PEBB Appeal Form

Employees have the right to appeal insurance decisions. PEBB does not process insurance carrier appeals. If you disagree with a carrier decision, you must appeal directly to the insurance carrier. See your carrier’s member handbook under Benefits at for the process or call the carrier directly. Carrier contact information is located here:  If employees are not satisfied with the outcome of their appeal to a carrier they can appeal to PEBB. PEBB considers appeals on eligibility decisions, enrollment errors, omissions or missed enrollment time lines.