Use 2014 forms to enroll in or change benefits effective January 1, 2014. Use 2013 forms to enroll in or change benefits effective in 2013.
How to determine your eligibility for PEBB coverage
How to apply for PEBB retiree coverage | Find out what forms you need
Continuation of coverage forms
For COBRA, Leave Without Pay (LWOP), and PEBB Extension of Coverage
Dependent certification forms