Important: If you are unable to pay your contributions in full while on approved FMLA or any other benefits-eligible leave, you can continue to submit claims for reimbursement for that period. For example, if you are on benefits-eligible leave in September and do not submit your Limited Purpose FSA contributions, claims incurred during that month can be submitted for reimbursement. Future contributions should be recalculated to ensure they meet your annual election total by the end of the plan year. If you are ineligible for benefits while on leave, you will not be able to claim services incurred during your leave of absence. Transfers between state agencies and higher-education institutions If you enroll in a Limited Purpose FSA and later change jobs and move to another Washington state agency, higher-education institution, or community or technical college that offers PEBB benefits, your enrollment will continue as long as: • Your new position is benefits-eligible for participation in the PEBB Limited Purpose FSA; and • You notify your new employer’s payroll or benefits office of your transfer no later than 31 days after your first day of work in the new state agency; and • There is no more than a 30-day lapse in employment or reemployment within the same plan year. If you have more than a 30-day break in PEBB benefits coverage, you cannot enroll or re-enroll in the Limited Purpose FSA during the same plan year. If you are eligible to continue your enrollment, your per-paycheck deductions may increase, if necessary, to meet the annual contribution amount by the end of the plan year. An agency transfer is not a qualifying event to change your Limited Purpose FSA election or to change your health plan. If your transfer satisfies the above guidelines, please submit the PEBB Agency Transfer Form to your payroll or benefits office no later than 31 days after the date you transfer, but before the end of the plan year. The employer you transfer to must submit your form to Navia Benefit Solutions. (Exception: UW and WSU employees must submit the agency transfer through Workday.) Continuation coverage through COBRA A participant, their spouse or SRDP, or qualified dependent may choose to continue the Limited Purpose FSA if one or more of the following qualifying events occur: • Death of the participant. • Termination of the participant’s employment (other than for gross misconduct) or a reduction in hours. • Divorce of the participant; or dissolution or termination of a state-registered domestic partnership with a domestic partner who qualified as a dependent. • A dependent child loses eligibility for PEBB insurance coverage. • A dependent child is automatically removed from PEBB insurance coverage due to dual enrollment restrictions between the PEBB and SEBB Programs. • A participant becomes enrolls in benefits under Medicare. When any of these occur, you or a dependent must notify Navia Benefit Solutions. If, on the date of the qualifying event, your remaining benefits for the current year are greater than your remaining contribution payments, Navia Benefit Solutions will give each eligible dependent the right to choose Limited Purpose FSA continuation coverage. If you are eligible for this option, Navia Benefit Solutions will mail a COBRA election notice to you. If you elect Limited Purpose FSA continuation coverage through Navia Benefit Solutions, you must do so no later than 60 days from the date the notice of continuation rights was mailed to you. You may continue participating in the Limited Purpose FSA by making post-tax contributions directly to Navia Benefit Solutions for the rest of the plan year. Participation in the Limited Purpose FSA would continue through December 31, 2024, or until you stop making the monthly contribution on the 10