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Change your coverage

Learn how and when to make changes to your coverage. Most changes can be made during annual open enrollment or during a special open enrollment.

Before you make changes

Before you make a change, it is important to:

Make sure the health plan is available in your area.
Check the plan's provider directory or contact your plan to make sure your provider is in the plan's network.
Compare monthly plan costs (premiums).
Compare benefits and your costs for care (deductibles, coinsurance, and/or copays).

You can only change medical, dental, or vision plans during open enrollment or if a special open enrollment event occurs that allows a health plan change.
All eligible dependents must enroll in the same health plan. (Dependents can have different providers.)
You may be enrolled in only one medical, dental, or vision plan. If you and your spouse or state-registered domestic partner are both eligible subscribers, you need to choose which of you will cover yourselves and your eligible children (including adult children who are also eligible for SEBB benefits as an employee). Enrolled dependents will be listed on one account, not both. However, if you waive enrollment in medical, you must enroll in dental, vision, basic life, basic AD&D insurance, and employer-paid LTD insurance under your own account. You will also be enrolled in employee-paid LTD insurance.

Enrollment changes are effective January 1 of the following year.

Change your medical, dental, and vision plans.
Add or remove eligible dependents.
Waive medical coverage.
Enroll in a medical plan, if you previously waived medical.
Attest to the spouse or state-registered domestic partner coverage premium surcharge.

Visit Navia Benefit Solutions to enroll or reenroll in:

To enroll in or opt out of the state's premium payment plan, your payroll or benefits office must receive:

You can make these changes outside of annual open enrollment without a special open enrollment event.

Change your name and/or address by notifying your payroll or benefits office. You cannot change this through SEBB My Account.
Remove dependents from coverage due to loss of eligibility (this is required). You must make this change in SEBB My Account or submit the School Employee Change Form to your payroll or benefits office within 60 days of the last day of the month the dependent loses eligibility for SEBB health plan coverage. You may also need to provide proof of the event before the dependent can be removed.
Apply for, cancel, change coverage amounts, and update beneficiary information for supplemental life and accidental death and dismemberment (AD&D) insurance.
Make changes to your tobacco use premium surcharge attestation. You can do this in SEBB My Account or use the SEBB Premium Surcharge Attestation Change form.
Reduce coverage level, decline coverage, or enroll in employee-paid long-term disability insurance. Use SEBB My Account or submit the Long-Term Disability Insurance Enrollment/Change form to your payroll or benefits office. If you later decide to enroll in or increase coverage, you will have to provide evidence of insurability and be approved by the insurer.
Start, stop, or change your contribution to your Health Savings Account (HSA). Use the Employee Authorization for Payroll Deduction to Health Savings Account form.
Change your HSA beneficiary information. Use the Health Savings Beneficiary Designation form.

You can make changes to your enrollment or health plan elections in one of these ways.

Log in to SEBB My Account and change your selections; or
Submit the required forms to your payroll or benefits office during open enrollment.

Log in to SEBB My Account or submit the required forms to your payroll or benefits office within the SEBB Program's timelines, when a special open enrollment event occurs.