PEF MBP Forms for Your Convenience
Download any form of your choosing to gather what you need for any existing benefit/program offering.
Insurances
Assault, Trauma, & Captivity Claim Form
Group Term Life Enrollment Form
Group Term Life Beneficiary Designation Form
Short-Term Disability Enrollment Form
Long-Term Disability Enrollment Form
Short- & Long-Term Disability & Group Term Life Enrollment Form
Short- & Long-Term Disability & Group Term Life Enrollment Form (For new members enrolling within their first 240 days of hire.)
Evidence of Insurability Form
Domestic Partner Affidavit
Retiree Dental Enrollment Form
Financial & Legal Services
Legal Defense Claim Form
Legal Defense Release Form
Voluntary Legal Service Plan Enrollment Form
Other
Exam Fee Reimbursement
Military Leave Form
Retiree Enrollment Form & Pension Deduction Form
Retiree Renewal & Pension Deduction Form
