pebb.naviabenefits.com, or request it from your employer. (Exception: University of Washington [UW] and Washington State University [WSU] employees must enroll through Workday.) You are enrolling during the PEBB Program’s annual open enrollment. 2. Enroll no later than the last day of the PEBB Program annual open enrollment. • You can enroll online through Navia’s portal at pebb.naviabenefits.com. (Exception: UW and WSU employees must enroll through Workday.) Online enrollment through Navia’s portal is only available during the PEBB Program annual open enrollment. • Instead of enrolling online, you can download and print the PEBB Open Enrollment Form at pebb.naviabenefits.com. (This option is not available to UW or WSU employees.) Navia must receive your enrollment form by November 30, 2023. Forms received after that date will not be accepted for 2024 Medical FSA enrollment. • You must enroll in a Medical FSA again for each year you want to participate. Enrollment does not automatically continue from plan year to plan year. You are enrolling after a life event which qualifies for a Special Open enrollment. 3. Enroll no later than 60 days after you or an eligible dependent experience a qualifying event that creates a special open enrollment during the plan year. Follow submission instructions on the enrollment form. (See “When can I make changes?” for details on special open enrollment events.) • If you have a qualifying event, submit the PEBB Change of Status Form and return it, along with evidence of the event, to your payroll or benefits office within the required timeframe. • You can find the form online at pebb.naviabenefits.com, or request it from your employer. (Exception: UW and WSU employees must use Workday.) When does my coverage begin? • If you are eligible to enroll when you first become eligible for PEBB benefits, enrollment begins the first day of the month after the date you become a PEBB benefits-eligible employee and your payroll or benefits office receives your PEBB Midyear Enrollment Form (or enrollment in Workday, for UW and WSU employees) within the required timeframe. If that date is the first working day of a month, your Medical FSA enrollment will begin on that day. • If you enroll during the PEBB Program annual open enrollment, your Medical FSA is effective the following plan year (January 1 through December 31). • If you have a qualifying event that creates a special open enrollment that allows an enrollment or change, it will be effective the first day of the month after the later of: o The event date. o The date your payroll or benefits office receives the PEBB Change of Status Form and evidence of the event. Exception: If the special open enrollment is due to the birth or adoption (or legal obligation for support ahead of adoption), the enrollment or change will begin the first of the month in which the event occurs. What if I’m a represented employee eligible for a $250 Medical FSA contribution? The most recent collective bargaining agreement states that represented employees whose rate of pay on November 1 is $60,000 or less per year will receive a Medical FSA contribution of $250 the following January. This contribution is an employer-paid benefit. It will not come out of your paycheck. If it is determined on November 1 that you are eligible for this benefit, you will receive the $250 automatically. No action is required on your part. Here’s how you’ll receive this benefit: • If you do not enroll in a Medical FSA for 2024, Navia Benefit Solutions will open an account in your name and send you a welcome letter. If you received this benefit in 2023, the funds will be added to 4