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Behavioral health comparison (SEBB) 2020
20-0179Starting in 2020, all carriers must provide information on their websites for mental health and substance abuse treatment providers’ ability to ensure timely access to care. This document includes behavioral health benefits for SEBB medical plans. When you need information about what mental health and substance use disorders are covered, you can read the SEBB medical plans’ Certificates of Coverage.
PublicationCancellation of supplemental life insurance (SEBB) 2021
20-0192Use this form if you are a School employee and you wish to cancel your supplemental life and/or accidental death and dismemberment (AD&D) insurance.
FormCertification of a child with a disability (PEBB) 2020
50-142After turning 26, your dependent may be eligible for enrollment under your PEBB coverage. Use this form to certify your dependent's disability and enroll them on your PEBB coverage.
FormCertification of a child with a disability (SEBB) 2020
20-0061After turning 26, your dependent may be eligible for enrollment under your SEBB coverage. Use this form to certify your dependent's disability and enroll them on your SEBB coverage.
FormCertification of a Child with a Disability (SEBB) 2021
20-0061After turning 26, your dependent may be eligible for enrollment under your SEBB coverage. Use this form to certify your dependent's disability and enroll them on your SEBB coverage.
FormCertification of a Child with Disability (PEBB) 2021
50-0142After turning 26, your dependent may be eligible for enrollment under your PEBB coverage. Use this form to certify your dependent's disability and enroll them on your PEBB coverage.
FormContinuing eligibility for PEBB benefits during the COVID-19 outbreak
Davis Vision (SEBB) Certificate of Coverage (COC) 2020
This benefits book describes what is covered as a SEBB member under Davis vision, including vision services and specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays.
PublicationDavis Vision (SEBB) Certificate of Coverage (COC) 2021
This benefits book describes what is covered as a SEBB member under Davis vision, including vision services and specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays.
PublicationDavis Vision (SEBB) preauthorization requirements
Preauthorization requirements for Davis Vision plan. Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. These criteria do not imply or guarantee approval. Please check with your plan to ensure coverage. Preauthorization requirements are only valid for the month published. They may have changed from previous months and may change in future months.
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