What happens if I want to waive coverage for myself and/or my dependents?

Check with your School District Benefits Administrator to determine which benefits can be waived and which are a mandatory employment condition.
You may be able to waive extended health and dental for yourself and all eligible dependents if you have coverage under another plan (i.e. spouse’s employer’s plan) by completing the waiver section of the PEBT Benefits Enrollment Form (for new hires) or the Change of Spousal or Other Coverage section of the PEBT Benefits Change Form.

Please note, if you and your spouse are both eligible for extended health and dental benefits through the PEBT Program within the same or different districts, it is important to ensure that the spouse waiving coverage through their own plan still completes in full the PEBT Benefits Enrollment Form or the Change to Spousal or Other Coverage section of the PEBT Benefits Change form. If this process is not followed, late applicant rules will apply in the event your spouse were to lose their own benefit plan coverage in the future. You may be required to provide evidence of the other benefits plan (if applicable in your district).

If you wish to apply for previously waived benefits coverage at a later date, you should refer to the sections on Life Events and Late Applicants.