Forms & publications

Spousal Plan Calculator Form (PEBB) 2025 (pdf)

This is the 2025 Spousal plan calculator form. Use this form if you answered 'YES' to all the questions on your enrollment form and are wanting to enroll a spouse or state-registered domestic partner.
  • 50-0027
  • Form

Spousal Plan Calculator Tool (PEBB) 2025

This is the 2025 Spousal plan calculator form. Use this form if you answered 'YES' to all the questions on your enrollment form and are wanting to enroll a spouse or state-registered domestic partner.
  • Form