Forms & publications

After turning 26, your dependent may be eligible for enrollment under your SEBB coverage. Use this form to certify your dependent's disability and enroll them on your SEBB coverage.

Submit this form with your enrollment form if you are enrolling an extended (legal) dependent child.

Complete this form if you do not want to pay your medical premiums with pretax earnings.

School board members use this form to enroll in your SEBB insurance coverage.