New Rules for Submitting Changes to PEBTF Health Benefits

 

Effective February 1, PEBTF-covered employees may only enroll, add dependents, remove dependents, or disenroll from a health plan as a result of a qualifying life event.  Common qualifying life events include: 

• marriage, divorce, birth or adoption

 

• moving to an area of the state not covered by your current plan

 

• the loss of a dependent’s health coverage provided by another source

 

You must submit a signed PEBTF-2 form to your agency’s HR office within 60 days of the qualifying life event.  If you do not submit changes within the 60-day time period, you must wait to submit changes during the next open enrollment period, and your dependant will not be eligible for benefits until that time. Your local HR office can supply you with the form.

 

As a reminder, you are required to remove dependents when they are no longer eligible for PEBTF coverage. For example, in the case of divorce, you must remove your former spouse from PEBTF benefits effective the date of divorce. Claims incurred after the date of divorce are your responsibility.  Again, if you do not submit life event changes within 60 days you will be required to wait until the next open enrollment period to do so.

 

Another change is being made: in accordance with the Internal Revenue Code, retroactive changes that impact employee deductions will be taken as post-tax deductions. 

 

For more information please contact the PEBTF at 1-800-522-7279.