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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 Medical 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 Medical 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 Medical 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 Medical FSA election or to change your health plan. You may not participate in a Medical FSA and enroll in a CDHP with an HSA. 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 Medical 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 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 Medical FSA continuation coverage. If you are eligible for this option, Navia Benefit Solutions will mail a COBRA election notice to you. If you elect Medical 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 Medical FSA by making post-tax contributions directly to Navia Benefit Solutions for the rest of the plan year. Participation in the Medical FSA would continue through December 31, or until you stop making the monthly contribution on the predetermined payment date. If 12

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