What happens if I lose my spouse or dependent child?

If you lose a spouse or dependent child, the following steps must be taken:

• You must complete the PEBT Benefits Change Form terminating coverage for your spouse or dependent child and provide this form to the School District Benefits Administrator.
• If you are making an optional life or optional accidental death claim, the School District Benefits Administrator will provide you with the appropriate claims forms.
• Termination of coverage will be on the effective date of the change.