Are you a new retiree in 2008? Here's your enrollment packet that describes the health benefits available to you through the Public Employees Benefits Board (PEBB) Program.
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You must enroll in or defer retiree health coverage within 60 days after the date your active employer or continuous Consolidated Omnibus Budget Reconciliation Act (COBRA) coverage ends.
To do this, review the
Retiree Enrollment Guide (6.1 MB), then complete the
PEBB-Sponsored Retiree Coverage Election Form (770.8 KB)
and mail or hand-deliver it to us within 60 days
after your active employer or continuous COBRA coverage ends. If you don’t, you will lose your right to enroll again later.
- If you and/or your covered dependents are eligible for Medicare Part A and Part B, you must enroll in both Part A and Part B to qualify for retiree health coverage. You must send a copy of your and/or your covered dependent’s Medicare card to PEBB as proof of enrollment.
If you have questions, contact the Health Care Authority at 360-412-4200 (in Olympia) or toll-free at 1-800-200-1004 or by e-mail.
New retiree cover letter (53.4 KB)
- Contact the plans
- Browse benefits
- Compare plan costs
- Find a plan in my county
- Retiree enrollment forms
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Covering family members on your account? Complete the appropriate forms:
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Spouse or qualified domestic partner (706.2 KB)
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Student over age 19 (59.5 KB)
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Dependent with disabilities (314.1 KB)
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Extended (legal) dependent (336.5 KB)
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Retiree Term Life Insurance (194.8 KB)
PEBB Life Insurance Conversion (280.1 KB)
Auto and home insurance (629 KB)
Long-term care insurance (118.2 KB)

