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 submit supporting documentation?

You can upload documents in your E-PEBP portal for an accompanying event or attach the document(s) to our secure document upload form on our Contact Us page under Supporting Documents.

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 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 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

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 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