I am retiring, how do I enroll in retiree coverage?

Within 60 days of your retirement date, contact PEBP for the required forms. You will need to submit a Benefit and Enrollment Change Form along with a Years of Service Certification Form to the PEBP office. If you are age 65 or older, you will need to submit a copy of your Medicare Parts A and/or B card. You may also need to transition to the Medicare Exchange at that time.

You can also view our Retiree Enrollment Guide for help as you transition to retirement.

*All events require review and approval by the PEBP Eligibility Department to ensure compliance with the PEBP Master Plan Document