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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.
On this page
You can find the SEBB Program's existing law in chapter 41.05 of the Revised Code of Washington (RCW).
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.
- How do school employees establish eligibility and when does SEBB insurance coverage begin?
- Who are eligible dependents?
- When may subscribers enroll or remove eligible dependents?
- When may subscribers change health plans?
- When do benefits end?
- SEBB appeals rules
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
Providing a notice to a school employee
|11-3||Correcting School Employees Benefits Board Organization and contracted vendor enrollment errors|
|12-1||Determining the first day of school for SEBB organizations|
|19-1||Termination due to loss of eligibility|
|19-1A||Addendum - Termination due to loss of eligibility or enrollment error: School employee|
|19-1B||Addendum - Termination due to loss of eligibility or nonpayment: Self-pay subscriber|
Dependent eligibility and enrollment
|31-1||Verifying dependent eligibility before enrollment|
|31-2||Use of premium surcharge help sheet and spousal plan calculator tools|
|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|
|Special open enrollment (SOE)|
|45-2A||Addendum: special open enrollment (SOE) matrix: summary of permitted election changes|
Continuation coverage reinstatement for subscribers with mental impairment or physical incapacitation
|56-2||Election period tolling for applicants with mental or physical impairment or incapacitation|
|60-1||Required appeals related documents when the SEBB Program conducts a brief adjudicative proceeding|
|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|
|91-3||Washington Wellness worksite designation program incentive requirements|
|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|
There are currently no proposed policies.
The polices listed below are rescinded, effective 11:59 p.m. on October 14, 2020.