Benefit by Trust
Below are lists with helpful tools and compliance notices.
This symbol denotes a PDF Document. If it contains a form, you can print it and fill it out.
This symbol denotes a Web Page. If it contains a form, you can fill it out online and submit it.
How to File an Appeal
CEBT Mobile App
CEBT Employer Administrative Guide
End of Public Health Emergency (PHE) Benefits
Evidence of Group Health Coverage
CEBT Notice of Termination
Affidavit of Common Law Marriage
CEBT HIPAA Release Form
Medicaid and the Children’s Health Insurance Program (CHIP)
Section 1557 - Nondiscrimination Notice
CEBT 2023 No Surprise Billing Notice
2023-2024 Annual Notice
CEBT General Notice of COBRA Continuation Coverage Rights
HIPAA Notice of Privacy Policy