. at the Student Union room 208
- May 1 to May 31, 2016 – NSHE Flexible Spending Account Plan Open Enrollment
PEBP Open Enrollment for Health Insurance (PPO and HMO)
May 1, 2016 to May 31, 2016 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 has begun to mail out letters to all participants with instructions on how to complete your Open Enrollment on-line. If you do not receive your letter by April 29, 2016, please call the Public Employees Benefits Program directly at 1-800-326-5496.
Additionally, PEBP will be holding Open Enrollment Meetings on the following dates:
|5/9/2016||2 p.m.–4 p.m.||South||University of Nevada, Las Vegas
Student Union, Room 208
4505 S. Maryland Pkwy, LV NV 89154
|5/10/16||9 a.m.–11 a.m.
1 p.m.–3 p.m.
|South||South College of Southern Nevada, Henderson Campus
700 College Dive, Henderson NV 89030
|5/10/16||9 a.m.–11 a.m.
1 p.m.–3 p.m.
|South||South College of Southern Nevada, Cheyenne Campus
3200 East Cheyenne Ave, North LV NV 89030
Open Enrollment Information
- Premium Rate Tables
- E-PEBP On-line Enrollment System
- Comparison of the Health Plans
- Open Enrollment Guide
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 2017, 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, 2016. The contributions are as follows:
|Regular HSA/HRA PEBP Contribution||One-time contribution (from unrestricted surplus)||Total HSA/HRA PEBP Contribution|
|Per Dependent (maximum of 3 dependents)||$200.00||$100.00||$300.00|
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 $3350.00 if you have participant only coverage or $6,750.00 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 on-line:
- IRS Publication 969
- HRA/HAS Eligible Expense Table
- 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)
The NSHE Flexible Spending Plan Open Enrollment is May 1, 2016 to May 31, 2016 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 $2,550.00 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.
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.
Things To Remember
- 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 2017 Plan Year are forfeited to the NSHE plan as required by IRS regulations.
- Your election amount is typically fixed for the entire plan year (unless you have a qualifying event)
- Expenses for any of your tax dependents are eligible for reimbursement, even if they are not on your employer's health insurance program.
Cost to Participate in the FSA
There is a $3.25 per month fee to participate in one or both of the FSAs. This fee will be deducted from your annual FSA election. If you are participating in the Medical FSA, you may request a debit card.
Voluntary Term Life Insurance & Short Term Disability Insurance
During this Open Enrollment Period (May 1 to May 31) employees participating in the Public Employees Benefits Program (PEBP) health plans are eligible to purchase voluntary term life insurance and short term disability insurance without answering medical questions.
Voluntary Term Life and Accidental Death and Dismemberment (AD&D) Insurance
Employees may purchase Voluntary Life Insurance and AD&D up to a Guarantee Issue Amount of $100,000 for employee coverage only without answering medical questions if you meet the following criteria:
- You are enrolled in a plan offered by PEBP (CDHP or HMO).
- You have an existing policy with Standard Insurance for Voluntary Life coverage and your coverage is less than $100,000.
- You have not been previously declined for Voluntary Life coverage by The Standard
Voluntary Short Term Disability Insurance
Employees may purchase Voluntary Short Term Disability Insurance with a waiting period of 60 days, regardless of the Benefit Waiting Period option selected, due to the late enrollment period (does not apply to disabilities that result from an accident) without answering medical questions if you meet the following criteria:
- You are enrolled in a plan offered by PEBP (CDHP or HMO)
- You do not have an existing policy with Standard Insurance for Voluntary Short Term Disability Insurance
Additional information regarding this offering is available on-line at Standard Insurance website. Employees can also call Standard Insurance directly at 888-288-1270 (Monday through Friday, 5 a.m.–5 p.m. PST)
To enroll, you will need to complete an enrollment form and mail it to Standard Insurance at the address below no later than May 31, 2016 (postmarked by 5/31/16):
State of Nevada Life Insurance Team
Mestmaker Insurance Services
PO Box 2302
Bakersfield, CA 93303-2302