Forms & publications

This publication lists the monthly medical premiums for school employees in 2025.

Fact sheet about the PEBB and SEBB Programs for the Legislature.

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 PEBB 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.

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.

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.

This is the PEBB Program's For Your Benefit newsletter for February 2025.

The PEBB Program's For Your Benefit newsletter for Retirees in February 2025.