Sorry, you need to enable JavaScript to visit this website.

dcrb

District of Columbia Retirement Board
 

DC Agency Top Menu

-A +A
Bookmark and Share

Health Benefits Enrollment Registration Form (District)

If you were hired on or after October 1, 1987, you are eligible to enroll in a District of Columbia health insurance plan.

Note: Please submit all supporting documents with your enrollment form if you are adding or  removing a dependent from your healthcare plan. Examples would be:

  • Divorce
  • Marriage
  • Adoption
  • Birth
  • Adult disabled child