Coordination of Benefits Form

dental_cob_formIf you or any other family member has other coverage that pays for your dental expenses in addition to GEHA, please complete a Coordination of Benefits Form. You can use the "Fill out online" link below to securely send the information electronically to GEHA, or you can click the "Download" link to open a PDF version of the form to print, complete, and return to GEHA by fax or by mail.