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MetLife PEBB retiree Certificate of Coverage (COC) non-Washington residents 2020
This is the MetLife PEBB retiree life insurance certificate of coverage (COC) for retirees who do not live in Washington.
PublicationMetLife PEBB retiree life insurance Certificate of Coverage (COC) Washington residents 2020
This is the MetLife PEBB retiree life insurance certificate of coverage (COC) for retirees who live in Washington.
PublicationMetLife retiree enrollment/change form 2020
Use this form to enroll in or change enrollment in retiree term life insurance through MetLife.
FormMetLife Vision (SEBB) Certificate of Coverage (COC) non-Washington employees 2020
This benefits book describes what is covered as a SEBB member under MetLife Vision, including vision services and specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays.
PublicationMetLife Vision (SEBB) Certificate of Coverage (COC) Washington employees 2020
This benefits book describes what is covered as a SEBB member under MetLife Vision, including vision services and specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays.
PublicationMetLife Vision (SEBB) preauthorization requirements
Preauthorization requirements for MetLife Vision plan. Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. These criteria do not imply or guarantee approval. Please check with your plan to ensure coverage. Preauthorization requirements are only valid for the month published. They may have changed from previous months and may change in future months.
PublicationPEBB Continuation Coverage (COBRA) election/change form 2020
50-245FUse this form to enroll in or change your enrollment options for COBRA coverage.
FormPEBB Continuation Coverage (Unpaid Leave) election/change form 2020
50-135FUse this form to enroll in or change your enrollment options for PEBB Continuation Coverage (Unpaid Leave).
FormPEBB Continuation Coverage Election Notice
50-801This is the booklet you will receive when your Public Employees Benefits Board (PEBB) health coverage ends. This booklet explains how you and your dependents can continue your PEBB health coverage. To continue PEBB health coverage, you must complete the enclosed form(s) and follow the instructions.
PublicationPEBB Continuation Coverage monthly premiums 2020
50-300RThese are the Public Employees Benefits Board (PEBB) medical plans offered for PEBB Continuation Coverage subscribers in 2020. To the right of each plan are the monthly premiums for an individual subscriber, subscriber and spouse,* subscriber with child(ren), and subscriber, spouse*, and child(ren). These premiums do not include the monthly premium surcharges, if applicable to your account.
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