Forms & publications

Spousal Plan Calculator (SEBB) 2024 (pdf)

This is the 2024 SEBB 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.
  • 20-0042
  • Form

Spousal Plan Calculator Form (PEBB) 2024 (pdf)

This is the 2024 Spousal plan calculator form. Use this form if you answered 'YES' to all the questions on your enrollment form and are enrolling a spouse or state-registered domestic partner.
  • 50-0027
  • Form

Spousal Surcharge Calculator Tool (PEBB) 2024 (xls)

This is the 2024 Spousal plan calculator form. Use this form if you answered 'YES' to all the questions on your enrollment form and are enrolling a spouse or state-registered domestic partner.
  • Form

Spousal Surcharge Calculator Tool (SEBB) 2024 (xls)

This is the 2024 SEBB 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