 An employee who has waived PEBB medical will be enrolled in medical as directed by the NMSN, in order to enroll the Dependent.  The Subscriber’s selected health plans will be changed if directed by the NMSN.  If the Dependent is already enrolled under another PEBB Subscriber, the Dependent will be removed from the other health plan coverage and enrolled as directed by the NMSN.  If the Dependent is enrolled in both PEBB medical and School Employee Benefits Board (SEBB) medical as a Dependent and there is an NMSN in place, enrollment will be in accordance with the NMSN.  If the Subscriber is eligible for and elects Consolidated Omnibus Budget Reconciliation Act (COBRA) coverage or other Continuation Coverage, the NMSN will be enforced and the Dependent must be covered in accordance with the NMSN. Changes to health plan coverage or enrollment as described above in this section will begin the first day of the month following receipt of the NMSN. If the NMSN is received on the first day of the month, the change to health plan coverage or enrollment begins on that day. A Dependent will be removed from the Subscriber’s health plan coverage as described above in this section the last day of the month the NMSN is received. If that day is the first of the month, the change in enrollment will be made the last day of the previous month. When a NMSN requires a Subscriber’s Spouse, former Spouse, or other individual to provide health plan coverage for a Dependent who is already enrolled in the Subscriber’s PEBB coverage, and that health plan coverage is in fact provided, the Dependent may be removed from the Subscriber’s PEBB health plan coverage prospectively. Dual Enrollment A Subscriber and their Dependents may each be enrolled in only one PEBB medical plan. An employee or their Dependent who is eligible to enroll in both the PEBB Program and the School Employees Benefits Board (SEBB) Program is limited to a single enrollment in either the PEBB or SEBB Program. For example:  A child who is an eligible Dependent under two parents enrolled in PEBB Program benefits may be enrolled as a Dependent under both parents but is limited to a single enrollment in PEBB medical.  A child who is an eligible Dependent of an employee in the PEBB Program and a school employee in the SEBB Program may only be enrolled as a Dependent under one parent in either the PEBB or SEBB Program. Medicare Eligibility and Enrollment Employee and Dependent If an employee or their Dependent becomes eligible for Medicare, they should contact the Social Security Administration to ask about the advantages of immediate or deferred Medicare enrollment. An employee or their Dependent are deemed eligible for Medicare when they have the option to receive Medicare Part A benefits. If an employee or their Dependent chooses to enroll in Medicare Part A, Medicare regulations and guidelines will determine whether Medicare is the primary or secondary payer. An employee or their Dependent who is enrolled in Medicare may remain enrolled in PEBB medical coverage. However, an employee may choose to waive their PEBB medical coverage or remove their Dependent from their PEBB medical coverage and choose Medicare as their primary insurer. If an employee EWCLGDED1983ACT0124 18 WAPEBB-CL-ACT