Yes. To avoid the tobacco use premium surcharge, employees must attest that they and their dependents do not use tobacco. For more on this, visit the Tobacco use surcharge webpage.

They are automatically enrolled into UMP Achieve 1 (medical), Uniform Dental Plan (dental), MetLife (vision), basic life, basic accidental death and dismemberment, and basic long-term disability insurance. They are charged the tobacco use premium surcharge. Their dependents are not enrolled. In addition, they cannot change plans or enroll any eligible dependents until the next SEBB Program annual open enrollment or unless they have a special open enrollment event that allows the change, such as a marriage, birth, or adoption.

It depends. When an employee is approved for Family and Medical Leave Act (FMLA) or Paid Family Medical Leave (PFML) that is concurrent with FMLA, they remain eligible for the employer contribution and continue their benefits. Concurrent means that leave taken under approved PFML must follow and overlap with leave taken under approved FMLA.

PFML by itself (that is not concurrent with FMLA), does not allow an employee to continue benefits. However, if the employee has already worked or remains anticipated to work at least 630 hours in the school year, the employee remains eligible for the employer contribution and continues their benefits regardless of whether PFML is or is not concurrent with FMLA.

Additional guidance can be found in the C-1 and C-2 worksheets on the Eligibility tools and worksheets page.

Employees will have uninterrupted coverage when moving from one SEBB organization to another within the same month or a consecutive month, if the following conditions are satisfied:

• The employee was eligible for the employer contribution toward SEBB benefits in the position they are leaving; and
• The employee is anticipated to be eligible for the employer contribution toward SEBB benefits in their new position.

If they move to a new county, employees may need to change their medical plan. This creates a special open enrollment event.

The employer contribution toward SEBB benefits ends the last day of the month in which the school year ends (August 31). The employer contribution toward SEBB benefits will end earlier than the end of the school year if one of the following occurs:

• The district, charter school, or educational service district (ESD) terminates the employment relationship. Eligibility for the employer contribution ends the last day of the month in which the employer-initiated termination notice is effective.
• The school employee terminates the employment relationship. Eligibility for the employer contribution ends the last day of the month in which the school employee’s resignation is effective.
• The school employee’s work pattern is revised such that the employee is no longer anticipated to work 630 hours during the school year. Eligibility for the employer contribution ends as of the last day of the month in which the change is effective.

Yes. For example, if an employee resigns in the middle of the month, the district covers them through the end of that month.

Yes. Districts will provide benefits to any employee who works or is anticipated to work 630 hours within the school year.

The employee would receive benefits in the school year they become eligible. Anticipated hours would be reassessed for the new school year. If they reach 630 hours two years in a row and return to the same type of position, they will be presumed eligible for the third year.

The employee becomes eligible on the day they reach 630 hours. Their coverage begins on the first day of the following month.

No. They retain coverage until the end of the school year. Their premiums will not change, unless they have a special open enrollment event and change their coverage.