Administering SEBB in Benefits 24/7

Navigating to Benefits 24/7

To access Benefits 24/7, BAs and employees can visit benefits247.hca.wa.gov. For quick and convenient access, save the URL as a bookmark or favorite in your browser (Google Chrome is the preferred/recommended browser), or select any of the links to Benefits 24/7, which will be provided on the HCA and SEBB BA websites.

Logging in to Benefits 24/7

After navigating to Benefits 24/7, both BAs and employees will select the "Log in to Benefits 24/7" button under "Subscriber/Benefits administrator login". You will then be redirected to the SecureAccess Washington (SAW) login page. For login instructions, review chapter 1 of the Benefits 24/7 manual.

Benefits 24/7 manuals

Chapter 1: Introduction to Benefits 24/7

• In Chapter 1 you'll find descriptions of common terms related to accounting and eligibility, instructions for how to log into Benefits 24/7, and an overview of the Administrative Dashboard located within the Benefits 24/7 system.

Chapter 2: Managing Benefits 24/7

• In Chapter 2 you'll learn about how benefits administrator access is managed in Benefits 24/7, how to locate reports and files, where to find subscriber enrollment history, and how to troubleshoot employee access to Benefits 24/7.

Chapter 3: Managing employee accounts

• In Chapter 3 you'll learn about employee enrollment in Benefits 24/7, including how to manually add a new employee, what to do if you encounter dual enrollment, how to process dependent verification and special open enrollment (SOE) requests, and making changes to an employee's account. You'll also find information about transfers, terminations, reinstatements, and correcting errors.

What training is available to BAs?

Trainings are available on the Training materials and recordings webpage. Visit the Training schedule webpage to review any upcoming training opportunities.

Where can employees find information about Benefits 24/7?

Employees can find information about Benefits 24/7 on the Help with Benefits 24/7 webpage.

System processes associated with Benefits 24/7

Current process

Current process has Benefits 24/7 sending eligibility and enrollment data to our legacy Pay1 system, which in turn sends data to our carriers/vendors.

Long description: current state flowchart

This graphic is a flowchart that shows the current state of PEBB and SEBB program systems and how the data syncs between the systems.

The top of the graphic has the title “PEBB and SEBB Program Systems Current State.”

The chart begins on the left, showing that subscribers and benefits administrators log into SecureAccess Washington (SAW) and then access Benefits 24/7. The next section shows that eligibility and enrollment systems with APIs (such as Seattle School District) and eligibility and enrollment systems with file transfers (such as HRMS, higher ed, UW, and WSU) do not access SAW and instead log into Benefits 24/7.

From Benefits 24/7, eligibility and enrollment data (including life and LTD) is sent to carriers/vendors for medical, dental, vision, life, and LTD.

Benefits 24/7 also syncs the data and sends eligibility and enrollment data to our legacy Pay1 system, which in turn can send data to carriers/vendors.

Additionally, UW can send eligibility and enrollment data directly to Pay1, which then sends the data to Benefits 24/7.

The far right of the graphic shows that from Pay1, financial, reporting, and other enrollment data is sent to other vendor program systems, such as AFRS, CMS, ACA, Milliman, Navia, SmartHealth, and PPACA.

The bottom of the graphic has a legend describing the three types of processes in the flowchart. “Users” is a teal, hexagon-shaped icon. “Information” is a white rounded rectangle. “Systems” is a rounded rectangle.

Future process

The future process will have Benefits 24/7 send the eligibility and enrollment data directly to our carriers/vendors. Pay1 will continue to send financial and reporting data to other systems. BAs and employees won’t see changes in Benefits 24/7 with the new processes, all of the system changes will be done on the backend.

Long description: future process flowchart

This graphic is a flowchart that shows the future process of how PEBB and SEBB program systems will sync.

The top of the graphic has the title “PEBB and SEBB Program Systems Future State.”

The chart begins on the left, showing that subscribers and benefits administrators log into WA.gov and then access Benefits 24/7. The next section shows that eligibility and enrollment systems with APIs (such as Seattle School District, UW, and WSU) and eligibility and enrollment systems with file transfers (such as HRMS and higher ed) do not access SAW and instead log into Benefits 24/7.

From Benefits 24/7, eligibility and enrollment data is sent directly to carriers/vendors for medical, dental, vision, life, and LTD. Benefits 24/7 will sync the file and send the data to the legacy Pay1 system. Pay1 in turn sends financial and reporting data to other systems, such as AFRS, CMS, ACA, Milliman, Navia, SmartHealth, and PPACA.

The far right of the graphic shows that Benefits 24/7 can also send reporting and other enrollment data directly to other systems.

The bottom of the graphic has a legend describing the three types of processes in the flowchart. “Users” is a teal, hexagon-shaped icon. “Information” is a white rounded rectangle. “Systems” is a rounded rectangle.

A fourth icon in the legend indicates an updated component between the current and future processes. This is represented by an orange outline and an illustration showing a wrench. This orange border and wrench graphic appear around the following flowchart items: Subscribers, WA.gov, Benefits Administrators, Eligibility and enrollment systems with APIs, Eligibility and enrollment systems with file transfers, Benefits 24/7, Eligibility and enrollment data, Sync file, Reporting and other enrollment data, Carriers, and Pay1.

What can I do with Benefits 24/7?

Benefits administrators

Benefits 24/7 provides a user-friendly application with improved functionality. Specifically, Benefits 24/7 allows:

• Benefits administrators (BAs) to manage their employees’ accounts in Benefits 24/7.
  • BAs of all employers can key their employees’ data into Benefits 24/7.
  • BAs can key employee eligibility and loss of eligibility, and their associated start and end dates.
  • BAs can manage/verify Special Open Enrollment (SOE) events.
  • BAs can verify dependent eligibility using verification documents that have been uploaded to Benefits 24/7 or provided as a paper copy by their employees.
• BAs access to several different reports (Benefit Election Changes, Benefit Elections Snapshot, Dependents turning age 26, etc..)
• BAs to manage access to Benefits 24/7 for their BAs.
• BAs to view employee’s enrollment history including, enrollments, special open enrollment (SOE) requests, attestations, documents, dependent details, and login history.

Employees

School employees can use Benefits 24/7 to:

• Make medical, dental and vision plan choices during initial 31-day eligibility period, special open enrollment (SOE) events, and during annual open enrollment.
• Waive medical coverage during initial 31-day eligibility period, SOEs, and during annual open enrollment.
• View their accounts at any time, including a printable Statement of Insurance.
• Request to enroll in or defer PEBB retiree coverage.
• Request to enroll in continuation coverage.
• Submit SOE requests.
• Add or remove dependents during open enrollment, SOE’s and manage their enrollment throughout the year.
• Upload documents to prove dependent eligibility.
• Make long-term disability (LTD) insurance elections.
• Use links to visit vendors’ websites for supplemental benefits (life and AD&D insurance, Flexible Spending Arrangements (FSAs), and Dependent Care Assistance Program (DCAP).