If you are displaced or affected by wildfire, all Washington Apple Health and PEBB/SEBB medical plans are allowing prescription refills before the refill date.
Due to COVID-19, HCA’s lobby is closed. Learn more about your customer service options.
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.
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.
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
Uniform Medical Plan (UMP) is the SEBB Program’s self-insured health plan, administered by Regence BlueShield and Washington State Rx Services (WSRxS) through Moda Health. UMP members have access to Regence BlueShield preferred providers and Blue Cross and Blue Shield plan providers worldwide through the Blue Cross Blue Shield Global® Core program. UMP members have access to a national network of pharmacies including most major pharmacy chains and independent pharmacies. UMP provides a network mail-order pharmacy service through Postal Prescription Services (PPS), and the plan’s network specialty drug pharmacy, Ardon Health.
The insurance plan year for the SEBB Program is a calendar year, January 1 through December 31. The school year, as defined in RCW 28A.150.203(11), is September 1 through August 31. Your benefit eligibility and coverage period are based on the school year.