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<div class="WordSection1">
<p class="MsoNormal"><span style="color:#1F497D">On behalf of PEBB<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<div>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Book Antiqua",serif;color:#1F497D">Jason
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Book Antiqua",serif;color:#1F497D">(503) 373-0198 - Desk<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Book Antiqua",serif;color:#1F497D">(971) 900-7688 - Cell<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Dear PEBB Admin.,<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">The following communication will go out to all PEBB benefit eligible members. I encourage you to read this communication and IRS Notice 2020-29.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">PEBB is asking members wanting to alter their medical, dental and/or vision coverages to turn the form into their agency or university admins by June 30. PEBB is allowing enrollment
in any medical, dental and/or vision plan, the addition of dependents to these coverages or the option to opt out or decline medical consistent with our established rules. PEBB is not allowing the dropping of any dependents nor the dropping of dental and/or
vision nor changing of any plans unless the member experiences an established QSC.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Additionally, PEBB is allowing enrollment, termination, increases or decreases to Health Care and Dependent Care Flexible Spending Accounts. This form needs to come to PEBB for
processing no later than June 30.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">All alterations to the above plans will be prospective to when the form was received. So, if the member turns the form in during May the change will occur June 1<sup>st</sup>
and if the member turns the form in during June the change will occur July 1. Any forms received after June 30<sup>
</sup>will not be processed as this is a one-time offering.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Thank you for supporting our employees during this hectic and everchanging time.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Linda Freeze, OEBB-PEBB Benefits Manager<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><img width="777" height="130" style="width:8.0937in;height:1.3541in" id="Picture_x0020_2" src="cid:image003.jpg@01D6342B.F3532980" alt="A picture containing building, flying, blue
Description automatically generated"></span><span style="font-family:"Arial",sans-serif"><br>
<br>
</span><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Dear PEBB Member,<o:p></o:p></span></p>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><span style="font-family:"Arial",sans-serif">The IRS has issued a new notice IRS Notice 2020-29.<o:p></o:p></span></p>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><span style="font-family:"Arial",sans-serif;color:#252525">Due to COVID-19 this notice allows members certain
</span><em><span style="font-family:"Arial",sans-serif;color:red">prospective</span></em><span style="font-family:"Arial",sans-serif;color:#252525"> mid-year changes if PEBB supports the changes.
<o:p></o:p></span></p>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><span style="font-family:"Arial",sans-serif;color:#252525">You have until June 30, 2020 to take advantage of this one-time offering. Once enrolled, these accounts become fixed
<o:p></o:p></span></p>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><span style="font-family:"Arial",sans-serif;color:#252525">unless you have a
</span><a href="https://www.oregon.gov/oha/PEBB/Documents/AppendixA-QSC.pdf"><span style="font-family:"Arial",sans-serif">qualifying mid-year event</span></a><span style="font-family:"Arial",sans-serif;color:#252525">.<o:p></o:p></span></p>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p style="margin-bottom:12.0pt;mso-add-space:auto"><span style="font-family:"Arial",sans-serif;color:#252525">Here are the changes PEBB has adopted:<o:p></o:p></span></p>
<p style="margin-bottom:12.0pt;mso-add-space:auto"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><strong><span style="font-family:"Arial",sans-serif;color:#252525">Flexible Spending Accounts (FSAs) (both Health Care* and Dependent Care)</span></strong><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<ul type="disc">
<li class="MsoNormalCxSpFirst" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-add-space:auto;mso-list:l0 level1 lfo3">
<span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#252525">You may newly enroll in either FSA</span><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></li><li class="MsoNormalCxSpMiddle" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-add-space:auto;mso-list:l0 level1 lfo3">
<span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#252525">You may cancel either FSA</span><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></li><li class="MsoNormalCxSpLast" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-add-space:auto;mso-list:l0 level1 lfo3">
<span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#252525">You may increase or decrease either FSA contribution amount</span><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></li></ul>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><span style="font-family:"Arial",sans-serif;color:#252525">You may
</span><a href="https://www.oregon.gov/oha/PEBB/FORMS/FSA-IRS-Notice.pdf" target="_blank" title="IRS NOTICE FSA MIDYEAR CHANGE FO"><b><span style="font-family:"Arial",sans-serif">use this form</span></b></a><span style="font-family:"Arial",sans-serif;color:#252525">
to process this change. The form should be turned in to PEBB for processing no later than
<o:p></o:p></span></p>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><span style="font-family:"Arial",sans-serif;color:#252525">June 30, 2020. These accounts are use-it or lose-it and may be monitored by the IRS.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><em><b><span style="font-family:"Arial",sans-serif;color:#252525">*</span></b></em><em><b><span style="font-family:"Arial",sans-serif;color:black">Important -</span></b></em><em><b><span style="font-family:"Arial",sans-serif;color:#252525">
You cannot cancel or decrease your HC FSA if you have been reimbursed more than your
</span><span style="color:#252525"><o:p></o:p></span></b></em></p>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><em><b><span style="font-family:"Arial",sans-serif;color:#252525">existing account balance for 2020.</span></b></em><o:p></o:p></p>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><span style="font-family:"Arial",sans-serif"> <o:p></o:p></span></p>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><strong><span style="font-family:"Arial",sans-serif;color:#252525">Health Coverage Election Change</span></strong><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<ul type="disc">
<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l3 level1 lfo6">
<span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#252525">You may newly enroll in a PEBB medical, dental and/or vision plan</span><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l3 level1 lfo6">
<span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#252525">You may opt out of your PEBB medical plan and receive a monthly monetary incentive (you must have other group coverage)</span><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l3 level1 lfo6">
<span style="font-size:12.0pt;font-family:"Arial",sans-serif">You may add dependents to your PEBB medical, dental and/or vision plan<o:p></o:p></span></li></ul>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><span style="font-family:"Arial",sans-serif;color:#252525">You may
</span><a href="https://www.oregon.gov/oha/PEBB/FORMS/IRS-Notice-Midyear.pdf" target="_blank" title="IRS NOTICE FSA MIDYEAR CHANGE FORM "><b><span style="font-family:"Arial",sans-serif">use this form</span></b></a><b><span style="font-family:"Arial",sans-serif;color:#252525">
</span></b><span style="font-family:"Arial",sans-serif;color:#252525">to process this change. This form should be submitted to your agency or university admin for processing
<o:p></o:p></span></p>
<p style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto"><span style="font-family:"Arial",sans-serif;color:#252525">no later than June 30, 2020.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Trebuchet MS",sans-serif"><o:p> </o:p></span></p>
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