See forms for:

Employee forms

Enrollment/changes

Flexible spending arrangement (FSA) and Dependent Care Assistance Program (DCAP)

Health savings account (HSA) 

Life and accidental death and dismemberment (AD&D) insurance

Note: Life insurance portability forms are available through your employer.

Long-term disability (LTD)

Retiree forms 

Enrollment/changes

Health savings account (HSA)

Life insurance

Continuation of coverage forms

For COBRA, Leave Without Pay (LWOP), and PEBB Extension of Coverage

Enrollment/changes

Dependent certification forms

For enrolling a registered domestic partner, a domestic partner's child, a dependent child with a disability, or an extended legal dependent child. 

Enrollment/changes

Attestation forms

For attestations/changes​​​

Release of private information