Forms & publications

The chart briefly compares the medical deductibles and per-visit out-of-pocket costs of some in-network benefits for SEBB medical plans. Copays and coinsurances may apply; some copays and coinsurance do not apply until after you have paid your annual deductibles. Call the plans for more information on specific benefits, including preauthorization requirements and exclusions. If anything in these charts conflicts with the plan’s benefits book, the benefits book takes precedence and prevails.

This document outlines costs and coverage details for PEBB medical plans. If anything in this document conflicts with the plan’s benefits book, the benefits book takes precedence.

This document outlines costs and coverage details for SEBB medical plans. If anything in this document conflicts with the plan’s benefits book, the benefits book takes precedence.

All school employees are offered a selection of plans based on their county of residence or the county where their employment location is. Some school employees may have more plan options if they work in a district that crosses county lines. Be sure to call the medical plans you are interested in to ask about provider availability.

All school employees are offered a selection of plans based on their county of residence or the county where their employment location is. Some school employees may have more plan options if they work in a district that crosses county lines. Be sure to call the medical plans you are interested in to ask about provider availability.

This is the MetLife accidental death and dismemberment (AD&D) insurance certificate of coverage (COC) for PEBB employees.

This is the MetLife life insurance certificate of coverage (COC) for PEBB employees

Use this form to name the persons or entities you want to receive your life insurance proceeds after your death. Return this form to MetLife.

This is the MetLife life insurance certificate of coverage (COC) for retirees.

MetLife accidental death and dismemberment (AD&D) insurance certificate of coverage (COC) for SEBB members who work at least 630 hours.