Health Insurance provides comprehensive coverage for regular and emergency care. All insurance options provide coverage for the same types of medical services; however the premiums, co-pays and out-of-pocket expenses, as well as out-of-network and out-of-area services, may vary with each plan. Employees are encouraged to select the plan that best suits their needs and the needs of their eligible dependents.
Benefits-eligible employees who become eligible to enroll for Health Coverage due to a Qualifying Life Event including new hires, may enroll for coverage during the calendar month of that qualifying event or the two following calendar months. Written documentation will be requested to verify most life/qualifying events, such as a birth or marriage certificate. Coverage will become effective the first day of the month following enrollment.
PEIA and The Health Plan issue ID cards to members upon completion of the enrollment process, and subsequently when changes occur.
Summaries of Benefits and Coverage
Public Employees Insurance Agency (PEIA)
PEIA’s Healthy Tomorrows initiative is a 3-year plan to encourage active employees and non-Medicare retirees in the PEIA PPB Plans to name and develop a relationship with a primary care provider (PCP), to know their numbers, and to get certain biometric numbers within the acceptable range. The Healthy Tomorrows requirements only apply to the policyholder, not to any enrolled dependents. A PCP can be a MD (medical doctor), PA (physician’s assistant) or NP (nurse practitioner).
Policyholders will incur a $500 additional medical deductible in any year which the criteria is not met.
For complete details go PEIA Healthy Tomorrows site.