PEBP OPEN ENROLLMENT FOR PLAN YEAR
2008-2009
Frequently Asked Questions
I still have not received my open enrollment packet. What do I do?
When is it necessary to submit paperwork during open enrollment?
What is the difference between the $500 and $2000 deductible?
I am adding my spouse/child to my insurance. Do I need to submit any supporting documents?
Has my medical coverage changed?
What is the Health Assessment?
What is the purpose of this Health Assessment?
What happens if my answers show that I am a high risk patient?
Does each member of my family need to complete the assessment if I am covering them in my insurance?
How do I complete this Health Assessment?
How will I know that my deductible was reduced?
Is there a deadline to complete the Health Assessment?
Will I be receiving new Medical ID Cards?
How do I enroll in the Section 125 Plan?
I still have not received my open enrollment packet. What do I do?
If you moved and have not notified PEBP of your new address, you will need to contact PEBP directly at (800) 326-5496 and they will send you a packet. If you were hired or became eligible for benefits after 3/1/08, please contact the Human Resources office at 895-0924 since you may not be on the PEBP mailing list yet.
When is it necessary to submit paperwork during open enrollment?
. If you want to change your current plan election (e.g., PPO to/from HMO)
. If you are currently enrolled in the PPO and want to change your deductible option
. If you want to add or drop dependents
. If you are currently enrolled in the health plan and want to decline coverage (Note: By declining coverage, you are declining the Long-Term Disability, Life and Accidental Death and Dismemberment (AD&D) Insurance benefit)
. If you want to enroll in Section 125 for the 2008-2009 Plan Year (Must re-submit forms every plan year, or your Section 125 deductions will be cancelled. Cannot enroll or re-enroll in the Section 125 Plan online.)
What is the difference between the $500 and $2000 deductible?
The $2000 deductible option is a comprehensive major medical plan. Medical claims will not be paid by Benefit Planners until the deductible has been met. There are no co-pays under this plan; therefore all covered medical services apply directly to the deductible. The $500 deductible option does not have co-pays. Click on the link below to view the Summary of Medical Benefits effective July 1, 2008
I am adding my spouse/child to my insurance. Do I need to submit any supporting documents?
If you are enrolling dependents for the first time, you will need to submit supporting documents (photocopy of marriage license to add a spouse, photocopy of certified birth certificate to add a dependent child, or proof of full-time student status to add a child between 19 and 24) to the Human Resources Department, CSB-237, mailstop 1026.
How can I find out if my doctor is on the Self-Funded PPO or Health Plan of Nevada HMO Provider list?
You can search the online provider directories below to see if your doctor is listed.
PPO - In State Provider Network
PPO - Out of State Provider Network (Beech Street)
Health Plan of Nevada HMO Provider Directory
I am a benefits eligible part-time instructor (LOB Contract). Can I make changes during open enrollment?
All benefits eligible University employees may make changes to their health plan during the open enrollment period.
Has my medical coverage changed?
There were no plan changes to the HMO or PPO plan. However if you (and your covered spouse) complete a Health Assessment the annual deductible for the PPO plan will be in half (i.e, from $500 to $250) and the in-network dental maximum benefit will increase from $1500 to $2000.
What is the Health Assessment?
This year the Health Assessment Questionnaire (HAQ) will be more comprehensive and will provide an individually tailored health risk appraisal to participants.
What is the purpose of this Health Assessment Questionnaire?
The state health plan will be using the services of APS Healthcare (our current pre-certification provider) for this HAQ. Information will be kept confidential at APS and only statistical information will be released to PEBP.
What happens if my answers show that I am a high risk patient?
Regardless of your answers, you will still receive the benefit of lower deductibles. Materials will be sent to participants that will provide them information on services that are available through the plan to help lower those risk factors.
Does each member of my family need to complete the assessment if I am covering them in my insurance?
No. Only the employee and the covered spouse need to complete the health assessment.
How do I complete this health assessment?
Beginning April 1, 2008 through May 31, 2008, participants can access the HAQ online. You must have access to the internet and have an e-mail address. Participants can complete the HAQ by going to PEBP's web site at www.pebp.state.nv.us or requesting a paper form by calling APS at 888-323-1461 and selecting option 3. Paper forms are available for request from April 1 to May 5. All paper forms must be postmarked by May 31 to receive the receive incentive.
How will I know that my deductible was reduced?
When you complete the health assessment, you will be e-mailed a Personalized Health Assessment (PHA). If you do not receive one or it advices you that the PHA could not be completed due to insufficient information. You will need to contact APS Healthcare at 888-323-1461, select option 3.
Is there a deadline to complete the Health Assessment?
The Health Assessment must be completed by May 31st, 2008.
Will I be receiving new Medical ID Cards?
Only new employees enrolled in the PPO or HMO will receive an ID card, which may be used for medical, pharmacy, dental and vision services. If additional cards are needed please contact CatalystRx at 800-799-1012 for the PPO plan and Health Plan of Nevada at (702)242-7301 for the HMO plan.
How do I enroll in the Section 125 Plan?
In order to enroll for Section 125 you need to complete the FSA Enrollment Form. The NSHE Section 125 plan is different from the state plan. Do not use the state Section 125 forms in your open enrollment packet.
What is a Flexible Spending Account [.pdf]
I am currently participating in the Section 125 Plan. Do I need to do re-enroll for the 2008-2009 Plan Year?
Yes, current participants must enroll for the Section 125 Plan every plan year. In order to re-enroll for Section 125 you need to complete the FSA Enrollment Form. The NSHE Section 125 plan is different from the state plan. Do not use the state Section 125 forms in your open enrollment packet.
| Send questions or comments to HRBenefits@unlv.edu Last updated: Wednesday, 30-Apr-2008 18:11:56 PDT |
