Behavioral health comparison (SEBB) 2020

20-0179

Starting 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.

Publication

Cancellation of supplemental life insurance (SEBB) 2021

20-0192

Use 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.

Form

Certification of a child with a disability (PEBB) 2020

50-142

After 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.

Form

Certification of a child with a disability (SEBB) 2020

20-0061

After 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.

Form

Certification of a Child with a Disability (SEBB) 2021

20-0061

After 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.

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Certification of a Child with Disability (PEBB) 2021

50-0142

After 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.

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Continuing eligibility for PEBB benefits during the COVID-19 outbreak

Fact sheet

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.

Publication

Davis 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.

Publication

Davis 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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