2026 PEBB Retiree Election Form (form A). Use Form A to enroll in PEBB retiree coverage.

2026 Medicare Supplement Plan Enrollment form for Plan G. Use Form B to enroll in Medicare Supplemental Plan G, administered by Premera.

Use this form to enroll in Medicare Supplemental insurance administered by Premera.

Use this form to disenroll from Medicare Advantage.

2026 PEBB Medicare Plan Disenrollment Form. Use this form to disenroll from a Medicare Advantage with Part D plan or UMP Classic Medicare with Part D.

Use Form E to make changes to your PEBB retiree insurance coverage.

2026 PEBB Retiree Change Form. Use Form E to make changes to your PEBB retiree coverage.

The February 2025 SEBB Program Intercom newsletter.

This is the October 2024 Intercom newsletter for SEBB Employees. Includes the annual notice of creditable prescription drug coverage.