Waiving medical coverage

You can waive SEBB medical coverage if you are enrolled in other employer-based group medical insurance, a TRICARE plan, or Medicare.

How do I waive coverage?

Depending on whether you enroll during open enrollment or later, the process is different.

Waiving during the SEBB Program’s open enrollment

You can waive SEBB medical coverage during the SEBB Program’s open enrollment, October 1 through November 15, 2019. You must enroll in dental, vision, basic life and accidental death and dismemberment (AD&D), and basic long-term disability insurance for yourself, regardless of whether you waive SEBB medical coverage.

If you waive SEBB medical coverage:

  • You cannot enroll your eligible dependents in SEBB medical coverage.
  • The premium surcharges will not apply to you.
  • You will not be eligible to participate in the SmartHealth wellness program. Details about the wellness program will be available during open enrollment, October 1 through November 15, 2019.

Waiving after the SEBB Program’s open enrollment

Further information will be available during the SEBB Program’s open enrollment, October 1 through November 15, 2019.

If eligible for SEBB benefits, you must enroll in dental, vision, basic life and accidental death and dismemberment (AD&D), and basic long-term disability insurance for yourself, regardless of whether you waive SEBB medical.

What if I'm eligible for SEBB benefits both as an employee and as a dependent?

If you are an eligible employee and you are also eligible as a dependent under your spouse’s, state-registered domestic partner’s, or parent’s account, you may choose one of these options:

  • Waive SEBB medical and enroll under your spouse’s, state-registered domestic partner’s, or parent’s account. You must still enroll in SEBB dental, vision, basic life and AD&D, and basic long-term disability insurance under your own account.
  • Enroll in SEBB medical under your own account.

Enrollment information will be available during the SEBB Program’s open enrollment, October 1 through November 15, 2019.

What happens if I don't enroll in or waive SEBB medical coverage?

If you do not enroll in or waive SEBB medical coverage within the required timeframe, you will be automatically enrolled as a single subscriber in medical, dental, vision, basic life and AD&D, and basic long-term disability insurance.

More detailed information will be available during open enrollment, October 1 through November 15, 2019.

Can I reenroll?

If you waive SEBB medical coverage, you can reenroll during the SEBB Program’s annual open enrollment (for coverage effective January 1 of the following year), or if you have a special enrollment event during the year that allows the change. Details about special enrollment events will be available at a later date.

What if I’m entitled to Medicare?

For employees and their enrolled spouses or state-registered domestic partners age 65 and older, SEBB medical plans provide primary coverage, and Medicare coverage is usually secondary. You may choose to waive your enrollment in SEBB medical coverage and have Medicare as your coverage. However, you will remain enrolled in SEBB dental, vision, life and AD&D, and long-term disability coverage.