Forms & publications

This is the Long-term Disability (LTD) Certificate of Coverage (COC) for Public employees in PEBB benefits. It includes information on eligibility, enrollment, exclusions, and premiums.

This is the Long-term Disability (LTD) Certificate of Coverage (COC) for Public employees in PEBB benefits. It includes information on eligibility, enrollment, exclusions, and premiums.

This is the Long-term Disability (LTD) Certificate of Coverage (COC) for school employees in SEBB benefits. It includes information on eligibility, enrollment, exclusions, and premiums.

This is the Long-term Disability (LTD) Certificate of Coverage (COC) for school employees in SEBB benefits. It includes information on eligibility, enrollment, exclusions, and premiums.

The chart briefly compares the medical deductibles and per-visit out-of-pocket costs of some in-network benefits for PEBB 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 directly 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.

The chart briefly compares the medical deductibles and per-visit out-of-pocket costs of some in-network benefits for PEBB 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.

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 directly 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.

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.

All school employees are offered a selection of plans based on their county of residence or the county where their employment location is based. Some school employees may have more plan options if they work in a district that crosses county lines (see the school districts by county list starting on page 3 for more information). 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.