How do I know what constitutes a Qualifying Life Event?

To learn about qualifying life events please visit our Getting to Know Your Plan page and look for the Enrollment and Eligibility Master Plan Document and the Qualifying Life Events Guide. Common qualifying life events include:

• Adoption of a child or the placement for adoption of a child
• Newborn child
• Permanent guardianship
• Termination of CHIP, Medicaid or Nevada Check Up
• Dependent loses/gains coverage
• Primary participant moves outside EPO or HMO coverage area
• Marriage or the establishment of a domestic partnership
• Divorce or the termination of a domestic partnership

This applies to: Active Employees, Medicare Retirees, & Pre-Medicare Retirees

How do I add a dependent to my plan?

Within 60-days of the qualifying event login to your E-PEBP Portal. From your portal homepage select the Quick Actions button under My Tools and select Enroll/ Make Changes. Start the Dependent Loses Coverage event. The system will guide you through the process of adding your dependent. You will need to include your dependent’s SSN or ITIN. Please note, documentation is required for your changes to take effect. You may need to upload a termination of coverage letter stating your dependent's full name and the date their old coverage ended, a copy of the certified marriage certificate, certified domestic partnership certification, and/or certified birth certificate, or other supporting documentation within 60 days of the old coverage termination date. You’ll be able to upload the appropriate documentation once you return to the homepage.

This applies to: Active Employees, Medicare Retirees & Pre-Medicare Retirees

How do I add my newborn to my plan? 

 

Within 60 days of the date of birth, login to your E-PEBP Portal. From your portal homepage select the Quick Actions button under My Tools and select Enroll/ Make Changes. Start the Birth event. The system will guide you through the process of adding your newborn. You will need to include your newborns SSN or ITIN. Please note, documentation is required for your changes to take effect. You will need to upload the required supporting documentation within the 60-day timeframe. This includes the child’s hospital birth confirmation, and if not the primary insured’s child, a copy of the certified marriage certificate or domestic partnership certificate. Within 120 days of the date of birth you must submit a certified copy of the child’s birth certificate for coverage to remain in place. You’ll be able to upload the appropriate documentation once you return to the homepage.

This applies to: Active Employees

How do I add a spouse/domestic partner to my plan?

Within 60-days of the marriage or establishment of the domestic partnership login to your E-PEBP Portal. From your portal homepage select the Quick Actions button under My Tools and select Enroll/ Make Changes. Start the Marriage or Establish Domestic Partner event. The system will guide you through the process of adding your spouse or domestic partner. You will need to include your spouse’s/domestic partner’s SSN or ITIN. Please note, documentation is required for your changes to take effect. You will need to upload a copy of the certified marriage certificate or domestic partnership certificate within the 60-day timeframe. You’ll be able to upload the appropriate documentation once you return to the homepage.

This applies to: Active Employees, Medicare Retirees & Pre-Medicare Retirees

I want to change my medical plan, how can I do that?

You may change your medical plan option during the open enrollment period, generally May 1st through May 31st. Changes made during open enrollment become effective July 1st. However, if you are enrolled in the EPO or HMO plan and move outside of your coverage area, you are eligible for a special enrollment period and can switch to the Consumer Driven Health Plan or Low Deductible Plan to continue PEBP coverage. There are also exceptions for Qualified Medical Child Support Orders (QMCSO).

This applies to: Active Employees & Pre-Medicare Retirees

I want to cancel my COBRA coverage, how do I do that?

If you have elected COBRA coverage and wish to cancel, you can mail or email a letter to PEBP requesting termination of your coverage. You will need to include your account number and contact information. Please send your cancelation request to:

Public Employees' Benefits Program
3427 Goni Road, Suite 109
Carson City, NV 89706
memberservices@peb.nv.gov

This applies to: Active Employees & Pre-Medicare Retirees

I am retiring, how do I enroll in retiree coverage?

 

Within 60 days of your retirement date, complete and submit the required forms. You will need to submit a Retiree Benefit and Enrollment Change Form (RBECF) along with a Years of Service (YOS) Certification Form to the PEBP office. If you are age 65 or older, you will need to submit a copy of your Medicare Parts A and/or B card. You may also need to transition to the Medicare Exchange at that time. You can also view our Retiring Before Age 65 or Retiring After Age 65 sections of the website for additional information to help as you transition into retirement. All events require review and approval by the PEBP Eligibility Department to ensure compliance with the PEBP Master Plan Document.

