Medical plans and benefits

The SEBB Program will offer the following types of benefits to school employees; however, procurement and plan design are still in process. We will update benefit information as details become available.

Fully insured medical plans

Plans from multiple carriers with widespread coverage offerings.

Self-insured medical plans

The SEB Board voted on June 13, 2018 to offer four self-insured plans with features similar to the Uniform Medical Plan (offered under the Public Employees Benefits Board Program). Features include covered benefits, provider networks, clinical policies, and an integrated pharmacy benefit. Offerings are subject to final financing decisions by the state.

The self-insured plans approved on June 13 include:

  • A self-insured plan with the same coverages and exclusions, provider networks, and clinical policies as the 2020 UMP Classic plan;
  • A self-insured plan similar to the 2020 UMP Classic, but with different deductibles and coinsurances;
  • A self-insured plan with the same coverages and exclusions, provider networks, and clinical policies as the 2020 UMP Consumer-Directed Health Plan; and
  • A self-insured plan with the same coverages and exclusions, provider networks, and clinical policies as the 2020 UMP Plus plan.

The SEB Board has the option of customizing the self-insured plans by amending the June 13 resolutions. The changes could include:

  • Modifying dollar amounts and limits on member cost sharing, like deductibles, copays, coinsurance, maximum out-of-pocket costs, and out-of-network costs.
  • Increasing or decreasing services with an annual visit limit.
  • Changing each plan's list of covered and excluded services.