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Benefits Orientation
Medical & Dental Plan Enrollment

Enrollment Steps

If you are ready to enroll in the medical and dental insurance plans you have chosen, complete the following steps.

  1. Download the Medical/Dental Enrollment Form.
  2. Read all of the instructions before completing the form.
  3. Have the information on your worksheet available.
  4. If you are adding a spouse or qualified domestic partner, also complete pages 2 and 3 of the Declaration of Qualified Domestic Partnership & Tax Status forms.
  5. Complete and sign the form(s).
  6. Keep a copy for your records.
  7. Return the original form to:

    HR Benefits Office
    UW Box 355660
    3903 Brooklyn Avenue NE
    Seattle, WA 98105-6694

Verify Your Health Insurance Enrollment

Allow 8-10 working days before you attempt to verify your coverage. There are two ways to verify your insurance coverage on line:

  1. UW Employee Self-Service (ESS) - After you log in with your UW NetID, click the "Insurance" tab to view the insurance plans in which you are enrolled.
  2. Health Care Authority's website
    • Choose "Public Employee/Retiree"
    • Complete PEBB sign-in window

Save Money on Medical Expenses

Learn about how to save on expenses with the Medical Flexible Spending Account and the Dependent Care Assistance Program.

Next - Life and AD&D Insurance