If you are displaced or affected by wildfire, all Washington Apple Health and PEBB/SEBB medical plans are allowing prescription refills before the refill date.
Due to COVID-19, HCA’s lobby is closed. Learn more about your customer service options.

Separating employment: Plan 3 members

DRS Plan 3 members not retiring, but meet DRS requirements.

Enroll in or defer PEBB retiree insurance coverage

If you are enrolling in or deferring PEBB retiree insurance coverage:


Action to take if you are enrolling: Action to take if you are deferring:
3 months prior to retirement

Request a Retiree Enrollment Guide.

Request a Retiree Enrollment Guide.
3 months prior to your 65th birthday or terminating employment at age 65 or older Contact Social Security Administration (SSA) to enroll in Medicare Part A and Part B if you or any dependents you wish to cover are entitled to Medicare, due to either age or disability. Make sure you understand the Initial Enrollment Period (IEP) and Special Enrollment Period (SEP) for Medicare and how these timelines affect the start date of Medicare.  
30-60 days prior to retirement

Send PEBB:

  • Retiree Coverage Election Form (form A) and any other applicable forms.
  • A copy of your Medicare ID card showing enrollment in Medicare Part A and Part B (if entitled). Write your full name and the last four digits of your Social Security number on the copy of your card. If you wish to enroll dependents who are entitled to Medicare, include a copy of their Medicare ID card.
  • Payment for your first month’s health coverage premium (if not using pension deduction). You may want to keep a copy of your forms for your files.

PEBB must receive the form no later than 60 days after employer-paid coverage, COBRA coverage or continuation coverage ends. If enrolling in a Medicare plan, PEBB should receive the forms prior to the month the retiree coverage begins.

When you are ready to retire


Action to take to enroll in coverage:
6 months prior to retirement Contact DRS to request a retirement estimate.

30-60 days prior to retirement

Submit your retirement application to DRS.


The PEBB Program

Department of Retirement Systems (DRS)
Toll-free: 1-800-547-6657