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Processing a New Employee
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General Information and Requirements

Updated 12/16/2008

To enroll a new employee in PEBB Benefits you must:

Once the employee submits the enrollment forms:

Employee must complete and return this form... ...within... ...or this will happen
Employee Enrollment Change form 31 days of employee’s initial date of eligibility Enroll only the employee in Uniform Medical Plan and Uniform Dental Plan
LTD Enrollment/Change form 31 days of employee’s initial date of eligibility Enroll the employee in Basic LTD coverage only
Life Insurance Enrollment form 60 days of employee’s initial date of eligibility Enroll the employee in Basic Life only
FSA and DCAP 31 days of employee’s initial date of eligibility Must wait for annual open enrollment to enroll for the next year or have a qualified event that triggers a special open enrollment.

Forms

Employee

Dependents

Life Insurance (see System Keying below for instructions on keying):

Long-Term Disability:

Other Forms: Pers/Pay forms page.

System Keying PAY1

Common Questions and Issues

WAC References

Audio Visual Aids