This applies to: Active Employees & Pre-Medicare Retirees

I am a new employee, how do I enroll in a medical plan?

1. Log in to the E-PEPB Portal.
2. Create an account or login to your existing account. 
3. The system will guide you through the steps to elect a medical plan and add your dependents (if applicable).

Once you have completed the online process, you will need to submit any required supporting documents to the PEBP office. Applicable supporting documentation can be uploaded to your portal once you complete your enrollment. If applicable: Submit a copy of the certified marriage certificate, domestic partner certification, and/or certified birth certificate(s). Social Security number(s) for spouse/domestic partner and/or covered children must be provided.

I am newly married and want to be covered under my spouse's plan, how do I decline PEBP's coverage?

Within 60 days from the date of the event, submit a copy of your certified marriage certificate and proof of new employer group health insurance to our secure document upload form on our Contact Us page under Supporting Documents. Be sure to communicate that you want to decline your coverage in the optional message area of the form.

This applies to: Active Employees, Medicare Retirees, & Pre-Medicare Retiree

How do I remove a dependent from my plan?

Within 60-days of the qualifying event login to your E-PEBP Portal. From your portal homepage select the Quick Actions button under My Tools and select Enroll/ Make Changes. Start the Dependent Gains Coverage event. The system will guide you through the process of removing your dependent. Please note, documentation is required for your changes to take effect. You may need to upload a certificate of credible coverage stating your dependent's full name and the date their new coverage is effective, or other supporting documentation within 60 days of the new coverage effective date. You’ll be able to upload the appropriate documentation once you return to the homepage.

This applies to: Active Employees, Medicare Retirees, & Pre-Medicare Retirees

How do I remove my ex-spouse/ex-domestic partner from my medical plan?

Within 60-days of the divorce or dissolution of the domestic partnership login to your E-PEBP Portal. From your portal homepage select the Quick Actions button under My Tools and select Enroll/ Make Changes. Start the Divorce or Terminate Domestic Partnership event. The system will guide you through the process of removing your ex-spouse/ex-domestic partner. Please note, documentation is required for your changes to take effect. You will need to upload a divorce decree or certification of the dissolution of domestic partnership within the 60-day timeframe. You’ll be able to upload the appropriate documentation once you return to the homepage.

This applies to: Active Employees, Medicare Retirees, & Pre-Medicare Retiree

I am retired and Medicare eligible, how do I transition to the Medicare Exchange program offered by PEBP?

If you are retired and nearing age 65, you will need to contact the Social Security Administration to apply for premium-free Medicare Part A and purchase Part B coverage. Submit a copy of your Medicare card to PEBP, and the Retiree Benefit Enrollment and Change Form (RBECF) indicating your Medicare Eligibility Change in section 1. Then, contact Via Benefits to enroll in a medical supplemental plan. This event must be completed within 60 days of your Medicare effective date.

This applies to: Medicare Retirees & Pre-Medicare Retirees

I am retired and not eligible for premium-free Medicare Part A, how do I remain on the PEBP plan?

If you are retired and nearing age 65, you will need to contact the Social Security Administration to request a premium-free Part A denial letter. You will also need to purchase Part B coverage. Submit copies of the Part A denial letter and Part B card to PEBP. If you are ineligible for premium-free Part A, you will be able to retain coverage under the CDHP, LD, EPO or HMO plan.

This applies to: Medicare Retirees & Pre-Medicare Retirees

How do I submit a basic life insurance claim?

When an active employee or retiree who is covered by a PEBP Plan passes away, they may be entitled to a basic life insurance benefit. Claimants must provide a copy of the participants certified death certificate and complete a Life Claim Form. For more information on how to initiate a life insurance claim, please visit https://pebp.nv.gov/Plans/basic-life-insurance/.

This applies to: General, Modifying/Canceling Coverage, Qualifying Life Events

How do I terminate my PEBP retiree benefits?

A retiree can decline the retiree insurance anytime by submitting a written request to PEBP to decline all benefits including medical, dental, vision, prescription drug coverage, basic life insurance, voluntary life insurance (if applicable), Years of Service premium subsidy, and Exchange-HRA contribution (if applicable). Please send your cancelation request to:

Public Employees' Benefits Program
3427 Goni Road, Suite 109
Carson City, NV 89706
memberservices@peb.nv.gov

This applies to: Medicare Retirees & Pre-Medicare Retirees