Forms and policy documents
The state of CT PDA portal is closed. Active employees should contact their agency benefits specialist for verification and reinstatement. Retirees should contact the Retiree Health Unit at 860-702-3533 for assistance.
For Verification of Dependent Eligibility:
Choose a button to narrow your search. To view all policies, select ‘Policies.’ For pharmacy forms, select ‘Pharmacy,’ and so forth.
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