Forms & publications

This guide explains everything about PEBB benefits for public employees.

These premiums apply to PEBB employees in state agencies, higher-education institutions, and community and technical colleges. These premiums do not include the monthly premium surcharges, if applicable to your account.

Submit this form with your enrollment form if you are enrolling an extended (legal) dependent child.

Submit this form with your enrollment form if you are enrolling an extended (legal) dependent child.

This benefits book describes what is covered as a SEBB member under EyeMed 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.

Preauthorization requirements for EyeMed Vision. 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.

Facts about the UMP Classic Medicare option to reduce costs.

Learn about your benefits and stay informed with HCA's February 2023 PEBB newsletter.

February 2024 edition of the PEBB For You Benefit newsletter.

February 2024 PEBB For Your Benefit newsletter, retiree edition.