Enroll in a plan
To enroll in a UnitedHealthcare Medicare Advantage PPO plan for 2021, submit the Retiree Election/Change form for Open enrollment and Retiree Medicare Advantage Enrollment form (form C). If you use PEBB My Account, you will be directed to these forms.
Deadline to enroll
The PEBB Program must receive your Retiree Election/Change form for Open Enrollment and Retiree Medicare Advantage Enrollment form (form C) by November 30, 2020.
Need help or have questions?
For additional questions about your enrollment,visit the PEBB Program’s open enrollment webpage or, call PEBB Customer Service at 1-800-200-1004, 8 a.m. to 4:30 p.m., Monday through Friday. TRS users, call 711. Or, contact us.
2021 Open Enrollment Period