Basically, a “fully insured” plan is offered by commercial carriers, which choose what they cover (this is called the “benefit design”). SEBB Program fully insured plans are not offered in all counties.
A “self-insured” plan is offered by the employer organization — in this case, Washington State. On behalf of the state, the SEBB Program develops the benefit design and has more control over plan costs. Our self-insured plan is called the Uniform Medical Plan (UMP), administered by Regence BlueShield. UMP is available in all counties.
A range of health care options is offered for both fully insured and self-insured plans, with differing benefits and plan costs.