Due to COVID-19, HCA’s lobby is closed. Learn more about HCA's customer service options during the pandemic.

If you are displaced or impacted by flooding, all PEBB and SEBB medical plans are allowing prescription refills before the refill date.

Spousal plan questionnaire 2022

 
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Use this questionnaire to determine if you need to pay a premium surcharge for your spouse or state-registered domestic partner (SRDP).

If you don’t have a spouse or SRDP on your SEBB medical plan, you don’t need to complete this questionnaire. This surcharge does not apply to you.

If you have a spouse or SRDP enrolled on your 2022 SEBB medical plan, you must:

  1. Answer YES to question 1 (the only option)
  2. YES or NO to questions 2-6

    AND
  3. Check the corresponding boxes in SEBB My Account (for school employees) or on your 2022 enrollment/change form (for SEBB Continuation Coverage members).