What are the member signature requirements for Enrollment and Change forms?

To avoid issues or delays with life and AD&D claims, please ensure Enrollment and Change forms are signed used a format accepted by the benefit providers.

For paper forms, a “wet” signature in ink is still required. For life and AD&D claims, a scanned copy of a signed paper form will be accepted.

If an electronic copy of these forms is used, the following is accepted:

• A digital copy of the member’s signature that they have inserted into the electronic form
• A handwritten but digitally captured signature made on a touch device, such as a tablet or smartphone
• Electronic signature solutions and “click to sign” programs (e.g. DocuSign)

Please note: A typed name in cursive font is not acceptable unless it’s received alongside an approved digital seal from an electronic signature solution or “click to sign” program.

For those districts using PBC’s optional Digital Member Enrollment tool, the member’s digital signature is obtained through the enrollment process, and the confirmation document created by the tool can be saved by the district for reference. Any subsequent changes must be documented on a PEBT Change form, and the signature requirements outlined above will apply.