Benefit Information Summary Sheets

Selection Sheet

  1. 2022 PEBB Selection Sheets

Medical, Vision and Dental

  1. 2022 UMP Classic Summary of Benefits
  2. 2022 UMP Classic Certificate of Coverage
  3. 2022 UMP Select Summary of Benefits
  4. 2022 UMP Select Certification of Coverage
  5. 2022 UMP HSA Certificate of Coverage
  6. 2022 UMP HSA Summary of Benefits
  7. 2022 PEBB Dental Benefit Comparison

Long Term Disability and Life Insurance

  1. 2022 MetLife Enrollment Change Form
  2. 2022 PEBB LTD Enrollment Form