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SEBB rules and policies

The SEBB Program follows the rules in Washington Administrative Code (WAC). Our administrative policies describe how we implement a law or rule affecting participation in SEBB Program benefits.

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SEBB Program law

You can find the SEBB Program's existing law in chapter 41.05 of the Revised Code of Washington (RCW).

SEBB Program rules

The SEBB Program follows the rules in Washington Administrative Code (WAC) chapters:

Below are links to the detailed rules for circumstances most common to school employees.

SEBB Program policies

The SEBB Program's administrative policies describe how we implement a law or rule affecting participation in SEBB Program benefits. The statements made in these documents reflect our interpretations of the eligibility and enrollment rules.

Employee eligibility and enrollment

Number Title Effective Date
11-1

Providing a notice to a school employee

10/15/2020

11-3 Correcting School Employees Benefits Board Organization and contracted vendor enrollment errors 10/15/2020
12-1 Determining the first day of school for SEBB Organizations 10/01/2019
19-1 Termination due to loss of eligibility 10/15/2020
19-1A Addendum - Termination due to loss of eligibility or enrollment error: School employee

10/15/2020

19-1B Addendum - Termination due to loss of eligibility or nonpayment: Self-pay subscriber 10/15/2020

Dependent eligibility and enrollment

Number Title Effective Date
31-1 Verifying dependent eligibility before enrollment 10/15/2020
31-2 Use of premium surcharge help sheet and spousal plan calculator tools 10/01/2019
33-1 Verifying legal union's residency status 10/15/2020
36-1 Certifying eligibility for a dependent child with a disability who is age 26 or older 10/15/2020
37-1 Certifying eligibility for an extended dependent child 10/15/2020

Special open enrollment

Number

Title Effective Date

45-2

Special open enrollment (SOE) 10/15/2020
45-2A Addendum: special open enrollment (SOE) matrix: summary of permitted election changes 10/15/2020

Continuation coverage

Number

Title Effective Date

56-1

Continuation coverage reinstatement for subscribers with mental impairment or physical incapacitation

10/15/2020

56-2 Election period tolling for applicants with mental or physical impairment or incapacitation 10/15/2020

Appeals

Number

Title Effective Date
60-1 Required appeals related documents when the SEBB Program conducts a brief adjudicative proceeding

10/01/2019

Administrative - permanent

Number Title Effective Date
91-1 Requesting a reasonable alternative for completing wellness incentive program requirements or avoiding the tobacco use premium surcharge 10/15/2020
91-2 Tobacco as it relates to religious or ceremonial use 10/01/2019
91-3 Washington Wellness worksite designation program incentive requirements 10/15/2020
93-2 SEBB Program payment plans for continuation coverage and non-Medicare retiree accounts 10/15/2020
94-1 Accessing SEBB Program salary reduction plan document 01/01/2020
94-2 Accessing SEBB Program wellness plan document 01/01/2020

Proposed policies

Below are proposed policies with an effective date of January 1, 2022.

Number

Title

Effective Date

11-3

Correcting School Employees Benefits Board organization and contracted vendor enrollment errors

1/1/2022

12-1

Determining the first day of school for SEBB organizations

1/1/2022

19-1A

Addendum: termination due to loss of eligibility or enrollment error: school employee

1/1/2022

19-1B

Addendum: termination due to loss of eligibility or non-payment: self-pay subscriber

1/1/2022

31-1

Verifying dependent eligibility before enrollment 

1/1/2022

31-2

Use of SEBB premium surcharge attestation help sheet and spousal plan calculator tools

1/1/2022

37-1

Certifying eligibility for an extended dependent child

1/1/2022

45-2

Special open enrollment (SOE)

1/1/2022

45-2A

Addendum: special open enrollment (SOE) matrix: summary of permitted election changes

1/1/2022

56-1

Continuation coverage reinstatement for subscribers with mental or physical impairment or incapacitation

1/1/2022
56-2

Election period tolling for applicants with mental or physical impairment or incapacitation

1/1/2022

91-2

Tobacco as it relates to religious or ceremonial use

1/1/2022

91-3

Washington Wellness worksite designation program incentive requirements

1/1/2022

Rescinded policies

The polices listed below are rescinded, effective 11:59 p.m. on October 14, 2020.

 SEBB Program salary reduction plan

SEBB Program wellness plan