For Employees

Complete a Life Event to add your new family member by:

• Log on to MyHR
• Select “Manage My Benefits”
• Select “Update My Benefits”
• Select appropriate Life Event and follow prompts to add your new family member to your profile.
• Next you will continue to follow the prompts to “shop” for benefits.
• Click through each benefit and remember to click on the drop-down menu under “Who is Covered” to add your new family member to the benefits that apply.

**At the end of the enrollment change, you will need to upload your dependent verification document**

**Please complete your enrollment change as soon as possible. The enrollment window for a birth or adoption is 60 days.

Complete the HRA VEBA Change form and sent it to: forms@hraveba.org or HRA VEBA Plan, PO Box 80587, Seattle WA 98108.

Send an e-mail to Grant PUD Human Resources with your change as soon as possible. For a change to marital status, your enrollment window is limited. Typically, forms must be to HR within 30 days.

For your convenience, here is information about how to notify them about your change:

• Complete the HRA VEBA Change form and send it to forms@hraveba.org or HRA VEBA Plan, PO Box 80587, Seattle WA 98108.
• ICMA Account Change – submit forms ICMA 401a Employee Information Change and ICMA 457 Employee Information Changevia email, USMail, FAX or log on to ICMA-RC
• Complete a Life Event to add your new family member by:
• Log on to MyHR
• Select “Manage My Benefits”
• Select Update My Benefits”
• Select appropriate Life Event (Birth/Adoption)
• Follow the prompts to complete your Life Event

*Make sure you click the drop-down menu to add your new family member under “Who is Covered” for each benefit applicable

• Provide a copy of your Social Security card showing your new name to HR.

Insurance begin dates for benefits-eligible employees is always the first date of employment.

To begin mail-order pharmacy participation, log on to express-scripts.com.

Log on to Premera.com for a listing of medical providers and DeltaDentalWa.com for a listing of dental providers, or call Premera at 800-722-1471 or Washington Dental at 800-554-1907.

New employees will be allowed to enroll in supplemental life insurance during their new-hire orientation. Current employees can apply for or increase their supplemental life amounts during open enrollment each year which typically runs around October/November of each year. All life insurance and supplemental Life and AD&D enrollments, increases in coverage and decreases in coverage are process through MyHR.

All long-term disability coverage enrollments and changes are process through MyHR.

Need to update your address? Follow the steps found here.

Complete these two forms - 401-457 Change Form, PERS Beneficiary Designation Form - and send on to the address on the forms. No need to return the forms to HR.  

Log on to MyHr, select Manage my Benefits, click down arrow next to Profile and select My Beneficiaries.

Please note the following plan numbers for your changes:

• ICMA 457:  302256
• ICMA 401: 107509

Contact the PUD Human Resources Department

Diane Moseley
dmoseley@gcpud.org
(509) 754-5024