School Employees Benefits Board (SEBB) Program FAQs
Are you a school administrator? View the FAQs for school administrators.
The following frequently asked questions (FAQs) help you understand the SEBB Program and how it affects you and your dependents.
The basic long-term disability (LTD) benefit is based on a percentage of your paycheck. The maximum amount provided by this benefit is $400 per month. However, you can purchase supplemental LTD coverage. Use the above link to learn more.
Your provider might not be in any of the current SEBB plan provider networks for a number of reasons:
- Your provider has chosen to contract with a carrier for some of their provider networks, but not all of the carrier’s provider networks. For example, a provider might be contracted with Premera’s Heritage provider network, but not its Heritage Prime provider network.
- Your provider has chosen not to contract with any of the SEBB carriers for any of their networks.
- The carrier may not be contracting with new providers.
By law, the SEB Board establishes eligibility criteria for dependents, including legal spouses and state-registered domestic partners. To inform their decision, the SEB Board reviewed the specific reference to state-registered domestic partners in RCW 41.05.740(6)(d)(iii).
The SEBB Program is unable to offer a short-term disability benefit that is better than the state's new Paid Family and Medical Leave Act (PFMLA), effective in 2020.
The HSA is paired with the UMP High Deductible health plan. Find information on our Health plans with a health savings account webpage. The monthly HSA employer contribution amounts are posted there.
Under EHB 2242, benefits will be available starting January 1, 2020.
It depends on when they are hired. Learn more under How to determine eligibility.
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.
- Medical, dental, and vision coverage are offered, as well as life, accidental death and dismemberment (AD&D), and long-term disability (LTD) insurance.
- The SEBB Program also offers benefits that employees pay, such as supplemental life, AD&D, and LTD insurance.
- Other benefits include the Medical Flexible Spending Arrangement, and Dependent Care Assistance Program.
If eligible employees do not enroll in or waive SEBB medical coverage during the SEBB timelines, they will be automatically enrolled in the benefits listed below. They will be charged the $25 tobacco use premium surcharge in addition to the monthly medical premium. Their dependents will not be enrolled. They won’t be able to change plans or enroll any eligible dependents until the next SEBB Program annual open enrollment or unless they have a special open enrollment event that allows the change, such as a marriage, birth, or adoption.
- Medical: UMP Achieve 1, with a $33 monthly premium
- Dental: Uniform Dental Plan
- Vision: MetLife Vision
- Basic life: MetLife
- Basic accidental death and dismemberment (AD&D): MetLife
- Basic long-term disability (LTD): The Standard