GEHA will perform system maintenance today (September 18) from 7:30 p.m. to 9:30 p.m. Central time. Portions of this website might not be available during this time. We apologize for any inconvenience.

Coordination of Benefits

If you or any other family member has other coverage that pays for your dental expenses in addition to GEHA, please complete the information below and select Submit Form to send this form by email to GEHA.

    Employee or Annuitant Identification Data

    To help us identify your account, please provide the following information.









    Other Group Coverage Information







    Signature