Forms and Booklets - PSBT

Forms and Booklets

Manage your PSBT membership with access to forms and booklets.

Application Forms

If you are a new member and have not filled out any forms, please download the Sign-Up Kit:

Or, download individual forms:

Plan Enrollment Form

Funds Direction Form

Privacy Consent Form

Beneficiary Change Form

Dependant Change Form

Booklets

Benefits Booklet

Travel Assist Booklet

Claims Forms

Healthcare Claim