Forms & publications

Guidance on SEBB benefits available to school employees and their dependents. This guide includes information on eligibility, enrollment, dependent verification, benefits (medical, dental, vision coverage, life insurance, long-term disability insurance, flexible spending arrangements, the dependent care assistance program, and SmartHealth wellness program), medical plan premiums, medical plans available, premium surcharges, how to change coverage, and how to file an appeal.

The 2026 School Employee Enrollment/Change form for Medical Only groups. Use this form to enroll in benefits or make changes to your benefits.

The 2026 School Employee Enrollment/Change form. Use this form to enroll in benefits or make changes to your benefits.

Use this form if you disagree with a decision made by your employer or the SEBB Program.

Use this form to enroll in or change your enrollment options for SEBB Continuation Coverage (COBRA) coverage.

2026 SEBB Continuation Coverage (COBRA/Unpaid Leave) Election/Change form. Use this form to enroll in or change your enrollment options for SEBB Continuation Coverage (COBRA/Unpaid Leave) coverage.

Use this form to enroll in or change your enrollment options for SEBB Continuation Coverage (Unpaid Leave) coverage.

This is the booklet you will receive when your School Employees Benefits Board (SEBB) health coverage ends. This booklet explains how you and your dependents can continue your SEBB health coverage. To continue SEBB health coverage, you must complete the enclosed forms and follow the instructions.

This is the booklet you will receive when your SEBB coverage ends. It explains how you and your dependents can continue your SEBB coverage under COBRA or Unpaid Leave. To continue SEBB coverage, you must complete the enclosed forms and follow the instructions.

Use this form to request an appeal.