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

dcrb

Config

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