Need Help With Forms?

Employees (with both medical and dental coverage)

• Watch how to complete the form when enrolling in Long Term Disability no later than 31 days from date of eligibility
• Watch how to complete the form when making changes or enrolling in Long Term Disability after the first 31 days of eligibility
• Learn how to determine your eligibility for PEBB coverage

Retirees

• New Retirees - Learn how to apply for retiree health coverage
• Current Retirees - Find the correct form(s) to make changes due to a qualifying event