Webmedical and dental plans (PEBB Program) or medical, dental, and vision plans (SEBB Program). If they are a PEBB employee who waives PEBB medical and dental for SEBB medical, they must also enroll in SEBB dental and vision. Relationship to subscriber . Spouse: Date of marriage (mm/dd/yyyy) SRDP: Date registered (mm/dd/yyyy) triangle-exclamation WebOur goal is to provide the information you need to make an informed decision about your health benefits within the Public Employees Benefits Board (PEBB) Program. These …
WAC 182-12-111: - Washington
WebTo log in If you have already registered, enter your User Name and Password in the Already Registered section and select Log In. If you forgot your user name/password select Get It … WebLog into My Account to view your coverage and premium surcharge information, get your statement of insurance, and make open enrollment changes. To learn more about working … PEBB My Account login Log into My Account to view your coverage and … If your account is locked due to typing the password incorrectly, you may wish to … Please provide the following information so we can first verify that we have you in our … PEBB My Account login Log into My Account to view your coverage and … Please verify your identity with the following fields so we can find your user … The PEBB Program may continue to send some communications to you by mail, … PEBB Benefits Services. Notice: This phone line is for PEBB retirees, PEBB employees … HCA is the largest health care purchaser in Washington State. We serve more than … heathrow marriott hayes
Uniform Medical Plan - Regence
WebProvide documentation to the PEBB Program. By mail. Washington State Health Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684. By fax. 360-725-0771. Electronically. Send us a secure message through HCA Support, a secure website that allows you to log into your own account to communicate with us. Sign and date any forms … Web2024 What type of enrollee are you? Employee Retiree (Medicare) Retiree (non-Medicare) PEBB Continuation Coverage (COBRA Medicare) PEBB Continuation Coverage (COBRA non-Medicare) PEBB Continuation Coverage (Unpaid Leave) What state do you live in? Washington Oregon Idaho Other State WebForms & Documents The following forms and documents are available for you to download in PDF format. Current Plan Year 2024 Mid-Year Enrollment Form Enrollment Form for newly eligible participants enrolling in a 2024 Medical FSA, Limited Purpose FSA, or DCAP. Medical FSA, Limited Purpose FSA, and DCAP 2024 Claim Form Claim form for the […] heathrow meet and greet best price