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PEBTF Open Enrollment

The PEBTF annual health care plan Open Enrollment for AFSCME, SCUPA, and PSSU employees will take place from October 7 through October 25, 2013. Changes made during Open Enrollment will be effective January 1, 2014.

Open enrollment is your annual opportunity to select a new health plan, waive your health care coverage, add dependents, or remove dependents from your coverage. Changes made during the open enrollment period will be effective January 1, 2014. Employees may enroll dependents outside of open enrollment; however, the effective date of coverage cannot be more than 60 days retroactive from the date the PEBTF-2 Enrollment/Change form is submitted to the Office of Human Resources.

2013 PEBTF Open Enrollment Newsletter

Employee Self-Service (ESS) Instructions for PEBTF Open Enrollment

Cost Information for 2014

Full-time employees hired prior to August 1, 2003, pay the employee contribution for health benefits through payroll deductions. The contribution rate has not changed for 2013. If you participate in the Get Healthy Program, you pay 1.5 percent of your salary. If you do not participate in the Get Healthy Program, you pay 3 percent of your salary. There is no additional cost to you, regardless of which pay you choose or how many dependents you have covered by your plan.

Full-time employees hired on or after August 2, 2003, also pay the employee contribution for health benefits as outlined above. The HMO and Consumer Driven Health Plan (CDHP) options are the least expensive plans and are offered at no additional cost to you. The Highmark PPO plan may be purchased for an additional biweekly cost of $29.13 for single coverage, or $75.08 for family coverage.

Part-time employees also pay the employee contribution the employee contribution for health benefits, plus an additional amount depending on the chosen plan and the number of dependents covered by your plan. For cost information, please refer to pages 6–7 of the 2013 PEBTF Open Enrollment Newsletter.

Selecting a New Plan Option

To find out more information about the health plans offered, review pages 3–5 of the 2013 PEBTF Open Enrollment Newsletter, visit the PEBTF website, or contact the PEBTF at (800) 522-7279. If you elect to change your plan, you should expect to receive your new ID card(s) in late December. Your new plan will become effective on January 1, 2014. Plan option changes may be made through Employee Self Service (ESS) between October 7 and October 25, 2013, or by submitting a PEBTF-2 Enrollment/Change form to the Office of Human Resources by October 25, 2013.

Adding or Removing Dependents from Your Plan

You may add or remove dependents to your plan during open enrollment with an effective date of January 1, 2014. For dependent eligibility information, refer to the PEBTF Summary Plan Description.

New for 2014

Dependent children ages 19 to 26 may be dependents on your plan regardless of their eligibility for health insurance through their employer, or, if married, through their spouse’s employer. To add dependents to your plan, you must provide supporting documentation of dependent eligibility to the Office of Human Resources no later than November 1, 2013. Eligible dependents may also be added to your health plan outside of open enrollment; however, the effective date may not be more than 60 days retroactive to the date you sign the PEBTF-2 Enrollment/Change form.

To remain in your current plan with your current dependents, no action is necessary.

  • Human Resources Office
  • Sutton Hall, Room G8
    1011 South Drive
    Indiana, PA 15705
  • Phone: 724-357-2431
  • Fax: 724-357-2685
  • Office Hours
  • Monday through Friday
  • 8:00 a.m.–4:30 p.m.