WebPEBB benefit number (P#####), OR#, University ID or Lottery ID Gender F M F F F Other Date of birth (mm/dd/yyyy) Last name First name M.I. ... If you enroll in a Medical plan and do not complete this Section a tobacco surcharge ($25.00 per employee and $25.00 for spouse/partner enrolled in medical) will be deducted each month from your pay. Webdirected PEBB to add the two premium surcharges at issue. One is a $25 per month surcharge for tobacco use, and the other is a $50 per month surcharge for spouse/domestic partner coverage where the spouse/domestic partner has comparable insurance available and does not enroll in it. PEBB considers health plan structures, benefits, and premiums.
HOUSE BILL REPORT SHB 1804
WebAug 18, 2024 · distribute information to your employees before the PEBB Program open enrollment starts regarding premiums they are expected to pay in 2024. Premium Surcharges. The tobacco use premium surcharge will remain at $25 per account per month in addition to the monthly premium, regardless of the number of tobacco users in the family. WebPEBB's rules are officially filed with the Oregon Secretary of State's Office. View all of PEBB's Permanent Administrative Rules on the Secretary of State's Website. To submit public comment on any rules open for comment, please send them to the PEBB/OEBB Rules Coordinator, April Kelly, at [email protected]. Proposed Rules: Division Rule rohingya crisis and social media
Employee Enrollment Form - Oregon
Websurcharge will be applied for a spouse or state registered domestic partner enrolled in PEBB medical. Policy: 1. A subscriber must use the PEBB premium surcharge attestation help … WebJan 1, 2024 · You have been notified that you need to attest/re-attest to the spousal premium surcharge: If you currently have a spouse or State-Registered Domestic Partner (SRDP) enrolled on your PEBB medical plan, you may need to attest or re-attest to whether or not the PEBB-required $50 monthly premium surcharge applies to you. Preparing for Open … WebA subscriber must use the PEBB premium surcharge attestation help sheet and if directed by the help sheet, the PEBB spousal plan calculator provided by the PEBB Program, to determine if they will incur a premium surcharge as described in WAC 182-08-185(2) in addition to their monthly medical premium. 2. A subscriber will incur the spouse or ... rohingya covid cases