Health Account
"Company" Defined
Throughout this section, unless otherwise stated, reference to "Company" or "PG&E" means Pacific Gas and Electric Company. The plans and benefits described in this section are also applicable to employees of PG&E Corporation and its designated subsidiaries, but only to the extent that such entities are participating employers with respect to the described plans and programs and such employees meet the eligibility requirements of the plans or programs.
If you are an active Management or Administrative & Technical employee and you are enrolled in the Health Account Plan (HAP), you are eligible to receive incentive credits in a Health Account. You can also earn additional incentive credits when you participate in certain health and wellness programs.
The Health Account is legally considered a "health reimbursement arrangement," which allows you to pay for certain health care services on a before-tax basis using the incentive credits you earn. This means that certain health care services can actually cost you less because you do not pay taxes on the expenses.
As long as you are enrolled in the HAP, the Company will make a contribution to the Health Account for you at the start of every year. You are also eligible to earn incentive credits for a Health Account by participating in a health screening and either testing tobacco free or completing a tobacco cessation program each year. These Health Account activities are administered by PG&E's partner, Provant Health Solutions, a nationally accredited, independent health and wellness company.
The Health Account is part of the PG&E-sponsored medical plan for active employees, and you can only enroll in the PG&E-sponsored medical plans during very specific times — when you are first hired, when you enroll during Open Enrollment each year, or when you have an eligible mid-year change in status event (see "Change-in-Status Events" in the What If…section). You are eligible for a Health Account when you enroll in the HAP and your Health Account becomes automatically active once your account is credited.
Your Health Account administrator will depend on who administers your HAP. If Anthem Blue Cross ("Anthem") is your provider, Your Spending Account (YSA) will administer your Health Account. If Kaiser Permanente Insurance Company (referred to as "KPIC" or "Kaiser Health Payment Services" in this document) is your provider, Kaiser Health Payment Services will administer your Health Account.
If you have any questions about the Health Account, IRS rules, or your claims, you may contact your account administrator. Anthem members can call YSA at 800-964-9902 or log on to http://www.yourspendingaccount.com/pge. YSA representatives are available from 5 a.m. to 5 p.m. Pacific time, Monday through Friday. KPIC members can call Kaiser Health Payment Services at 877-750-3399 or visit Kaiser Permanente's website at kp.org/healthpayment. Kaiser Permanente representatives are available from 5 a.m. to 7 p.m. Pacific time, Monday through Friday.
You are not eligible for the Health Account if you are on Long-Term Disability, a union-represented employee, an intern, a contract or agency worker, a hiring hall employee, or a retired employee.
Although the Health Account sounds similar to the Health Care Flexible Spending Account (HCFSA), it is a different type of plan (see the Flexible Spending Accounts section).