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How do I notify PEBB that my loved one has passed away?

Who you contact depends on your situation. 

Employees

If a covered dependent dies, submit the appropriate PEBB Employee Enrollment/Change form to your payroll or benefits office to remove the dependent from your coverage no later than 60 days after they pass away. By submitting this form, your premium may be reduced to reflect the change in coverage.

You should notify your payroll or benefits office of the employee's passing. As the survivor of an employee, you may be eligible to enroll in or defer enrollment in PEBB retiree insurance coverage. To learn more, visit: 

If you do not meet the eligibility requirements to enroll in or defer enrollment in PEBB retiree insurance coverage, you may be eligible to continue your health plan enrollment in PEBB Continuation Coverage (COBRA)

Retirees

First, notify the PEBB Program of your loss.

Send us a secure message

You will need to set up an account to use this system. In your message, include your loved one's:

  • Full name.
  • Social Security number.
  • Date of death.

Why do I need to set up an account? To protect your and your loved one's privacy and sensitive health information. Using our secure messaging system helps us ensure your information remains safe. 

Call us

You can call PEBB Customer Service at 1-800-200-1004 (TRS: 711) and let the service representative know your loved one's: 

  • Full name.
  • Social Security number.
  • Date of death.

Your situation will determine the next steps

You only need to notify the PEBB Program. Your loved one will be removed from your coverage. Your premium may be reduced to reflect the change in coverage.

Enrolled retiree

If you are an enrolled spouse, state-registered domestic partner (SRDP), or dependent child of a retiree who passed away, there is nothing else you need to do. Once you have notified the PEBB Program of your loved one’s death, you will be automatically moved onto your own account.

Eligible retiree not enrolled

If you are a spouse, SRDP, or dependent child of an eligible retiree who is not enrolled at the time of their death, you must submit the Retiree Election Form (form A) and other supporting documentation to the PEBB Program. The PEBB Program must receive your forms and documentation no later than 60 days after your loved one's death. 

PEBB Continuation Coverage subscribers

First, notify the PEBB Program of your loss. You can:

Send us a secure message

You will need to set up an account to use this system. In your message, include your loved one's:

  • Full name.
  • Social Security number.
  • Date of death.

Why do I need to set up an account? To protect your and your loved one's privacy and sensitive health information. Using our secure messaging system helps us ensure your information remains safe. 

Call us

You can call PEBB Customer Service at 1-800-200-1004 (TRS: 711) and let the service representative know your loved one's: 

  • Full name.
  • Social Security number.
  • Date of death.

Your situation will determine the next steps

You only need to notify the PEBB Program. Your loved one will be removed from your coverage. Your monthly premium may be reduced to reflect the change in coverage.

When you let PEBB Customer Service know, your continuation coverage will end. You will be provided information regarding options to continue enrollment in PEBB Continuation Coverage (COBRA). If you choose to continue coverage, you will be enrolled under your own account and may be eligible for additional months of continuation coverage up to a maximum of 36 months. The amount of time you have been enrolled in PEBB Continuation Coverage will be included in the maximum number of months allowed under PEBB Continuation Coverage (COBRA).