How do I enroll?
To enroll in SEBB Continuation Coverage there are forms you need to submit by certain deadlines. Learn more about the steps you need to take.
The SEBB Program must receive your forms and supporting documentation no later than 60 days after your PEBB health plan coverage ends or from the postmark date on the SEBB Continuation Coverage Election Notice, whichever is later.
On this page
You may continue your SEBB medical, dental, and/or vision coverage you were enrolled in on the day before your qualifying event. In some cases, you may continue life and accidental death and dismemberment (AD&D) insurance and your flexible spending arrangement (FSA). Visit Am I eligible? for more information about your coverage options.
We will not enroll you until you submit forms to continue your SEBB coverage and make the first premium payment, including applicable premium surcharges, within the timelines provided.
Medical, dental, and vision coverage
Depending on the coverage you are eligible for, submit either:
- SEBB Continuation Coverage (COBRA) Election/Change form
- SEBB Continuation Coverage (Unpaid Leave) Election/Change form
Life insurance and AD&D insurance
Life and AD&D insurance are available to continue for SEBB Continuation Coverage (Unpaid Leave) subscribers. Make your election to continue life and AD&D insurance on the SEBB Continuation Coverage (Unpaid Leave) Election/Change form. If you do not continue your life and AD&D insurance while on leave, you must reapply for supplemental life and AD&D insurance when you regain eligibility.
If you are a SEBB Continuation Coverage (COBRA) subscriber and wish to continue your life insurance under portability or conversion, submit the form sent to you by MetLife. MetLife must receive your form no later than 60 days after your SEBB employee life insurance ends.
Learn more about life and AD&D insurance.
Flexible spending arrangements (FSAs)
Both COBRA and Unpaid Leave subscribers can continue FSAs.
If you are eligible to continue your FSA, Navia Benefit Solutions will mail a COBRA election notice to you. Navia must receive your election no later than 60 days from the date SEBB health plan coverage ended, or the postmark date on Navia’s COBRA election notice, whichever is later.
Learn more about FSAs.
SEBB Continuation Coverage (Unpaid Leave) subscribers are not eligible to continue LTD insurance. However, you may reenroll in the same LTD insurance coverage you had before you began leave without pay. On returning to work your LTD insurance will resume on the first day of the month following the date you regain eligibility for employer coverage. You do not need to submit forms.
You can enroll in coverage as long as the SEBB Program receives your forms no later than 60 days from the date your SEBB health plan coverage ended, or the postmark date on the SEBB Continuation Coverage Election Notice, whichever is later. After this date, you will lose your opportunity to enroll.